지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 461 - 470 (10page)
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초록· 키워드
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Objective To evaluate the effect of extracorporeal shock wave therapy (ESWT) on lower limb spasticity in subacute stroke patients.Methods We studied thirty hemiplegic subacute stroke patients with ankle plantar flexor spasticity. ESWT was applied for 1 session/week, with a total of 3 sessions at the musculotendinous junction of medial and lateral gastrocnemius muscles. Patients were evaluated both clinically and biomechanically at baseline, after sham stimulation, and at immediately 1 week and 4 weeks after ESWT. For clinical assessment, Modified Ashworth Scale (MAS), clonus score, passive range of motion of ankle, and Fugl-Myer Assessment for the lower extremity were used. A biomechanical assessment of spasticity was conducted by an isokinetic dynamometer. Two parameters, peak eccentric torque (PET) and torque threshold angle (TTA), were analyzed at the velocities of 60o/sec, 180o/sec, and 240o/sec.Results After sham stimulation, there were no significant changes between each assessment. MAS and PET (180o/sec and 240o/sec) were significantly improved immediately and 1 week after ESWT. However, these changes were not significant at 4 weeks after ESWT. PET (60o/sec) and TTA (60o/sec, 180o/sec, and 240o/sec) were significantly improved immediately after ESWT. Yet, these changes were not significant at 1 week and 4 weeks after ESWT as well.Conclusion Lower limb spasticity in subacute stroke patients was significantly improved immediately after ESWT. Although the therapeutic effect of ESWT reduced with time and therefore was not significant at 4 weeks after ESWT, the degree of spasticity was lower than that of the baseline. Future studies with a larger sample of patients are warranted in order to verify the protocols which can optimize the effect of ESWT on spasticity.
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참고문헌 (25)
참고문헌 신청
Amelio E. / 2010 / Effect of shock wave stimulation on hypertonic plantar flexor muscles in patients with cerebral palsy : a placebo-controlled study / J Rehabil Med 42 : 33
Blackburn M. / 2002 / Reliability of measurements obtained with the Modified Ashworth Scale in the lower extremities of people with s
Duncan PW. / 1983 / Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident / Phys Ther 63 : 1606 ~ 1610
Fellows SJ. / 1993 / The limitations of the tendon jerk as a marker of pathological stretch reflex activity in human spasticity / J Neurol Neurosurg Psychiatry 56 : 531 ~ 53
Given JD. / 1995 / Joint dependent passive stiffness in paretic and contralateral limbs of spastic patients with hemiparetic stroke / J Neurol Neurosurg Psychiatry 59 : 271
Blackburn M. / 2002 / Reliability of measurements obtained with the Modified Ashworth Scale in the lower extremities of people with s
Duncan PW. / 1983 / Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident / Phys Ther 63 : 1606 ~ 1610
Fellows SJ. / 1993 / The limitations of the tendon jerk as a marker of pathological stretch reflex activity in human spasticity / J Neurol Neurosurg Psychiatry 56 : 531 ~ 53
Given JD. / 1995 / Joint dependent passive stiffness in paretic and contralateral limbs of spastic patients with hemiparetic stroke / J Neurol Neurosurg Psychiatry 59 : 271
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