Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open-Label, Preliminary Clinical Trial
Identifieur interne : 001073 ( Main/Exploration ); précédent : 001072; suivant : 001074Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open-Label, Preliminary Clinical Trial
Auteurs : Robert Dymarek [Pologne] ; Jakub Taradaj [Pologne] ; Joanna Rosi Czuk [Pologne]Source :
- Evidence-based Complementary and Alternative Medicine : eCAM [ 1741-427X ] ; 2016.
Abstract
Url:
DOI: 10.1155/2016/4648101
PubMed: 27504139
PubMed Central: 4967701
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open-Label, Preliminary Clinical Trial</title><author><name sortKey="Dymarek, Robert" sort="Dymarek, Robert" uniqKey="Dymarek R" first="Robert" last="Dymarek">Robert Dymarek</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław</wicri:regionArea><wicri:noRegion>51-618 Wrocław</wicri:noRegion></affiliation></author><author><name sortKey="Taradaj, Jakub" sort="Taradaj, Jakub" uniqKey="Taradaj J" first="Jakub" last="Taradaj">Jakub Taradaj</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Physiotherapy Basics, Academy School of Physical Education in Katowice, Mikolowska 65 Street, 40-065 Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Physiotherapy Basics, Academy School of Physical Education in Katowice, Mikolowska 65 Street, 40-065 Katowice</wicri:regionArea><wicri:noRegion>40-065 Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Rosi Czuk, Joanna" sort="Rosi Czuk, Joanna" uniqKey="Rosi Czuk J" first="Joanna" last="Rosi Czuk">Joanna Rosi Czuk</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław</wicri:regionArea><wicri:noRegion>51-618 Wrocław</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27504139</idno><idno type="pmc">4967701</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4967701</idno><idno type="RBID">PMC:4967701</idno><idno type="doi">10.1155/2016/4648101</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003E31</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003E31</idno><idno type="wicri:Area/Pmc/Curation">003E30</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003E30</idno><idno type="wicri:Area/Pmc/Checkpoint">000963</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000963</idno><idno type="wicri:Area/Ncbi/Merge">008674</idno><idno type="wicri:Area/Ncbi/Curation">008674</idno><idno type="wicri:Area/Ncbi/Checkpoint">008674</idno><idno type="wicri:doubleKey">1741-427X:2016:Dymarek R:extracorporeal:shock:wave</idno><idno type="wicri:Area/Main/Merge">001075</idno><idno type="wicri:Area/Main/Curation">001073</idno><idno type="wicri:Area/Main/Exploration">001073</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open-Label, Preliminary Clinical Trial</title><author><name sortKey="Dymarek, Robert" sort="Dymarek, Robert" uniqKey="Dymarek R" first="Robert" last="Dymarek">Robert Dymarek</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław</wicri:regionArea><wicri:noRegion>51-618 Wrocław</wicri:noRegion></affiliation></author><author><name sortKey="Taradaj, Jakub" sort="Taradaj, Jakub" uniqKey="Taradaj J" first="Jakub" last="Taradaj">Jakub Taradaj</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Physiotherapy Basics, Academy School of Physical Education in Katowice, Mikolowska 65 Street, 40-065 Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Physiotherapy Basics, Academy School of Physical Education in Katowice, Mikolowska 65 Street, 40-065 Katowice</wicri:regionArea><wicri:noRegion>40-065 Katowice</wicri:noRegion></affiliation></author><author><name sortKey="Rosi Czuk, Joanna" sort="Rosi Czuk, Joanna" uniqKey="Rosi Czuk J" first="Joanna" last="Rosi Czuk">Joanna Rosi Czuk</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław</wicri:regionArea><wicri:noRegion>51-618 Wrocław</wicri:noRegion></affiliation></author></analytic><series><title level="j">Evidence-based Complementary and Alternative Medicine : eCAM</title><idno type="ISSN">1741-427X</idno><idno type="eISSN">1741-4288</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objective.</italic> To evaluate the effectiveness of radial shock waves (rESW) for wrist and fingers flexors spasticity in stroke patients.<italic> Methods.</italic> Twenty patients with upper limb muscle spasticity were enrolled in the study and treated with a single session of rESW. The spasticity level of the radio carpal (RC) and finger (FF) joints was assessed using Modified Ashworth Scale (MAS). The resting bioelectrical activity of the flexor carpi radialis (FCR) and flexor carpi ulnaris (FCU) was examined using surface electromyography (sEMG). Trophic conditions were measured using infrared thermal (IRT) imaging. All measurements were conducted at baseline (<italic>t</italic><sub>0</sub>), immediately after rESW (<italic>t</italic><sub>1</sub>), and 1 (<italic>t</italic><sub>2</sub>) and 24 (<italic>t</italic><sub>3</sub>) hours following rESW.<italic> Results.</italic> Significant reduction in MAS was observed for the RC joint in <italic>t</italic><sub>1</sub>, as well as for the FF joints in <italic>t</italic><sub>1</sub>, <italic>t</italic><sub>2</sub>, and <italic>t</italic><sub>3</sub>. A significant decrease in sEMG was shown for the FCR muscle in <italic>t</italic><sub>1</sub> and <italic>t</italic><sub>2</sub>, as well as for the FCU muscle in <italic>t</italic><sub>1</sub> and <italic>t</italic><sub>3</sub>. Also, a significant increase in IRT value was observed in <italic>t</italic><sub>3</sub> only.<italic> Conclusions.</italic> A single session of rESW could be an effective alternative treatment for reduction of limb spasticity and could lead to improvement of trophic conditions of the spastic muscles.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="B Hr, M" uniqKey="B Hr M">M. Bähr</name></author><author><name sortKey="Frotscher, M" uniqKey="Frotscher M">M. Frotscher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Czlonkowska, A" uniqKey="Czlonkowska A">A. Członkowska</name></author><author><name sortKey="Niewada, M" uniqKey="Niewada M">M. 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Hyun</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Dymarek, Robert" sort="Dymarek, Robert" uniqKey="Dymarek R" first="Robert" last="Dymarek">Robert Dymarek</name></noRegion><name sortKey="Rosi Czuk, Joanna" sort="Rosi Czuk, Joanna" uniqKey="Rosi Czuk J" first="Joanna" last="Rosi Czuk">Joanna Rosi Czuk</name><name sortKey="Taradaj, Jakub" sort="Taradaj, Jakub" uniqKey="Taradaj J" first="Jakub" last="Taradaj">Jakub Taradaj</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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