【摘 要】
：
BACKGROUND AND OBJECTIVEThis study aims to evaluate the effect of extracorporeal shock wave therapy (ESWT) on lower limb spasticity in stroke patients.METHODSTwenty-eight eligible patients with ankle
论文部分内容阅读
BACKGROUND AND OBJECTIVEThis study aims to evaluate the effect of extracorporeal shock wave therapy (ESWT) on lower limb spasticity in stroke patients.
METHODSTwenty-eight eligible patients with ankle plantar flexor spasticity were randomly assigned to two groups. ESWT group received 1 session per week for 3 weeks of ESWT along with oral anti-spastic medications and stretching exercises. The control group received only oral anti-spastic medications and stretching exercises similar to ESWT group. At baseline, weeks 1, 3 and 12, spasticity was assessed and compared between the two groups using Modified Ashworth Scale (MAS), clonus score, passive range of motion (ROM) of joint, pain score, 3-m walk duration and lower extremity functional score (LEFS). Three patients were lost during follow-up; 25 patients completed the study and were analyzed.
RESULTSAfter one session of ESWT treatment, MAS, pain, ROM and LEFS improved significantly compared to baseline. After three weeks of ESWT treatment, MAS, pain and 3-m walk duration improved significantly compared to week 1. At week 12, MAS, pain, ROM, 3-m walk duration and LEFS improved significantly compared to the control group after controlling baseline values. The trend of decrease in pain score and MAS was significantly different between the groups. The trend of increase in ROM and LEFS was significantly different between the groups.
CONCLUSIONESWT significantly improved lower limb spasticity, pain, passive ROM, 3-m walk duration and LEFS immediately and 12 weeks after treatment. So, ESWT in combination with oral anti-spastic medications and stretching exercises could be useful for improvement of spasticity in stroke patients.
其他文献
目的对采用FOLFOX6方案的癌症患者化疗期间及间歇期不同时段症状、症状群进行对比分析。方法本研究采取方便抽样问卷调查法，选取入住山东大学齐鲁医院化疗科100例患者作为研究对象，对其进行一般资料及安德森症状评估表调查。结果采取FOLFOX6方案的癌症患者其胃口差、恶心得分>4分，出院后疲乏得分最高，提取4个因子症状群，即胃肠道症状群、躯体化症状群、情感精神症状群和主观感受症状群；患者出院后第1天主
目的调查肿瘤科护理人员对癌症患者疼痛管理知识、态度的现状。方法采用一般资料调查问卷、疼痛管理知识和态度调查（KASRP）（2014）中文版问卷，对4个省市7所三级甲等医院232名肿瘤科护理人员实施调查。结果232名肿瘤科护理人员疼痛管理知识和态度平均得分为（21.56 ± 4.01）分，平均答对率为52.59%。不同学历、从事护理工作年限、从事肿瘤临床护理年限、以及所工作医院性质得分比较差异无统计
目的评价自制配药安瓿一体柜车在静脉输液配药中的应用效果。方法根据人机工程学原理自行设计配药安瓿一体柜车，是基于配药流程链为一体的医疗废物临时承载装置。其外观整体采用304不锈钢材质构成，分为上下2层。上层采用不锈钢制成一个整体的药杯孔穴架，可与车体的上层面整体分离，药杯是用于承装配药后的小空药瓶。下层设计为滑道式平板，能放置3个医疗废物分类收纳盒，万向车轮上设车闸，便于车体移动和固定。对42名急诊
目的探讨聚焦解决模式对脑卒中患者主要照顾者照顾准备度和负性情绪的影响。方法选取2018年1-10月在江苏省苏北人民医院神经内科住院的脑卒中患者的主要照顾者87名作为研究对象，将2018年1-5月纳入的43名照顾者作为对照组，2018年6-10月纳入的44名照顾者为干预组。对照组接受常规护理，干预组在常规护理基础上应用聚焦解决模式，采用照顾者准备度量表和焦虑抑郁自评量表评价干预效果。干预组失访2例，
目的了解目前临床上口腔癌围手术期患者口腔护理的真实体验。方法采用质性研究的方法，对17例口腔癌围手术期患者进行半结构式访谈，利用Nvivo 11软件整理访谈资料，采用Colaizzi七步分析法对原始资料进行归纳和分析。结果本研究共提炼出6个主题：口腔护理方式及实施人员多样，患者口腔护理知识不足且缺乏有效指导，口腔功能、结构、舒适度的改变影响患者的口腔护理，患者对口腔护理的反馈褒贬不一，患者口腔护理
目的探讨回授法在妊娠期糖尿病患者健康教育中的应用。方法选取2018年5-10月在青岛市中心医院产科门诊就诊的妊娠期糖尿病患者90例为研究对象。采用随机数字表法将患者分为试验组和对照组各45例，对照组采取传统的健康教育，试验组在此基础上采取回授法；比较2组患者血糖水平、治疗依从性、妊娠结局等情况。结果干预后，试验组空腹血糖、餐后2 h血糖、糖化血红蛋白分别为（4.75 ± 0.30）mmol/L、（
目的系统评价认知行为干预的实施对退变性腰椎手术患者康复效果的影响。方法计算机检索Cochrane图书馆、PubMed、EMBASE、Medline、CNKI、Wanfang 6个中英文数据库关于退变性腰椎手术患者认知行为干预的随机对照试验，2名研究人员独立检索并提取数据，使用RevMan5.3软件进行Meta分析。结果纳入7篇文献的Meta分析结果显示，试验组Oswestry功能障碍指数问卷[MD
目的观察低频重复经颅磁刺激(rTMS)联合高压氧(HBO)治疗卒中后非流利性失语患者的疗效。方法采用随机数字表法将48例脑卒中后非流利性失语患者分为对照组、HBO组及观察组。3组患者均给予常规康复干预(包括药物治疗、语言训练及肢体康复训练等)，HBO组患者在此基础上辅以HBO治疗，观察组患者则辅以HBO及低频rTMS联合治疗，磁刺激部位为右侧大脑半球Broca镜像区，磁刺激频率为1 Hz。于治疗前
BACKGROUND AND OBJECTIVEA retrospective single centre cohort analysis was performed to evaluate an individualised radial extracorp oreal shock wave therapy (rESWT) protocol for treatment of symptomati