桡动脉体外冲击波疗法在局部治疗脑瘫患者肌张力过高(痉挛和肌张力障碍)方面的疗效。

Tamara Biedermann Villagra, Miriam Tur Segura, Francisca Gimeno Esteve, Jordi Jimenez Redondo, Nicolás García Rodríguez, Raimon Milà Villarroel
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引用次数: 0

摘要

目的:评估桡动脉体外冲击波疗法对减轻脑瘫患者局部肌张力过高的效果:评估桡动脉体外冲击波疗法对减轻脑瘫患者局部肌张力过高的效果:研究对象/患者: 45名脑瘫患者:45名脑瘫患者:所有患者均接受了 3 次放射状体外冲击波治疗,每次治疗间隔 1 周。测试结果包括塔迪厄量表 V1 和 V3、定时起立行走测试和 10 米步行测试。测量分别在基线、最后一次冲击波治疗后立即、基线后 12 周和 24 周进行:统计分析采用的是重复测量混合线性模型。在所有接受治疗的肌肉中,Tardieu量表上的度数都有明显增加。定时起立行走测试和 10 米步行测试的结果证实,冲击波疗法对患者的功能有明显的影响(p < 0.001):结论:体外冲击波疗法对患者功能的改善可持续 24 周。
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EFFECTIVENESS OF RADIAL EXTRACORPOREAL SHOCKWAVE THERAPY IN THE LOCAL MANAGEMENT OF HYPERTONIA (SPASTICITY AND DYSTONIA) IN PATIENTS WITH CEREBRAL PALSY.

Objective: To assess the effect of radial extracorporeal shockwave therapy on the reduction of local hypertonia in patients with cerebral palsy.

Design: Explorative pre-post intervention study.

Subjects/patients: Forty-five patients with cerebral palsy.

Methods: All patients received 3 sessions of radial extracorporeal shockwave therapy with a time interval of 1 week for each session. The outcomes were V1 and V3 of the Tardieu scale, the Timed Up and Go test, and the 10-metre walk test. The measurements were collected at baseline, immediately after the last session of shockwaves, at 12 and 24 weeks after baseline.

Results: The statistical analysis used was a mixed linear model of repeated measures. The degrees on the Tardieu scale increased significantly in all the treated muscles. The results of the Timed Up and Go test and the 10 m walk test confirmed a significant functional effect after the shockwave therapy (p < 0.001).

Conclusion: Functional improvement in patients treated with extracorporeal shockwave therapy has been observed to last up to 24 weeks.

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