《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (08): 755-758.

• 论文 • 上一篇    下一篇

体外冲击波对偏瘫患者上肢痉挛的疗效观察

林歆，丛芳，吴琼，芦海涛   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院理疗科，北京市100068。
  • 收稿日期:2012-10-31 修回日期:2013-01-04 出版日期:2013-08-25 发布日期:2013-08-25

Effect of Extracorporeal Shock Wave on Upper Limb Spasticity of Hemiplegic Patients

LIN Xin, CONG Fang, WU Qiong, et al.   

  1. Department of Modality, Capital Medical University School of Rehabilitation Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2012-10-31 Revised:2013-01-04 Published:2013-08-25 Online:2013-08-25

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被引次数

18

摘要： 目的观察低能量体外冲击波对偏瘫患者上肢痉挛的治疗效果。方法将30 例伴有上肢痉挛的偏瘫患者分为治疗组和对照组，每组15 例。对照组进行综合康复治疗；治疗组在此基础上加用体外冲击波治疗(ESWT)，每周1 次，共4 周。ESWT前和每次ESWT后以及4 周后随访时，应用改良Ashworth 量表(MAS)和简化Fugl-Meyer 评定法(FMA)上肢部分进行评定。结果组内比较：治疗组在每次ESWT后及随访时，MAS、FMA评分均较治疗前改善(P<0.01)；对照组MAS、FMA评分与治疗前相比无显著性差异(P>0.05)，仅在第4 次ESWT后及随访时与治疗前相比有显著性差异(P<0.05)。组间比较：每次ESWT后及随访时，治疗组MAS均较对照组改善(P<0.01)，第4 次ESWT后及随访时，治疗组FMA较对照组改善(P<0.01)。治疗组均无不良反应发生。结论ESWT对偏瘫患者上肢痉挛具有一定的疗效；4 周随访时，疗效持续存在，且安全无副作用。

关键词: 体外冲击波, 痉挛, 上肢, 偏瘫

Abstract: Objective To observe the effect of extracorporeal shock wave therapy (ESWT) on upper limb spasticity of hemiplegic patients.Methods 30 hemiplegic patients with upper extremity spasticity were divided into ESWT group (n=15) and control group (n=15).Routine rehabilitation therapy was administrated in two groups. Furthermore, ESWT group received 4 sessions (once a week) of ESWT. The modified Ashworth scale (MAS) and Fugl-Meyer assessment (FMA) were used in evaluation at different time points: pre-treatment, each treatment and follow-up 4 weeks after treatment. Results The scores of MAS decreased and the scores of FMA increased in the ESWT group since the 1st session (P<0.05), only in the control group after the 4th session (P<0.05). Compared to the control group, the scores of MAS decreased in the ESWT group (P<0.01) since the 1st ESWT and the scores of FMA increased since the 4th session (P<0.01). There was no side effect associated with ESWT. Conclusion EWST is effective, sustained and safe on upper limb spasticity of hemiplegics

Key words: extracorporeal shock wave, spasticity, upper extremity, hemiplegia