DOI临床研究体外冲击波对偏瘫患者上肢痉挛的疗效观察.pdfVIP

中国康复理论与实践2013 年8 月第19卷第8 期Chin J Rehabil Theory Pract, Aug. 2013, Vol. 19, No. 8 - 755 - DOI: 10.3969/j.issn. 1006-9771.2013.08.011 ·临床研究· 体外冲击波对偏瘫患者上肢痉挛的疗效观察① 林歆，丛芳，吴琼，芦海涛 [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(P0.01) ；对照组MAS 、FMA 评分与治疗前相比无显著 性差异(P0.05) ，仅在第4 次ESWT 后及随访时与治疗前相比有显著性差异(P0.05) 。组间比较：每次ESWT 后及随访时，治疗组 MAS 均较对照组改善(P0.01) ，第4 次ESWT 后及随访时，治疗组FMA 较对照组改善(P0.01) 。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 Effect of Extracorporeal Shock Wave on Upper Limb Spasticity of Hemiplegic Patients LIN Xin, CONG Fang, WU Qiong, et al. De- partment of Modality, Capital Medical University School of Rehabilitation Medicine, Beijing Boai Hospital, China Rehabilitation Research Centre, Beijing 100068, China Abstract: Objective To observe the effect of extracorporeal shock wave therapy (ESWT) on upper limb spasticity of hemiplegic pa- tients. 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 (P0.05), only in the control group after the 4th session (P0.05). Compared