Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after Brain Injury: A Meta-analysis
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- Lee Jin-Youn
- Department of Rehabilitation Medicine, Konkuk University Medical Center and Konkuk University School of Medicine, Konkuk University: 120-1 Neungdong-Ro, Gwangjin-Gu, Seoul 143-729, Republic of Korea
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- Kim Soo-Nyung
- Department of Obstetrics and Gynecology, Konkuk University Medical Center and Konkuk University School of Medicine, Konkuk University, Republic of Korea
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- Lee In-Sik
- Department of Rehabilitation Medicine, Konkuk University Medical Center and Konkuk University School of Medicine, Konkuk University: 120-1 Neungdong-Ro, Gwangjin-Gu, Seoul 143-729, Republic of Korea
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- Jung Heeyoune
- Department of Rehabilitation Medicine, Konkuk University Medical Center and Konkuk University School of Medicine, Konkuk University: 120-1 Neungdong-Ro, Gwangjin-Gu, Seoul 143-729, Republic of Korea
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- Lee Kyeong-Soo
- Department of Rehabilitation Medicine, Konkuk University Medical Center and Konkuk University School of Medicine, Konkuk University: 120-1 Neungdong-Ro, Gwangjin-Gu, Seoul 143-729, Republic of Korea
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- Koh Seong-Eun
- Department of Rehabilitation Medicine, Konkuk University Medical Center and Konkuk University School of Medicine, Konkuk University: 120-1 Neungdong-Ro, Gwangjin-Gu, Seoul 143-729, Republic of Korea
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説明
[Purpose] The purpose of this meta-analysis was to assess the effects of extracorporeal shock wave therapy (ESWT) on reducing spasticity immediately and 4 weeks after application of ESWT. [Subjects and Methods] We searched PubMed, TCL, Embase, and Scopus from their inception dates through June 2013. The key words “muscle hypertonia OR spasticity” were used for spasticity, and the key words “shock wave OR ESWT” were used for ESWT. Five studies were ultimately included in the meta-analysis. [Results] The Modified Ashworth Scale (MAS) grade was significantly improved immediately after ESWT compared with the baseline values (standardized mean difference [SMD], −0.792; 95% confidence interval [CI], −1.001 to −0.583). The MAS grade at four weeks after ESWT was also significantly improved compared with the baseline values (SMD, −0.735; 95% CI, −0.951 to −0.519). [Conclusion] ESWT has a significant effect on improving spasticity. Further standardization of treatment protocols including treatment intervals and intensities needs to be established and long-term follow up studies are needed.
収録刊行物
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- Ｊ Ｐｈｙｓ Ｔｈｅｒ Ｓｃｉ
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Ｊ Ｐｈｙｓ Ｔｈｅｒ Ｓｃｉ 26 (10), 1641-1647, 2014
理学療法科学学会