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Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after Brain Injury: A Meta-analysis
[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....
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210419/ https://www.ncbi.nlm.nih.gov/pubmed/25364134 http://dx.doi.org/10.1589/jpts.26.1641 |
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author | Lee, Jin-Youn Kim, Soo-Nyung Lee, In-Sik Jung, Heeyoune Lee, Kyeong-Soo Koh, Seong-Eun |
author_facet | Lee, Jin-Youn Kim, Soo-Nyung Lee, In-Sik Jung, Heeyoune Lee, Kyeong-Soo Koh, Seong-Eun |
author_sort | Lee, Jin-Youn |
collection | PubMed |
description | [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. |
format | Online Article Text |
id | pubmed-4210419 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Society of Physical Therapy Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-42104192014-10-31 Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after Brain Injury: A Meta-analysis Lee, Jin-Youn Kim, Soo-Nyung Lee, In-Sik Jung, Heeyoune Lee, Kyeong-Soo Koh, Seong-Eun J Phys Ther Sci Review [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. The Society of Physical Therapy Science 2014-10-28 2014-10 /pmc/articles/PMC4210419/ /pubmed/25364134 http://dx.doi.org/10.1589/jpts.26.1641 Text en 2014©by the Society of Physical Therapy Science http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. |
spellingShingle | Review Lee, Jin-Youn Kim, Soo-Nyung Lee, In-Sik Jung, Heeyoune Lee, Kyeong-Soo Koh, Seong-Eun Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after Brain Injury: A Meta-analysis |
title | Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after
Brain Injury: A Meta-analysis |
title_full | Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after
Brain Injury: A Meta-analysis |
title_fullStr | Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after
Brain Injury: A Meta-analysis |
title_full_unstemmed | Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after
Brain Injury: A Meta-analysis |
title_short | Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after
Brain Injury: A Meta-analysis |
title_sort | effects of extracorporeal shock wave therapy on spasticity in patients after
brain injury: a meta-analysis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210419/ https://www.ncbi.nlm.nih.gov/pubmed/25364134 http://dx.doi.org/10.1589/jpts.26.1641 |
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