Extracorporeal shock wave for plantar flexor spasticity in spinal cord injury:A case report and review of literature  

作　　者：Natalia Comino-Suárez Julio Gómez-Soriano Silvia Ceruelo-Abajo Eduardo Vargas-Baquero Ana Esclarín Juan Avendaño-Coy 

机构地区：[1]Toledo Physiotherapy Research Group,Faculty of Physiotherapy and Nursery,Castilla La Mancha University,Toledo 45071,Toledo,Spain [2]Department of Physical and Rehabilitation Medicine,Hospital Nacional de Parapléjicos,Sescam,Toledo 45071,Toledo,Spain

出　　处：《World Journal of Clinical Cases》2023年第1期127-134,共8页世界临床病例杂志

基　　金：Supported by BTL Industries Ltd.Prague,Czech Republic。

摘　　要：BACKGROUND Approximately 65%-78%of patients with a spinal cord injury(SCI)develop any symptom of spasticity.The aim of this study was to investigate the tolerability and short-term effects of radial extracorporeal shock wave therapy(r ESWT)on plantar flexor spasticity in a patient with incomplete SCI.CASE SUMMARY An 18-year-old man with an incomplete SCI completed five sessions of r ESWT.The primary outcomes were the changes in ankle-passive range of motion(APROM)and passive resistive force to ankle dorsiflexion.The outcomes were assessed at baseline(T0),immediately after treatment(T1)and 1 wk after the end of treatment(T2).The A-PROM increased by 15 degrees at T1 and 25 degrees at T2 compared with T0.The passive resistive force to ankle dorsiflexion at low velocity decreased by 33%at T1 and 55%at T2 in the gastrocnemius muscle and by 41%at T1 and 39%at T2 in the soleus muscle compared with T0.At high velocity,it also decreased by 44%at T1 and 30%at T2 in the gastrocnemius muscle compared with T0.However,in the soleus muscle,the change was minor,with a decrease of 12%at T1 and increased by 39%at T2 compared with T0.CONCLUSION In this patient,the findings showed that r ESWT combined with conventional therapy was well-tolerated and could be effective in improving A-PROM and passive resistive force to ankle dorsiflexion in the short-term.Further randomized controlled clinical trials with longer period of follow-up are necessary to confirm the results obtained in patients with SCI.

关 键 词：SPASTICITY Spinal cord injury Radial extracorporeal shock wave therapy Rehabilitation Case report 

分 类 号：R68[医药卫生—骨科学]