Effect of extracorporeal shock wave therapy combined with different stretching training on spasticity of calf triceps after cerebral stroke
Objective To investigate the effect of extracorporeal shock wave(ESWT)combined with different draft training in the treatment of calf triceps spasm after stroke.Methods A total of sixty patients with calf triceps spasm af-ter stroke in the Rehabilitation Department of Affiliated Hospital of Jining Medical University from March 2020 to August 2021 were selected as the research subjects.The selected patients were be segmented into ESWT treatment group(con-trol group),ESWT combined with oblique plate drafting group(combined group A)and ESWT combined with static drafting group(combined group B)by random number table method,with twenty patients in each group.All patients were evaluated for muscle tone and improvement of lower limb motor function by modified Ashworth(MAS),modified Tardieu(MTS),simplified FuGL-Meyer lower limb motor function(FMA-LE),and ankle PROM before treatment,2 weeks after treatment,and 4 weeks after treatment,respectively.Results Before training,there was no difference in MAS,MTS,FMA-LE and ankle PROM among the three groups(P>0.05).After 2 weeks of training,the above four inde-xes of the three groups were improved compared with those before training.MAS,MTS and PROM of the combined group were better than those of the control group(P<0.05),FMA-LE of the combined group A was not significantly different from that of the control group(P>0.05),ankle PROM of the combined group B was more effective than that of the com-bined group A.There was no significant difference in the other three indexes(P>0.05).After 4 weeks of training,MAS,MTS,FMA-LE and ankle PROM of the 3 groups were improved significantly(P<0.05),and the combination group A was significantly better than the control group(P<0.05),and the combination group B was significantly better than the other two groups(P<0.05).Conclusions ESWT combined with static drafting training has a positive therapeutic effect on reducing triceps spasm and improving lower limb motor function of patients after stroke,and the effect is better than oblique plate drafting or shock wave therapy alone,which can be used as an effective means of treating triceps spasm of the calf after stroke in clinical promotion and application.
NETL
NSTL
万方数据
