Extracorporeal shock waves (ESW) as an alternative treatment method for improving the limb muscles' spasticity after cerebral stroke - a systematic review of the literature

Extracorporeal shock wave (ESW) is a physical factor, of which the clinical use is observed in a wide range of disorders, particularly musculoskeletal dysfunctions. Recently, one can observe that the list of indications for ESW treatment is continuously growing and adapting the increasingly different systemic diseases in terms of etiology and pathomechanism. Nevertheless, it should be remembered that the potential biological mechanisms of ESW stimulation conditioning advantageous and desirable therapeutic effects are not clearly explained. In the world of science is the lack of irrefutable evidence, supported by advanced research in the field of observation and recording biophysical mechanisms under the influence of ESW stimulation in a number of neurological disorders, especially in patients after stroke suffer from the damage of upper motor neuron (UMN). The aim of this paper is to provide an overview of current research reports evaluating the efficacy and safety of ESW in reducing a post-stroke spasticity of limbs and recover a motor finctions in stroke patients. A number of 8 research articles were qualified into review, only in English, which appeared in the years 2005 - 2015. The following summary includes a total group of 83 patients with spasticity of the lower limbs and 79 in the upper limbs. Review of scientific reports were based on international medical databases. All classified papers were characterized in detail, taking into account the methodology of research, patient characteristics, establish treatment parameters, as well as the results obtained on the basis of subjective and objective indicators. Despite a promising effectiveness of ESW therapy, the results of which have been described so far in several pilot studies, there is a legitimate need for further verification of this subject of research in terms of clinical application.

Medienart:

Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:70

Enthalten in:

Wiadomosci lekarskie (Warsaw, Poland : 1960) - 70(2017), 3 pt 2 vom: 01., Seite 667-676

Sprache:

Polnisch

Beteiligte Personen:

Dymarek, Robert [VerfasserIn]
Ptaszkowski, Kuba [VerfasserIn]
Słupska, Lucyna [VerfasserIn]
Paprocka-Borowicz, Małgorzata [VerfasserIn]
Taradaj, Jakub [VerfasserIn]
Halski, Tomasz [VerfasserIn]
Rosińczuk, Joanna [VerfasserIn]

Themen:

Journal Article
Literature review
Muscles’ hypertonia
Neurorehabilitation
Physiotherapy
Post-stroke spasticity
Review
Shock waves
Systematic Review

Anmerkungen:

Date Completed 02.10.2018

Date Revised 02.12.2018

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM273887963