The Effect Of Extracorporeal Shock Wave Therapy(Eswt) On Spastıcıty And Upper Lımb Functıonalıty In Stroke Patıents
Citation
Alaasemı, Salam Khlaıf Jaber. The Effect Of Extracorporeal Shock Wave Therapy(Eswt) On Spastıcıty And Upper Lımb Functıonalıty In Stroke Patıents.Yüksek Lisans Tezi. T.C. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Enstitüsü, 2022.Abstract
Spasticity is a sign or symptom of a stroke, and it can last for days or even months. Studies
show that spasticity affects about 38% of people who have had a stroke. People who have had
a stroke can use Extracorporeal shockwave therapy to help with spasticity, pain, and
improving the way their upper limbs work. Extracorporeal shockwave therapy (ESWT) is a
series of single sonic pulses with high peak pressure (100 MPa), fast pressure rise (10 ns), and
short duration (10 ls) that are sent to the target area by a generator and have an energy density
of between 0.003 and 0.89 mJ/mm2. Radial ESWT (rESWT) has low to medium energy, a
lower peak pressure (0.1 MPa), a longer rise time (50 ls), and lasts longer than focused ESWT
(200–2000 ls). In Iraq, the Wasit Disabled Rehabilitation Center has 48 patients. The people
who signed up were split into two groups (study and control). Each group had 24 people. In
Control group, which used conventional physiotherapy, there were 20 men and 4 women.
Study group used rESWT along with conventional therapy (16 men and 8 women). As ways
to measure the outcome, we use the Modified Ashowrth Scale (MAS) score, the Fugl-Meyer
Assessment-Upper Extremity (FMA-UE), and the Range of Motion.
In statistical analysis, there were significant improvement in both groups of patients whom
treated with ESWT and without ESWT in FMA-UE. P˂0.001.
It is found that ESWT has no effect on spasticity and upper extremity functionality in stroke
patients.
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