Extracorporeal Shock Wave Therapy and Quantitative Ultrasonographic Evaluation of the Rheologic Effect in the Patients with Post-stroke Upper Limb Spasticity: A Case Report
- Author:
Eun Sol CHO
1
;
Yun Hee PARK
;
Young Sook PARK
;
Hyun Jung CHANG
;
Jae Sam SEO
;
Kyohun KU
;
Changwoo KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. yh0316.park@samsung.com
- Publication Type:Case Report
- Keywords:
Muscle spasticity;
Extracorporeal Shock Wave Therapy;
Ultrasonography
- MeSH:
Botulinum Toxins;
Humans;
Muscle Spasticity;
Quality of Life;
Shock;
Stroke;
Ultrasonography;
Upper Extremity
- From:
Clinical Pain
2018;17(1):45-48
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Post-stroke spasticity is a common complication that causes limitations of function, pain and decrement of the quality of life. Although botulinum toxin injection and anti-spastic medications are effective and widely used for the management of post-stroke spasticity, clinical applications are often limited in stroke patients because of their invasiveness and systemic side effects. Alternatively, we performed upper limb muscle-belly extracorporeal shock wave therapy (ESWT) to resolve problematic spasticity in two subacute stroke patients. Serial quantitative ultrasonographic measurements of spastic muscle were conducted to investigate the rheological changes in chronological order by echogenicity comparison. After 4 sessions of weekly ESWT, gradual decrements of clinical spasticity parameters and muscle echogenicity were observed and lasted for 1 week after the cessation of the therapy. ESWT may be a useful alternative management for treating post-stroke spasticity.
