The influence of radial extracorporeal shock wave therapy on shoulder pain and structural abnormalities in stroke patients.

Autor:	Khalifa HA; Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.; Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Badr University (BUC), Cairo, Egypt., Darwish MH; Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt., El-Tamawy MS; Department of Neurology, Faculty of Medicine, Cairo University, Cairo, Egypt., Elazizy HM; Department of Radiology, Faculty of Medicine, Cairo University, Cairo, Egypt., Abu Ella IA; Department of Neurology and its Surgery, Faculty of Physical Therapy, Delta University for Science and Technology, Gamasa, Egypt., Abo-Zaid NA; Department of Physical Therapy for Paediatrics, Faculty of Physical Therapy, South Valley University, Qena, Egypt., Abdelkhalek MM; Physical Therapy for Internal and Geriatric, Badr University in Cairo (BUC), Cairo, Egypt., Moustafa EBS; Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Jazyk:	angličtina
Zdroj:	Archives of medical science : AMS [Arch Med Sci] 2022 Jul 08; Vol. 19 (6), pp. 1731-1738. Date of Electronic Publication: 2022 Jul 08 (Print Publication: 2023).
DOI:	10.5114/aoms/151477
Abstrakt:	Introduction: Structural abnormalities in the shoulder joint are a common complication post stroke, and the consequent pain and functional limitations become devastating quality of life problems for such patients. Shock wave therapy is a non-invasive method that can enhance the level of perfusion in ischaemic tissues, relieve inflammation, and promote healing. The aim of the study was to examine the efficacy of radial extracorporeal shock wave therapy (rESWT) on pain and disability levels in stroke patients with shoulder structural abnormalities. Material and Methods: Thirty subacute stroke patients aged between 40 and 60 years were randomly allocated into 2 equal groups after signing an institutional consent form. The real rESWT group (GA) underwent rESWT in addition to a designed program of physical therapy to the shoulder joint. The control group (GB) received sham rESWT in addition to the same physical therapy program as for GA. The treatment protocol for both groups was 2 times per week for a month. Baseline and post-intervention findings in both groups were assessed and compared for primary outcomes including shoulder structural changes, pressure pain threshold (PPT), and shoulder disability, measured by ultrasonography (USS), a handheld algometer, and the shoulder pain disability index (SPADI), respectively. Results: Significant reduction of all post-treatment SPADI scores (pain, disability, and total scores) in both groups with a remarkable decrease in the rESWT group (GA) ( p < 0.05). In addition, USS scores and PPT findings showed notable preference in favour of the GA group, which was demonstrated as significant decrease in USS score with an increase in PPT findings only in the rESWT group (GA) ( p < 0.05). Conclusions: The addition of radial extracorporeal shock wave therapy (rESWT) to a designed physical therapy program is more efficient in reducing shoulder structural abnormalities, pain, and disability in subacute stroke patients. Competing Interests: Other than the information and data acquired from participants for the research study, there is no interest.The authors declare no conflict of interest. (Copyright: © 2022 Termedia & Banach.)
Databáze:	MEDLINE
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