ANTI-SPASTIC EFFECTS OF THE DIRECT APPLICATION OF VIBRATORY STIMULI TO THE SPASTIC MUSCLES OF HEMIPLEGIC LIMBS IN POST-STROKE PATIENTS: A PROOF-OF-PRINCIPLE STUDY

被引:77
作者
Noma, Tomokazu [1 ]
Matsumoto, Shuji [1 ,2 ]
Shimodozono, Megumi [2 ]
Etoh, Seiji [2 ]
Kawahira, Kazumi [2 ]
机构
[1] Kagoshima Univ Hosp, Kirishima Rehabil Ctr, Dept Rehabil, Kirishima, Kagoshima 8996603, Japan
[2] Kagoshima Univ, Dept Rehabil & Phys Med, Grad Sch Med & Dent Sci, Kagoshima 890, Japan
关键词
F-wave; Modified Ashworth Scale; muscle vibration; spasticity; stroke; vibration; vibratory stimulus; F-WAVES; ASSOCIATION; BACLOFEN;
D O I
10.2340/16501977-0946
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To investigate whether the direct application of vibratory stimuli inhibits spasticity in the hemiplegic upper limbs of post-stroke patients. Design: A randomized controlled study. Subjects: Thirty-six post-stroke patients. Methods: Patients were randomly allocated to the "Rest group", "Stretch group", or "Direct application of vibratory stimuli group". After relaxing in a supine posture for 30 min, subjects received the interventions for 5 min. The Modified Ashworth Scale scores and F-wave parameters were recorded before, immediately after and 30 min after each intervention. Results: The Rest group showed no significant changes in F-wave parameters and Modified Ashworth Scale scores. The Stretch group showed a tendency to decrease in F-wave amplitude and F/M ratio immediately after the intervention, but not 30 min later. The Direct application of vibratory stimuli group showed significant improvements in F-wave parameters and Modified Ashworth Scale scores immediately after the intervention, which remained 30 min later. The changes in F-wave parameters and Modified Ashworth Scale scores observed in the Direct application of vibratory stimuli group significantly differed from those in the Rest group and the Stretch group. Conclusion: The direct application of vibratory stimuli has anti-spastic effects in the hemiplegic upper limbs of post-stroke patients.
引用
收藏
页码:325 / 330
页数:6
相关论文
共 36 条
  • [1] AGERANIOTI S A, 1990, Physiotherapy Canada, V42, P24
  • [2] The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke
    Alibiglou, Laila
    Rymer, William Z.
    Harvey, Richard L.
    Mirbagheri, Mehdi M.
    [J]. JOURNAL OF NEUROENGINEERING AND REHABILITATION, 2008, 5 (1)
  • [3] BELL KR, 1987, ARCH PHYS MED REHAB, V68, P490
  • [4] Bishop B, 1975, Phys Ther, V55, P28
  • [5] INTERRATER RELIABILITY OF A MODIFIED ASHWORTH SCALE OF MUSCLE SPASTICITY
    BOHANNON, RW
    SMITH, MB
    [J]. PHYSICAL THERAPY, 1987, 67 (02): : 206 - 207
  • [6] The effects of stretching in spasticity: A systematic review
    Bovend'Eerdt, Thamar J.
    Newman, Meredith
    Barker, Karen
    Dawes, Helen
    Minelli, Cosetta
    Wade, Derick T.
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2008, 89 (07): : 1395 - 1406
  • [7] Brunnstrom S., 1970, Movement therapy in hemiplegia. A neurophysiological approach
  • [8] Chino N., 1995, Functional evaluation of stroke patients, P19, DOI DOI 10.1007/978-4-431-68461-9_3
  • [9] Chua K. S. G., 2000, SMJ, V41, P209
  • [10] Cohen J., 1988, Statistical power analysis for the behavioral sciences, VSecond