A Comprehensive Review of the Effects of Extracorporeal Shock Wave Therapy on Stroke Patients: Balance, Pain, Spasticity

Medicina, Journal Year: 2023, Volume and Issue: 59(5), P. 857 - 857

Published: April 28, 2023

Stroke remains a leading cause of disability worldwide, with survivors often experiencing impairments in balance, pain, spasticity, and control that limit their ability to perform daily living activities. Extracorporeal shock wave therapy (ESWT) has emerged as potential treatment modality improve these outcomes stroke patients. This review aims provide comprehensive examination the effects ESWT on patients, focusing theoretical background, pain reduction, muscle spasticity control, upper lower extremities. study reviewed use treating articles published PubMed between January 2003 2023. Systematic reviews related were used an overview stroke, total 33 selected. several generation methods application methods, it been shown have positive therapeutic various aspects rehabilitation for such improving reducing decreasing increasing enhancing functional activities The efficacy may vary depending patient’s condition, method, area. Therefore, is important apply according individual characteristics each patient clinical practice maximize its benefits.

Language: Английский

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The effect of ultrasound-guided botulinum toxin injections on pain, functionality, spasticity, and range of motion in patients with post-stroke upper extremity spasticity

Rehabilitación, Journal Year: 2025, Volume and Issue: 59(1), P. 100876 - 100876

Published: Jan. 1, 2025

Language: Английский

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Bee Venom Acupuncture in Traditional Korean Medicine: A Review of Clinical Practice Guidelines

Toxins, Journal Year: 2025, Volume and Issue: 17(4), P. 158 - 158

Published: March 22, 2025

Bee venom acupuncture (BVA) is used in traditional Korean medicine (TKM) for various diseases, but its evaluation within clinical practice guidelines (CPGs) has not been comprehensively reviewed. This study aimed to review TKM-CPGs characterize the range of conditions which BVA recommended, summarize level evidence and recommendation grades, assess factors influencing grades. Eighteen TKM-CPGs, including 30 BVA-related recommendations, were identified. Data on targeted diseases/symptoms, treatment protocols, levels, grades extracted. The CPGs recommended musculoskeletal neurological disorders standalone or combined therapy. Most recommendations was evaluated with low moderate levels based randomized controlled trials. mostly B C, indicating that advisable potentially beneficial. Although offer some guidance protocols BVA, there remains a lack detailed specifications, we need conduct additional research provide evidence. Also, heterogeneity across different presents challenge establishing consistent guidelines. Future should focus generating high-quality standardizing regimens support more robust TKM practice.

Language: Английский

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Bilateral training guided by contralaterally controlled functional electrical stimulation for shoulder pain and subluxation in subacute stroke: A randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: March 25, 2025

Background Shoulder pain, subluxation, and motor dysfunction are common issues in hemiplegic patients, which hinder the recovery of upper limb function have a negative impact on patients’ daily life abilities quality life. Current rehabilitation interventions alone can not purposefully address aforementioned problems, while bilateral training (BT) contralaterally controlled functional electrical stimulation (CCFES) be synergistically coordinated to provide simultaneous treatment for shoulders. Objective This study attempted treat patients using with (BT-CCFES), aiming observe changes shoulder function. Methods Thirty-eight individuals who had experienced hemiplegia pain subluxation due stroke were randomly divided into two groups: control group an experimental consisting nineteen cases both. Patients underwent neuromuscular (NMES) therapy, those received BT-CCFES. Before after four-week period, distance (SSD) was measured flexible ruler, level assessed visual analogue scale (VAS). Additionally, joint active range motion (AROM) extremity Fugl-Meyer assessment (UE-FMA) used evaluate Results After four weeks treatment, there significant improvements SSD, VAS, UE-FMA, AROM ( p < 0.001), as well 0.05). The between showed differences SSD (−9.74 ± 6.63 vs −3.58 5.51, = 0.016), flexion (37.37 14.08 21.05 12.65, UE-FMA (15.21 4.30 8.84 4.26, difference VAS (−1.31 1.34 −1.10 1.24, 0.619) abduction (15.00 8.82 10.79 7.86, 0.111) significant. Conclusion BT-CCFES prevent stroke, improve function, is superior NMES except relief.

Language: Английский

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Research Hotspots and Frontiers in Post Stroke Pain: A Bibliometric Analysis Study

Frontiers in Molecular Neuroscience, Journal Year: 2022, Volume and Issue: 15

Published: May 13, 2022

Pain is a common complication after stroke with high incidence and mortality rate. Many studies in the field of pain have been published various journals. However, bibliometric analysis domain still lacking. This study aimed to deliver visual analyze global trends research on comorbidity last 12 years.The publications from Web Science (WoS) years (from 2010 2021) were collected retrieved. CiteSpace software was used relationship publication year countries, institutions, journals, authors, references, keywords.A total 322 included analysis. A continuous but unstable growth number articles observed over years. The Peoples' R China (65), Chang Gung University (10), Topic Stroke Rehabilitation (16) country, institution, journal highest publications, respectively. Analysis keywords showed that shoulder central post-stroke development focus this field.This provides method for trend frontiers stroke. In future, large sample, randomized controlled trials are needed identify potential treatments pathophysiology

Language: Английский

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Use of Botulinum Toxin as a Treatment of Hemiplegic Shoulder Pain Syndrome: A Randomized Trial

Toxins, Journal Year: 2023, Volume and Issue: 15(5), P. 327 - 327

Published: May 11, 2023

Objective: The primary objective of this paper is to assess whether the use 200 units abobotulinum in pectoralis major and subscapularis muscles modifies pain complaint assessed using visual analog scale subjects with shoulder after onset spastic hemiplegia due cerebrovascular disease when compared application a placebo same muscles. Design: A prospective, double-blind, randomized, placebo-controlled clinical trial study two different rehabilitation centers. Setting: Two distinct outpatient neurological services. Participants: Patients older than 18 years who were included presented upper limb spasticity resulting from ischemic or hemorrhagic stroke diagnosis Painful Hemiplegic Shoulder Syndrome (PHSS) that was independent motor dominance. Interventions: divided into groups, one them underwent botulinum toxin (TXB-A) muscles, at total dose 400 U. Main Outcome Measure: for change Visual Analog Scale (VAS) least 13 mm. Results: An improvement levels both more intense group, but without statistical significance. comparison between groups showed reduction by VAS (p = 0.52). Conclusions: resulted hemiplegic patients

Language: Английский

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Effect of ultrasound-guided injection of botulinum toxin type A into shoulder joint cavity on shoulder pain in poststroke patients: study protocol for a randomized controlled trial

Trials, Journal Year: 2024, Volume and Issue: 25(1)

Published: June 27, 2024

Hemiplegic shoulder pain (HSP) is a common complication after stroke. It severely affects the recovery of upper limb motor function. Early in hemiplegic patients mainly neuropathic caused by central nerve injury or neuroplasticity. Commonly used corticosteroid injections joint can reduce pain; however, side effects also include soft tissue degeneration increased tendon fragility, and long-term remain controversial. Botulinum toxin are relatively new thought to block transmission receptors cavity inhibit production neuropathogenic substances neurogenic inflammation. Some studies suggest that hemiplegia stroke changes system related pain, persistent may induce reorganization cortical sensory center center. However, there no conclusive evidence as whether not amelioration botulinum brain In previous versus glucocorticoids (triamcinolone acetonide injection) treatment lack observation differences As content assessments improvement was predominantly subjective, objective quantitative assessment indicators were lacking. Functional near-infrared imaging (fNIRS) remedy this problem.

Language: Английский

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Investigating the traditional medicine shoulder pain (Jian Tong) characteristics in patients with ischaemic stroke in the early rehabilitation phase

Heliyon, Journal Year: 2024, Volume and Issue: 10(2), P. e24626 - e24626

Published: Jan. 1, 2024

Ischaemic stroke often leaves serious sequelae affecting patients' daily activities and quality of life, especially shoulder pain. Shoulder pain after occurs in the first 3 months with an occurrence rate 25-72% due to strong natural neurological mechanism during time, interferes recovery motor function, increases hospital stay, is associated depression, limits mobility as well inhibits treatment results. In Vietnam, Traditional Medicine (TM) has played essential role treating rehabilitating for quite a long time. Studies on pathology (Jian Tong) TM Vietnam are still inadequate. Therefore, this study evaluated severity characteristics post-stroke Jian Tong patients ischaemic stroke.

Language: Английский

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Changes in serum levels of pain mediators in hemiplegic shoulder pain

Brain and Behavior, Journal Year: 2023, Volume and Issue: 13(12)

Published: Oct. 20, 2023

Abstract Objective To provide a new insight into the diagnosis and treatment of hemiplegic shoulder pain (HSP) by investigating changes in serum mediators. Design Cross‐sectional study. Subjects/patients Shoulder group ( n = 34) control 21). Methods Pain‐free mobility, anxiety status, depression were measured passive range motion (PROM), self‐rating scale, scale (SDS), visual analog respectively. The enzyme‐linked immunosorbent assay was used to test mediators, including interleukin (IL)‐1β, IL‐2, IL‐6, IL‐10, nerve growth factor (NGF), tumor necrosis factor‐α (TNF‐α), substance P (SP), calcitonin gene‐related peptide (CGRP), bradykinin (BK), 5‐hydroxytryptamine (5‐HT), prostaglandin E2 (PGE2), lysophosphatidic acid (LPA). Results pain‐free PROM significantly lower than p < .01), SDS index score higher .05). rate spasticity flexor elbow muscles is .01). CGRP, IL‐2 upregulated compared with whereas NGF, TNF‐α, 5‐HT, PGE2, SP, LPA, BK, IL‐1β decreased Conclusion Patients HSP have risk joint mobility disorders depression; may be an important development pain; CGRP thought major mediator HSP, not inflammatory.

Language: Английский

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Application of Acupuncture for Shoulder Pain Over the Past 22 Years: A Bibliometric Analysis

Journal of Pain Research, Journal Year: 2023, Volume and Issue: Volume 16, P. 893 - 909

Published: March 1, 2023

Acupuncture is widely used to relieve shoulder pain. A survey was conducted in order recognize hotspots and frontiers of acupuncture for pain from the year 2000-2022.The Web Science Core Collection collect literature related therapy pain, which spanned January 2000 August 2022. The number publications yearly, countries/institutions, journals, keywords analyzed visualized with by CiteSpace v.5.7.R5.We totally 214 articles that met inclusion criteria. overall trend publication volume continues increase. most productive authors field were César Fernández las Peñas José L Arias-Buría, influential author Green S. Kyung Hee University People's Republic China had highest publications, respectively. journal Pain high citation impact factor. hot "acupuncture", "shoulder pain", "dry needling", "randomized trial", "injection". research frontier treating chronic mainly "mechanism".Over last 22 years, findings this bibliometric analysis have provided trends clinical on patients identifying topics exploring new directions future may be helpful researchers. Studying mechanisms underlying remains a focus research.

Language: Английский

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