Restoring Biomechanical Gait Function with Ultrasound-Guided Acupotomy for Post-Stroke Equinovarus Foot: Two Case Reports and a Protocol (A CARE- and SPIRIT-Compliant Study) DOI Creative Commons
Ji‐Woo Kim, Tai Young Ahn, Ji Hyun Moon

et al.

Life, Journal Year: 2025, Volume and Issue: 15(5), P. 766 - 766

Published: May 10, 2025

Background: Post-stroke equinovarus foot (EVF) impairs gait stability, increases the risk of secondary injuries, and contributes to elevated healthcare costs. However, effective targeted interventions for EVF remain limited. Patient concerns: Two patients with chronic EVF—a 63.5-year-old male (9.7 months post-stroke) a 35.7-year-old female (24.5 post-stroke)—presented ankle deformity, asymmetry, impaired balance, all which interfered daily activities. Intervention outcomes: Both underwent ultrasound-guided acupotomy targeting spastic muscles, administered over four sessions within two weeks. A quantitative analysis revealed substantial improvements in step length ratios (Case 1: 0.61 → 0.86; Case 2: 0.67 0.88), as well enhancements walking velocity, lateral symmetry, postural Modified Ashworth Scale scores. No adverse events were reported. Protocol proposal: Based on these observations, prospective randomized controlled trial is planned compare plus conventional therapy versus alone. Outcomes will be assessed quantitatively using analysis. Lessons implications: Ultrasound-guided may offer minimally invasive, approach releasing muscles while preserving neurovascular structures, thereby improving function post-stroke EVF.

Language: Английский

Restoring Biomechanical Gait Function with Ultrasound-Guided Acupotomy for Post-Stroke Equinovarus Foot: Two Case Reports and a Protocol (A CARE- and SPIRIT-Compliant Study) DOI Creative Commons
Ji‐Woo Kim, Tai Young Ahn, Ji Hyun Moon

et al.

Life, Journal Year: 2025, Volume and Issue: 15(5), P. 766 - 766

Published: May 10, 2025

Background: Post-stroke equinovarus foot (EVF) impairs gait stability, increases the risk of secondary injuries, and contributes to elevated healthcare costs. However, effective targeted interventions for EVF remain limited. Patient concerns: Two patients with chronic EVF—a 63.5-year-old male (9.7 months post-stroke) a 35.7-year-old female (24.5 post-stroke)—presented ankle deformity, asymmetry, impaired balance, all which interfered daily activities. Intervention outcomes: Both underwent ultrasound-guided acupotomy targeting spastic muscles, administered over four sessions within two weeks. A quantitative analysis revealed substantial improvements in step length ratios (Case 1: 0.61 → 0.86; Case 2: 0.67 0.88), as well enhancements walking velocity, lateral symmetry, postural Modified Ashworth Scale scores. No adverse events were reported. Protocol proposal: Based on these observations, prospective randomized controlled trial is planned compare plus conventional therapy versus alone. Outcomes will be assessed quantitatively using analysis. Lessons implications: Ultrasound-guided may offer minimally invasive, approach releasing muscles while preserving neurovascular structures, thereby improving function post-stroke EVF.

Language: Английский

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