Extracorporeal shock wave therapy for muscle spasm after stroke：a Meta-analysis

doi:10.3877/cma.j.issn.2095-123X.2024.06.003

Abstract

Abstract:

Objective

To systematically review the clinical effect of extracorporeal shock wave therapy （ESWT） in the treatment of muscle spasm after stroke.

Methods

Computer searches were conducted on CNKI，VIP，Wanfang，Chinese Medical Journal Full Text Database，PubMed，Web of Science，Embase，and Cochrane Library databases to collect randomized controlled trials related to extracorporeal shock wave therapy for post-stroke muscle spasms.The search deadline was from database establishment until March 17，2024. Two screeners selected literature that met the inclusion criteria and extracted data，and conducted meta-analysis using RevMan5.3 software.

Results

A total of 12 articles were included，with a total of 736 patients，including 368 in the observation group （treated with ESWT combined with other traditional rehabilitation methods） and 368 in the control group （treated with traditional rehabilitation methods corresponding to the observation group）.The Meta-analysis results showed that the MAS score of the observation group was significantly lower than that of the control group，and the difference was statistically significant [MD=-0.32，95%CI：-0.58-（0.06），P=0.02] ； The FMA score of the observation group was significantly higher than that of the control group，and the difference was statistically significant （MD=4.63，95%CI：2.60-6.65，P＜0.001）； The MBI score of the observation group was significantly higher than that of the control group，and the difference was statistically significant（MD=8.21，95%CI：3.91-12.50，P＜0.001）； The PROM score of the observation group was significantly higher than that of the control group，and the difference was statistically significant （MD=5.88，95%CI：1.33-10.42，P=0.01）.

Conclusion

Simple ESWT or ESWT combined with other therapies have significant therapeutic effects in alleviating muscle spasms after stroke.

Key words: Extracorporeal shock wave, Stroke, Muscle spasm, Clinical efficacy

Jing Chen, Tianqi Liu, Lili Wang, Liquan Yin. Extracorporeal shock wave therapy for muscle spasm after stroke：a Meta-analysis[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2024, 14(06): 334-340.

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Figures/Tables 7

References 27

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文献	样本量（观察组/对照组）	年龄（岁，Mean±SD）		干预措施		随访时长	结局指标
文献	样本量（观察组/对照组）	观察组	对照组	观察组	对照组	随访时长	结局指标
Brunelli等^[5]	20/20	54.80±17.29	62.18±16.17	ESWT+常规康复训练	常规康复训练	4周	②
Taheri等^[6]	14/14	56.50±11.60	54.90±9.40	ESWT+药物治疗+康复训练	药物治疗+康复训练	12周	②④⑤
段好阳等^[7]	18/18	51.80±6.20	52.60±7.90	ESWT+BTX-A局部注射+常规康复训练	伪ESWT+BTX-A局部注射+常规康复训练	4周	①②③④
樊俊才^[8]	30/30	50.05±5.62	49.96±5.78	ESWT+常规康复治疗+巴氯芬	常规康复治疗+巴氯芬	4周	①②
高林^[9]	14/14	55.34±1.27	55.52±1.36	ESWT+常规康复治疗	常规康复训练	2周	①②③
李阔^[10]	42/42	64.57±6.53	64.13±7.02	ESWT+手法按摩+运动疗法	手法按摩+运动疗法	4周	②
李亚梅等^[11]	30/30	56.53±8.53	55.17±8.26	ESWT+基础治疗+常规康复	基础治疗+常规康复	4周	④⑤
罗玲华等^[12]	30/30	60.05±9.06	61.03±9.14	ESWT+上肢智能反馈训练	常规康复训练	4周	①②③⑤
孟海超等^[13]	60/60	67.25±6.29	66.87±6.50	ESWT+振动训练+常规康复+巴氯芬	常规康复+巴氯芬	4周	①②③
石彦桦^[14]	20/20	54.60±13.96	53.05±12.37	ESWT+常规康复训练	常规康复训练	4个月	①②
孙雪等^[15]	30/30	55.83±11.05	58.30±10.95	ESWT+常规康复+针灸	常规康复+针灸	4周	①②
王腾等^[16]	60/60	54.40±3.50	55.10±3.20	ESWT+振动训练+康复训练+心理干预+药物	康复训练+心理干预+药物	4周	①②③④⑤

文献	样本量（观察组/对照组）	年龄（岁，Mean±SD）		干预措施		随访时长	结局指标
文献	样本量（观察组/对照组）	观察组	对照组	观察组	对照组	随访时长	结局指标
Brunelli等^[5]	20/20	54.80±17.29	62.18±16.17	ESWT+常规康复训练	常规康复训练	4周	②
Taheri等^[6]	14/14	56.50±11.60	54.90±9.40	ESWT+药物治疗+康复训练	药物治疗+康复训练	12周	②④⑤
段好阳等^[7]	18/18	51.80±6.20	52.60±7.90	ESWT+BTX-A局部注射+常规康复训练	伪ESWT+BTX-A局部注射+常规康复训练	4周	①②③④
樊俊才^[8]	30/30	50.05±5.62	49.96±5.78	ESWT+常规康复治疗+巴氯芬	常规康复治疗+巴氯芬	4周	①②
高林^[9]	14/14	55.34±1.27	55.52±1.36	ESWT+常规康复治疗	常规康复训练	2周	①②③
李阔^[10]	42/42	64.57±6.53	64.13±7.02	ESWT+手法按摩+运动疗法	手法按摩+运动疗法	4周	②
李亚梅等^[11]	30/30	56.53±8.53	55.17±8.26	ESWT+基础治疗+常规康复	基础治疗+常规康复	4周	④⑤
罗玲华等^[12]	30/30	60.05±9.06	61.03±9.14	ESWT+上肢智能反馈训练	常规康复训练	4周	①②③⑤
孟海超等^[13]	60/60	67.25±6.29	66.87±6.50	ESWT+振动训练+常规康复+巴氯芬	常规康复+巴氯芬	4周	①②③
石彦桦^[14]	20/20	54.60±13.96	53.05±12.37	ESWT+常规康复训练	常规康复训练	4个月	①②
孙雪等^[15]	30/30	55.83±11.05	58.30±10.95	ESWT+常规康复+针灸	常规康复+针灸	4周	①②
王腾等^[16]	60/60	54.40±3.50	55.10±3.20	ESWT+振动训练+康复训练+心理干预+药物	康复训练+心理干预+药物	4周	①②③④⑤

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