Extracorporeal shock wave therapy on the post-stroke recovery: case report
DOI:
https://doi.org/10.11606/issn.2317-0190.v32i2a232387Keywords:
Stroke, Hemiplegia, Extracorporeal Shockwave Therapy, Neuronal Plasticity, RehabilitationAbstract
Objective: To report the motor evolution after rehabilitation with shock wave therapies, of a patient with left hemiparesis due to ischemic stroke due to dissection of the right internal carotid artery. Method: Information was obtained by reviewing the medical records, interviewing the patient, photographing the record, calculating according to the formula designed to assess the rate of evolution (TE%), formula for calculating the global efficiency of functionality (EFG) and assessment scales international clinics validated for our reality: Functional Independence Measure - FIM; Muscle Strength Grading Scale - Medical Research Council; Shoulder Abduction Finger Extension Score - SAFE; EFG = [(MIF reached) - (MIF initial] / Time in weeks to reach MIF; TE% = 100 x (Acquired Strength Degree) / 6. Results: Reported case and the literature bring to light the discussion of the therapy of a complex situation that is the recovery of a chronic and consolidated motor deficit after brain injury due to stroke and show that, although little explored, its mechanism of action has not yet been explored. Fully clarified and adopted in a minority of cases, when well performed and in properly selected patients. Conclusion: The shock wave therapy may be able to obtain satisfactory results in improving the mobility of paralyzed limbs, in addition to the use of reducing spasticity, conceiving improvement of the patient's functionality, being a promising instrument for use in rehabilitation to gain independence in patients with motor sequelae.
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References
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095-2128. Doi: https://doi.org/10.1016/S0140-6736(12)61728-0
Santamato A, Micello MF, Panza F, Fortunato F, Logroscino G, Picelli A, et al. Extracorporeal shock wave therapy for the treatment of poststroke plantar-flexor muscles spasticity: a prospective open-label study. Top Stroke Rehabil. 2014;21 Suppl 1:S17-24. Doi: https://doi.org/10.1310/tsr21S1-S17
Santamato A. Short-term effects of high-energy extracorporeal shock wave therapy on upper limb spasticity in stroke patients: a randomized, sham-controlled study. Neurological Sciences. 2013;34(5):663-9.
Zhao J. Effects of extracorporeal shock wave therapy on spasticity in patients after stroke: a systematic review and meta-analysis of randomized controlled trials. Arch Phys Med Rehabil. 2019;100(12): 2575.
Sun X. Extracorporeal shock wave therapy in the treatment of spasticity in children with cerebral palsy: a randomized controlled trial. Neuropediatrics. 2018;49(3):176-82.
Riberto M, Miyazaki MH, Jorge Filho D, Sakamoto H, Battistella LR. Reprodutibilidade da versão brasileira da Medida de Independência Funcional. Acta Fisiátr. 2001;8(1):45-52. Doi: https://doi.org/10.5935/0104-7795.20010002
Slavin MD, Laurence S, Stein DG. Another look at vicariation. In: Finger S, Levere TE, Almli CR, Stein DG. (eds). Brain Injury and Recovery. Boston: Springer; 1998. p.165-179. Doi: https://doi.org/10.1007/978-1-4613-0941-3_11
Nishibe M, Barbay S, Guggenmos D, Nudo RJ. Reorganization of motor cortex after controlled cortical impact in rats and implications for functional recovery. J Neurotrauma. 2010;27(12):2221-32. Doi: https://doi.org/10.1089/neu.2010.1456
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