Extracorporeal shock wave stimulation, biophysical mechanisms, electromyography, thermography, muscles spasticity, ischemic stroke.
Conditions
Interventions
Study group: radial ESW stimulation on bellies of carpal flexor radialis and carpal flexor medialis muscles within spastic paresis. ESW parameters: numer of shots (S) = 1500, pressure (P) = 1.5 bar, e
Sponsors
University of Medicine
Eligibility
Inclusion criteria
Inclusion criteria: Ischemic stroke episode > 9 months previously, level of spasticity in MAS > 1, no antispastic interventions (surgical, pharmacological, rehabilitation), no ESW contraindications, agreement of participant.
Exclusion criteria
Exclusion criteria: Ischemic stroke episode < 9 months previously, deifferent ethiology of stroke, level of spasticity in MAS < 1, surgical antispastic interventions (rhizotomy, neurectomy, cordectomy, myotomy), antispactic pharmacotherapy (Diazepam, Baclofen, Dantrolene, Tizanidine, Botuline), antispastic rehabilitation, present contraindications to ESW stimulation (pregnancy, cancer, local tumors, coagulation disorders, acute and recurrent inflammatory states, pacemakers and other electronic implants), resignation during research, non-agreement of participant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The surface electromyography Noraxon MyoSystem 1400A (Noraxon, USA) will be used to obtain reliable analysis of the muscle bioelectrical activity, expressed as the resting muscle tone of affected muscles. Mean rest muscle tension, expressed in microvolts [μV], will be recorded, determined as the arithmetic mean value of muscle tension in the examined group of muscles for the entire period of measurement per time unit [s]. The infrared camera MobIR M8 (Test-Therm, Poland) will be used to register thermal phenomena at the vascular level in examined muscles, as well as to visualize changes in local temperature distribution of stimulated tissues. The mean value of the tissue heat level within examined muscles will be determined, taken as the arithmetic mean of each isotherm within the whole area of measurement, expressed in Celsius degrees [°C]. The maximal and minimal temperature of the examined area also will be established, taken as a set of points with the highest level of heat within the area of measurement, expressed in Celsius degrees [°C]. | — |
Secondary
| Measure | Time frame |
|---|---|
| The Modified Ashworth Scale will be use to assess clinical changes in muslces spaticity level, before and after ESW stimulation or placebo intervention. | — |
Contacts
Public ContactRobert Dymarek
Department of Nervous System Diseases, University of Medicine in Wroclaw, ul. Bartla 5, 51-618 Wroclaw, Poland;
Outcome results
None listed