Efectividad del tratamiento con ondas de choque para la espasticidad en personas que han sufrido un accidente cerebrovascular. Una revisión sistemática
Fecha
2016-06-16
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Jaén: Universidad de Jaén
Resumen
[ES]Contexto. La espasticidad es un síntoma común y grave después de sufrir un accidente cerebrovascular (ACV). Las ondas de choque extracorpóreas (OC) han sido sugeridas como tratamiento para la espasticidad muscular. Objetivo. Comprobar la efectividad de la terapia con OC para la reducción de la espasticidad en personas que han sufrido un accidente cerebrovascular. Material y Métodos. Se realizó una búsqueda en las bases de datos Pubmed, Medline, PEDro, Cinhal, Scopus y Biblioteca Cochrane durante el mes de Febrero de 2016. Las palabras clave utilizadas fueron ‘’extracorporeal shock wave AND spasticity AND stroke’’. Resultados. Ocho estudios fueron incluidos en la presente revisión sistemática. Se analizaron los resultados obtenidos de la Escala Ashworth modificada (MAS) de espasticidad antes del tratamiento con OC, inmediatamente después y, en una, cuatro y doce semanas posteriores. Discusión. Todos los estudios que utilizaron MAS inmediatamente después del tratamiento con OC y una semana después, obtuvieron resultados estadísticos significativos. Cuatro y doce semanas después del tratamiento algunos resultados no fueron significativos. Conclusión. Las OC son efectivas para la reducción de la espasticidad por ACV, con resultados mantenidos hasta una semana después del tratamiento. Sin embargo, es necesaria la realización de estudios con mayor rigor científico y metodológico.
[EN] Background. Spasticity is a common, serious symptom after stroke. Extracorporeal shock wave therapy (ESWT) has been suggested as a treatment for muscle spasticity. Objective. To check the effectiveness of the ESWT for the treatment of spasticity on stroke patient. Subjects and Methods. We searched Pubmed, Medline, PEDro, Cinhal, Scopus and Cochrane Library databases through February 2016. The key words were ‘’extracorporeal shock wave AND spasticity AND stroke’’. Results. Eights studies were ultimately included in the present systematic review. The Modified Ashworth Scale (MAS) for spasticity results were analysed before ESWT, immediately after the intervention and one, four and twelve weeks afterwards. Discussion. All the studies that used the MAS immediately after the treatment with ESWT and one week after reported statistical significant results. Four and twelve weeks after the intervention some results weren’t significant. Conclusions. ESWT are effective for reducing the spasticity grade after stroke with results maintained to one week after the treatment. However, studies with greater scientific and methodological rigor are required.
[EN] Background. Spasticity is a common, serious symptom after stroke. Extracorporeal shock wave therapy (ESWT) has been suggested as a treatment for muscle spasticity. Objective. To check the effectiveness of the ESWT for the treatment of spasticity on stroke patient. Subjects and Methods. We searched Pubmed, Medline, PEDro, Cinhal, Scopus and Cochrane Library databases through February 2016. The key words were ‘’extracorporeal shock wave AND spasticity AND stroke’’. Results. Eights studies were ultimately included in the present systematic review. The Modified Ashworth Scale (MAS) for spasticity results were analysed before ESWT, immediately after the intervention and one, four and twelve weeks afterwards. Discussion. All the studies that used the MAS immediately after the treatment with ESWT and one week after reported statistical significant results. Four and twelve weeks after the intervention some results weren’t significant. Conclusions. ESWT are effective for reducing the spasticity grade after stroke with results maintained to one week after the treatment. However, studies with greater scientific and methodological rigor are required.