The required dosages in shock waves are investigated for a safe and effective therapy in muscle spasticity. The objective was to analyze the shock waves application in spastic individuals considering their dosage, energy cycles, safety margin capable of reducing spasticity. Measurements were performed on 23 individuals in two different groups. The first group has 10 normal individuals (20-50 years old). Muscle resistance is verified against the shock waves application in high doses in which inspection is used for analysis. The second group consists of 13 individuals with moderate and severe spasticity (50-70 years), in which the application of lithotripsy will be performed to analyze the effectiveness of the equipment, using the inspection, Ashworth scale, digital goniometer and accelerometer with an electrical stimulator. The spasticity and muscular resistance reduction in relation to the equipment is proven, using high doses and intensities. (Dosage: 0.060 mJ / mm² at 1000 cycles / s). There was a reduction in the mean in the four measurements, for example, in elbow flexion the average dropped from 2.85 to 1.46 (p-value <0.001). In the Ashworth scale there was a difference of 2 points in the median. In accelerometry, there was significance for maximum acceleration (p <0.001), acceleration time (p = 0.128) and there was no significance for dilation time (p = 0.003). No skin irritation was found after using the equipment. High doses do not harm patients. Physiotherapy is important for the success of this equipment. Muscle preparation is proportional to the effectiveness of the method. Keywords: Muscle Spasticity Lithotripsy. High-Energy Shock Waves. Walk Test. ResumoAs dosagens necessárias em ondas de choque são investigadas para uma terapia segura e eficaz na espasticidade muscular. O objetivo foi analisar a aplicação das ondas de choque em indivíduos espásticos considerando sua dosagem, ciclos de energia, margem de segurança capaz de reduzir a espasticidade. As mensurações foram realizadas em 23 indivíduos em dois grupos diferentes. O primeiro grupo apresenta 10 indivíduos normais (20-50 anos). Verifica-se a resistência muscular frente a aplicação das ondas de choque em doses elevadas no qual utiliza-se a inspeção para análise. O segundo grupo compõe-se de 13 indivíduos com espasticidade moderada e severa (50-70 anos), no qual se efetuará a aplicação da litotripsia para analisar a eficácia do equipamento, utiliza-se a inspeção, escala de Ashworth, goniômetro digital e acelerômetro com um estimulador elétrico. Comprova-se a redução da espasticidade e a resistência muscular frente ao equipamento, utilizando doses e intensidades elevadas. (Dose: 0,060 mJ/mm² á 1000 ciclos/s). Houve redução da média nas quatro mensurações, como por exemplo, na flexão do cotovelo a média caiu de 2,85 para 1,46 (p-valor <0,001). Na escala de Ashworth houve diferença de 2 pontos na mediana. Na acelerometria houve significância para a aceleração máxima (p<0,001), tempo de aceleração (p=0,128) e não houve significância para o tempo de dilatação (p= 0,003). Não foram constatados nenhuma irritação na pele após a utilização do equipamento. As dosagens elevadas não causam danos aos pacientes. A fisioterapia é importante para o sucesso deste equipamento. O preparo muscular é proporcional à eficácia do método. Palavras-chave: Espasticidade Muscular. Litotripsia. Ondas de Choque de Alta Energia. Teste de Caminhada.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.