Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/132076
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dc.contributor.authorDéniz Cáceres, Antonioen_US
dc.contributor.authorSaavedra Santana, Pedroen_US
dc.contributor.authorMarrero Arencibia, María Isabelen_US
dc.contributor.authorHernández, Jaimeen_US
dc.date.accessioned2024-07-09T13:17:25Z-
dc.date.available2024-07-09T13:17:25Z-
dc.date.issued2024en_US
dc.identifier.issn1537-7385en_US
dc.identifier.urihttp://hdl.handle.net/10553/132076-
dc.description.abstractAbstract Objective Assess the effects on spasticity reduction of the association between focal extracorporeal shock wave therapy and botulinum toxin type A, versus the toxin only in brain injury patients. Design Eighteen patients were included. The study had two phases: the first phase was observational, and botulinum toxin type A was used. The second was a prospective, deliberate intervention phase in which the toxin was injected and focal extracorporeal shock wave treatment was added (1 sessions/week, for three weeks). The patients were followed up in the 1st, 4th and 6th month, the Ashworth Scale criterion was applied and, for those with lower limb involvement and changes in walking the 10-metre walk test was used. Results Patients treated with toxin only showed a statistically significant improvement in spasticity, with 1 point on the Ashworth Scale from week 5, which disappeared at week 17. However, the combined therapy reduced spasticity by 2 points from week 1 to week 25 (p < 0.001), with a faster result in the 10-meter gait test (p = 0.004). Conclusion Combined and simultaneous treatment with botulinum toxin and focal extracorporeal shock wave reduced spasticity in a more effective and prolonged way than treatment with botulinum toxin only.en_US
dc.languageengen_US
dc.relation.ispartofAmerican Journal of Physical Medicine and Rehabilitationen_US
dc.sourceAmerican Journal of Physical Medicine and Rehabilitation [ISSN 1537-7385], (Junio 2024)en_US
dc.subject32 Ciencias médicasen_US
dc.subject320404 Rehabilitación (médica)en_US
dc.titleFocal shock waves increase efficacy and prolong the effect of botulinum toxin on spasticity in patients with brain injury from stroke and multiple sclerosisen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1097/PHM.0000000000002575en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.description.numberofpages24en_US
dc.utils.revisionen_US
dc.date.coverdateJunio 2024en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr0,677
dc.description.jcr3,0
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
dc.description.miaricds11,0
item.fulltextCon texto completo-
item.grantfulltextopen-
crisitem.author.deptGIR IUIBS: Farmacología Molecular y Traslacional-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptGIR Estadística-
crisitem.author.deptDepartamento de Matemáticas-
crisitem.author.deptGIR IUIBS: Bioquímica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Bioquímica y Biología Molecular, Fisiología, Genética e Inmunología-
crisitem.author.orcid0000-0003-1681-7165-
crisitem.author.orcid0000-0003-3732-9929-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.parentorgDepartamento de Matemáticas-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameDéniz Cáceres, Antonio-
crisitem.author.fullNameSaavedra Santana, Pedro-
crisitem.author.fullNameMarrero Arencibia, María Isabel-
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