scholarly journals Shock Waves in the Treatment of Muscle Hypertonia and Dystonia

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Laura Mori ◽  
Lucio Marinelli ◽  
Elisa Pelosin ◽  
Antonio Currà ◽  
Luigi Molfetta ◽  
...  
Keyword(s):  
Shock Waves ◽  
Lower Limb ◽  
Biological Effects ◽  
Probable Mechanism ◽  
Shock Wave Therapy ◽  
Stroke Patients ◽  
Muscle Fibrosis ◽  
Lower Limb Muscles ◽  
Limb Muscles ◽  
Muscle Hypertonia

Since 1997, focused shock waves therapy (FSWT) has been reported to be useful in the treatment of muscle hypertonia and dystonia. More recently, also radial shock wave therapy (RSWT) has been successfully used to treat muscle hypertonia. The studies where FSWT and RSWT have been used to treat muscle hypertonia and dystonia are reviewed in this paper. The more consistent and long lasting results were obtained in the lower limb muscles of patients affected by cerebral palsy with both FSWT and RSWT and in the distal upper limb muscles of adult stroke patients using FSWT. The most probable mechanism of action is a direct effect of shock waves on muscle fibrosis and other nonreflex components of muscle hypertonia. However, we believe that up to now the biological effects of shock waves on muscle hypertonia and dystonia cannot be clearly separated from a placebo effect.

scholarly journals Lateral Symmetry of Synergies in Lower Limb Muscles of Acute Post-stroke Patients After Robotic Intervention

2018 ◽  
Vol 12 ◽  
Author(s):  
Chun Kwang Tan ◽  
Hideki Kadone ◽  
Hiroki Watanabe ◽  
Aiki Marushima ◽  
Masashi Yamazaki ◽  
...  
Keyword(s):  
Lower Limb ◽  
Stroke Patients ◽  
Post Stroke ◽  
Lower Limb Muscles ◽  
Limb Muscles

scholarly journals Corrigendum: Lateral Symmetry of Synergies in Lower Limb Muscles of Acute Post-stroke Patients After Robotic Intervention

2020 ◽  
Vol 14 ◽  
Author(s):  
Chun Kwang Tan ◽  
Hideki Kadone ◽  
Hiroki Watanabe ◽  
Aiki Marushima ◽  
Masashi Yamazaki ◽  
...  
Keyword(s):  
Lower Limb ◽  
Stroke Patients ◽  
Post Stroke ◽  
Lower Limb Muscles ◽  
Limb Muscles

Measurement and reproducibility of strength and voluntary activation of lower-limb muscles

2004 ◽  
Vol 29 (6) ◽  
pp. 834-842 ◽  
Author(s):  
Gabrielle Todd ◽  
Robert B. Gorman ◽  
Simon C. Gandevia
Keyword(s):  
Lower Limb ◽  
Voluntary Activation ◽  
Lower Limb Muscles ◽  
Limb Muscles

Validity of Skeletal Muscle Ultrasound in Assessment of Suspected Limb Girdle Muscular Dystrophy Patients

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Rasha M Ibrahim ◽  
Haitham M Hamdy ◽  
Amr A Mohammed ◽  
Ahmed M Elsadek ◽  
Ahmed M Bassiouny ◽  
...  
Keyword(s):  
Muscular Dystrophy ◽  
Upper Limb ◽  
Lower Limb ◽  
Limb Girdle Muscular Dystrophy ◽  
Ultrasound Images ◽  
General Electric ◽  
Cross Sectional ◽  
Lower Limb Muscles ◽  
Limb Muscles ◽  
Muscle Ultrasound

Abstract Background Limb-girdle muscular dystrophies (LGMDs) are a clinically and genetically heterogeneous group of disorders characterized by progressive muscle weakness and degenerative muscle changes. Studies have shown that ultrasound can be useful both for diagnosis and follow-up of LGMDs patients. Objectives This study aims to measure the sensitivity and the specificity of muscle ultrasound in assessment of suspected limb girdle muscular dystrophy patients. Subjects and Methods This cross-sectional descriptive study was conducted on Fifty-five patients with suspected LGMD from neuromuscular unit, myology clinic, Ain Shams University hospitals and eight healthy subjects. Age was above 2 years. Both sexes were included in the study. They underwent real-time B-mode ultrasonography performed with using Logiq p9 General Electric ultrasound machine and General Electric 7-11.5 MHZ linear array ultrasound probe. All ultrasound images have been obtained and scored by a single examiner and muscle echo intensity was visually graded semiquantitative according to Heckmatt's scale. The examiner was blinded to the muscle biopsy results and clinical evaluations. Results Statistical analysis revealed that the diagnostic performance of muscle US (Heckmatt’s score) in LGMD is most sensitive when calculated in all examined upper limb and lower limb muscles, followed by lower limb muscles alone. US of upper limb was found to be the least sensitive. Conclusions Muscle ultrasound is a practical and reproducible and valid tool that can be used in assessment of suspected LGMD patients.

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