著者

Tae Gon Kim Sea Hyun Bae Gye Yeop Kim Kyung Yoon Kim

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.27, no.2, pp.523-526, 2015 (Released:2015-02-17)

参考文献数

37

被引用文献数

9 14

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[Purpose] The purpose of this research was to analyze the efficacy of extracorporeal shock wave therapy for the treatment of stroke patients with plantar fasciitis. [Subjects and Methods] This study included 10 stroke patients diagnosed with plantar fasciitis who were administered 3 sessions of extracorporeal shock wave therapy per week. After the last session, they performed stretching exercises for their Achilles tendon and plantar fascia for 30 min/day, 5 times a week for 6 months. The following parameters were measured and compared prior to therapy, 6 weeks after therapy, and 6 months after therapy: thickness of the plantar fascia, using an ultrasonic imaging system; degree of spasticity, using a muscle tension measuring instrument; degree of pain, using the visual analogue scale; and gait ability, using the Functional Gait Assessment. [Results] Decreased plantar fascia thickness, spasticity, and pain and increased gait ability were noted after therapy. These changes were significantly greater at 6 months after therapy than at 6 weeks after therapy. [Conclusion] These results indicated that extracorporeal shock wave therapy reduced tension in the plantar fascia, relieving pain and improving gait ability in stroke patients.

著者

Tae Gon Kim Sea Hyun Bae Gye Yeop Kim Young Eok Kim Kyung Yoon Kim

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.24, no.10, pp.1059-1062, 2012 (Released:2012-12-28)

参考文献数

25

被引用文献数

2

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[Purpose] The purpose of this study was to analyze the architectural properties of muscles on ultrasonographic images of chronic stroke patients taken during different muscle activities. [Methods] Thirty chronic stroke patients were equally divided into three groups according to their Modified Ashworth Scale grade (1 to 3). Ultrasonographic equipment was used to measure structural properties of their skeletal muscles (muscle thickness, muscle pennation angle, and length of muscle fascicles). [Results] Muscle thickness, pennation angle, and fascicle length significantly decreased both at rest and during MVIC (Maximum Voluntary Isometric Contraction) as muscle spasticity increased. Each group’s muscle pennation angle markedly increased during MVIC compared to at rest. Each group’s muscle thickness and fascicle length decreased during MVIC compared to at rest. [Conclusion] Changes in structural properties of the skeletal muscles influenced architectural properties of the muscles on ultrasonographic images. Our results indicate that understanding the structural properties of the skeletal muscles of chronic stroke patients needs to take into consideration the ultrasonographic architectural properties of the muscles.