作者: Gongwei Jia , Jingxi Ma , Sanrong Wang , Dandong Wu , Botao Tan
DOI: 10.1016/J.JSTROKECEREBROVASDIS.2019.104591
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摘要: Abstract Objective: The purpose of this meta-analysis was to assess the long-term effects extracorporeal shock wave therapy (ESWT) on post-stroke spasticity.Data Sources: An electronic search EMBASE, MEDLINE, and Cochrane Central Register Controlled Trials (CENTRAL) with hand relevant papers were performed 20 June 2019. Review Methods: This study conducted in accordance Preferred Reporting Items for Systematic Reviews Meta-Analyses guidelines. We searched literature randomized controlled trials ESWT stroke patients spasticity. primary outcome Modified Ashworth Scale (MAS) grade, second outcomes Visual Analogue (VAS), range motion (ROM) joint, Fugl–Meyer assessment (FMA) grade adverse events. Two authors independently extracted data, assessed trial eligibility risk bias. Meta-analyses using RevMan 5.3 software. Results: data from 8 (301 participants). At follow-up, significantly reduced MAS (Weighted Mean Difference (WMD) = −.36, 95% confidence interval (CI) −.53 −.19, I2 = 68%; P