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Does extracorporeal shock wave therapy decrease spasticity of ankle plantar flexor muscles in patients with stroke:a randomized controlled trial

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中华物理医学与康复杂志 2022年第4期44卷 368-368页

作者： Aslan sY kutlay s Atman ED TC Ministry of Health 29 Mayis state Hospital Ankara Turkey Department of Physical Medicine and Rehabilitation Ankara University Faculty of Medicine Ankara Turkey Department of Radiology Ankara University Faculty of Medicine Ankara Turkey Department of Biostatistics Ankara University Faculty of Medicine Ankara Turkey

Objective To evaluate the effectiveness of radial extracorporeal shock wave therapy on ankle flexor spasticity in stroke survivors and to reveal changes in the fibroelastic components of *** Randomized controlled *** Inpatient neuro-rehabilitation clinic of a university *** stroke patients with ankle flexor *** Patients were randomized to three groups;radial extracorporeal shock wave therapy,sham,or *** and sham therapy were administered two sessions/week for two *** patients received conventional *** measures The primary outcome was Modified Ashworth *** outcomes were the Tardieu scale and elastic properties of plantar flexor muscles assessed by elastography(strain index).All assessments were performed before,immediately after the treatment,and four weeks later at *** Fifty-one participants were enrolled(active therapyn=17,shamn=17,controln=17).Modified Ashworth scores showed a significant decrease in the active therapy group(from 2.47±0.72 to 1.41±0.62)compared to sham(from 2.19±1.05 to 2.06±1.12)and control(from 2.06±0.85 to 2.00±0.73)groups immediately after the treatment(Psults were also in concordance(Ps effect was not preserved at *** properties of the ankle flexors were improved in all groups at both assessments after the therapy showing significant decreases in strain index(Ps no difference among the groups in terms of improvement in *** Radial extracorporeal shock wave therapy has short-term anti-spastic effects on ankle flexor muscles when used as an adjunct to conventional rehabilitation.

关键词： EsWT stroke ankle elastography spasticity

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Acute thrombosis of the carotid artery associated with positional nystagmus at multiple planes

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Journal of Otology 2019年第4期14卷 158-161页

作者： sertac Yetiser Yasar Kutukcu kutlay Kahraman Anadolu Medical Center Dept of ORL&HNSKocaeli41400Turkey Anadolu Medical Center Dept of NeurologyKocaeli41400Turkey Anadolu Medical Center Dept of RadiologyKocaeli41400Turkey

Objective:An acute onset central pathology without any clear neurological symptoms may mimic peripheral vestibular problem in an emergency setting.A 54-year-old man suddenly developed dizziness without any cranial nerve symptoms,paresis,cerebellar signs or sensory disturbances except upbeat positional nystagmus at multiple provoked positions which alerted for a possible acute central ***:An instantaneous magnetic resonance imaging and angiography studies further showed obstruction of the left internal carotid artery above the *** patient’s subsequent prognosis was consistent with good recovery following anti-coagulant therapy.A follow-up MRI and angiography showed resolution of ***:It should be kept in mind that positional nystagmus is likely to occur in central *** between benign paroxysmal positional vertigo and central positioning nystagmus is critical.

关键词： Upbeat nystagmus Positional maneuver Carotid artery occlusion

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