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临床试验/NCT02358005
NCT02358005Unknown4 期

Optimal Dose of Extracorporeal Shock Wave Therapy After Botulinum Toxin Type A Injection for Post-stroke Spasticity

Yonsei University2 个研究点 分布在 2 个国家目标入组 60 人开始时间: 2015年2月最近更新:
适应症

试验速览

阶段
4 期
入组人数
60
试验地点
2
主要终点
Range of Motion (ROM) of elbow flexor

研究概览

简要总结

Recently, It is known that the efficacy of botulinum toxin type A (BTX-A) with extracorporeal shock wave therapy (ESWT) is greater than that of BTX-A with electrical stimulation in the management of post-stroke spasticity of the upper limb. However, it was not determined which dose of ESWT is optimal as a adjuvant therapy after BTX-A injection on the upper limb in patients with stroke. Therefore, the aim of this study is to evaluate the optimal dose of ESWT after botulinum toxin type A injection for post-stroke spasticity

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
20 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female
  • Age ≥20 years
  • inpatients
  • Elbow flexor spasticity in patients, confirmed to be mainly due to biceps brachii
  • Modified Ashworth scale (MAS) ≥2,
  • At least a 3-month period from stroke,
  • Written informed consent has been obtained

排除标准

  • Fixed contractures and/or deformities at the elbow,
  • Previous fractures of the paretic upper limb,
  • Peripheral nervous system disorders/myopathies,
  • Previous BTX-A treatment and/or ESWT,
  • Structural alterations in the soft tissue (e.g., fibrosis),
  • Known allergy or sensitivity to the study medication or its components
  • Presence of an unstable medical condition or uncontrolled systemic disease
  • Any medical condition that may put the patient at increased risk with exposure to botulinum toxin therapy. (ex. Myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, or any other significant disease that might interface with neuromuscular function.
  • Bleeding tendency and/or anticoagulation therapy
  • Presence of infection or skin disorder at injection sites
  • Females were are pregnant, nursing, or are planning a pregnancy during the study
  • Females of child-bearing potential (including pre-menstrual woman), not using a reliable means of contraception
  • Participant who should be withdrawn from the study in the opinion of the investigator for any reason

结局指标

主要结局

Range of Motion (ROM) of elbow flexor

时间窗: 5 weeks

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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