Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative review
Poststroke spasticity (PSS) is a common complication that affects function and daily self-care. Conservative PSS treatments include traditional rehabilitation, botulinum toxin injection, and extracorporeal shock wave therapy. Currently, the Modified Ashworth Scale and Modified Tardieu Scale are wide...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Journal of Medical Ultrasound |
| Subjects: | |
| Online Access: | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2023;volume=31;issue=3;spage=171;epage=177;aulast=Lin |
| _version_ | 1797645587304153088 |
|---|---|
| author | Meng-Ting Lin Shu-Mei Yang Hao-Wei Wu Yen-Hua Chen Chueh-Hung Wu |
| author_facet | Meng-Ting Lin Shu-Mei Yang Hao-Wei Wu Yen-Hua Chen Chueh-Hung Wu |
| author_sort | Meng-Ting Lin |
| collection | DOAJ |
| description | Poststroke spasticity (PSS) is a common complication that affects function and daily self-care. Conservative PSS treatments include traditional rehabilitation, botulinum toxin injection, and extracorporeal shock wave therapy. Currently, the Modified Ashworth Scale and Modified Tardieu Scale are widely used tools to clinically evaluate spasticity, but the best tool for PSS assessment remained controversial. Ultrasound elastography (UE), including shear wave and strain image as the emerging method to evaluate soft tissue elasticity, became popular in clinical applications. Spastic biceps and gastrocnemius muscles were reported to be significantly stiffer compared to nonparetic muscles or healthy control using shear wave or strain elastography. More studies investigated the utility, reliability, and validity of UE in patients with PSS, but the contemporary consensus for the utility of UE in the measurement and therapeutic follow-up of PSS remained lacking. Therefore, this narrative review aimed to appraise the literature on the shear wave and strain elastography on PSS and summarize the roles of UE in assessing the therapeutic efficacy of different PSS interventions. |
| first_indexed | 2024-03-11T14:48:59Z |
| format | Article |
| id | doaj.art-a1ebe2f273404c71837596a6b8b0d230 |
| institution | Directory Open Access Journal |
| issn | 0929-6441 2212-1552 |
| language | English |
| last_indexed | 2024-03-11T14:48:59Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Ultrasound |
| spelling | doaj.art-a1ebe2f273404c71837596a6b8b0d2302023-10-30T10:27:24ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522023-01-0131317117710.4103/jmu.jmu_106_22Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative reviewMeng-Ting LinShu-Mei YangHao-Wei WuYen-Hua ChenChueh-Hung WuPoststroke spasticity (PSS) is a common complication that affects function and daily self-care. Conservative PSS treatments include traditional rehabilitation, botulinum toxin injection, and extracorporeal shock wave therapy. Currently, the Modified Ashworth Scale and Modified Tardieu Scale are widely used tools to clinically evaluate spasticity, but the best tool for PSS assessment remained controversial. Ultrasound elastography (UE), including shear wave and strain image as the emerging method to evaluate soft tissue elasticity, became popular in clinical applications. Spastic biceps and gastrocnemius muscles were reported to be significantly stiffer compared to nonparetic muscles or healthy control using shear wave or strain elastography. More studies investigated the utility, reliability, and validity of UE in patients with PSS, but the contemporary consensus for the utility of UE in the measurement and therapeutic follow-up of PSS remained lacking. Therefore, this narrative review aimed to appraise the literature on the shear wave and strain elastography on PSS and summarize the roles of UE in assessing the therapeutic efficacy of different PSS interventions.http://www.jmuonline.org/article.asp?issn=0929-6441;year=2023;volume=31;issue=3;spage=171;epage=177;aulast=Linspasticitystrokeultrasound elastography |
| spellingShingle | Meng-Ting Lin Shu-Mei Yang Hao-Wei Wu Yen-Hua Chen Chueh-Hung Wu Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative review Journal of Medical Ultrasound spasticity stroke ultrasound elastography |
| title | Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative review |
| title_full | Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative review |
| title_fullStr | Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative review |
| title_full_unstemmed | Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative review |
| title_short | Utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy: A narrative review |
| title_sort | utility of ultrasound elastography to evaluate poststroke spasticity and therapeutic efficacy a narrative review |
| topic | spasticity stroke ultrasound elastography |
| url | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2023;volume=31;issue=3;spage=171;epage=177;aulast=Lin |
| work_keys_str_mv | AT mengtinglin utilityofultrasoundelastographytoevaluatepoststrokespasticityandtherapeuticefficacyanarrativereview AT shumeiyang utilityofultrasoundelastographytoevaluatepoststrokespasticityandtherapeuticefficacyanarrativereview AT haoweiwu utilityofultrasoundelastographytoevaluatepoststrokespasticityandtherapeuticefficacyanarrativereview AT yenhuachen utilityofultrasoundelastographytoevaluatepoststrokespasticityandtherapeuticefficacyanarrativereview AT chuehhungwu utilityofultrasoundelastographytoevaluatepoststrokespasticityandtherapeuticefficacyanarrativereview |