Review
Medicine, General & Internal
Emanuela Elena Mihai, Luminita Dumitru, Ilie Valentin Mihai, Mihai Berteanu
Summary: This study evaluates the long-term efficacy of Extracorporeal Shock Wave Therapy (ESWT) on reducing lower limb post-stroke spasticity in adults. The findings show that ESWT has a beneficial effect on spasticity, reducing pain intensity and increasing range of motion without adverse events.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Medicine, General & Internal
En Yang, Henry L. Lew, Levent Ozcakar, Chueh-Hung Wu
Summary: Spasticity, a common sequala of upper motor neuron lesions, can be effectively reduced by ESWT, especially in post-stroke muscle spasticity. The effects of ESWT can last up to 12 weeks, but mixed results have been reported in terms of functional recovery. Studies have also compared the effects of ESWT and botulinum toxin injections for treating spasticity.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Rehabilitation
Hui-Ling Zhang, Rong-Jiang Jin, Li Guan, Dong-Ling Zhong, Yu-Xi Li, Xiao-Bo Liu, Qi-Wei Xiao, Xi-Li Xiao, Juan Li
Summary: This study aimed to evaluate the effectiveness and safety of extracorporeal shock wave therapy for spasticity after upper motor neuron injury. The results showed that extracorporeal shock wave therapy can decrease the Modified Ashworth Scale score and increase the passive range of motion of a joint. However, further research is needed due to the poor methodological qualities of the included studies and high heterogeneity.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2022)
Article
Clinical Neurology
Tao Fan, Xiangying Zhou, Peichen He, Xiaojia Zhan, Peng Zheng, Rong Chen, Rongdong Li, Rihui Li, Mingyang Wei, Xue Zhang, Guozhi Huang
Summary: This study aims to observe the effect of radial extracorporeal shock wave therapy on flexor spasticity of the upper limb after stroke and explore its mechanism through a randomized, double-blind controlled trial. It is hypothesized that active rESWT may lead to greater improvement in upper limb muscles compared to sham-placebo treatment, providing support for further research in potential mechanisms of action.
FRONTIERS IN NEUROLOGY
(2021)
Review
Clinical Neurology
Haoyang Duan, Yawen Lian, Yuling Jing, Jingsong Xing, Zhenlan Li
Summary: Spasticity is a common complication after stroke, causing joint ankylosis and movement restriction. Traditional treatment methods have shortcomings, but extracorporeal shock wave therapy (ESWT) has emerged as a non-invasive, safe, and cost-effective option. This article reviews the research progress and existing problems of ESWT in the treatment of post-stroke spasticity.
FRONTIERS IN NEUROLOGY
(2023)
Review
Rehabilitation
Liang-Jun Ou-Yang, Po-Huang Chen, Cho-Hao Lee, Tsung-Ying Li, Yung-Tsan Wu, Hong-Jie Jhou, Tung-Yang Yu
Summary: This study aimed to investigate the efficacy of extracorporeal shock wave therapy and the optimal intervention timing for patients with spasticity after stroke. A meta-analysis was conducted to measure the effect of extracorporeal shock wave therapy versus sham interventions on spasticity and limb functionality. The results showed that spasticity significantly improved throughout the follow-up duration and limb functionality significantly improved in the short-term follow-up period. The meta-regression analysis indicated that patients with stroke duration less than 45 mos may benefit from extracorporeal shock wave therapy in improving limb function in all follow-up periods.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2023)
Review
Rehabilitation
Tingyu Zhang, Cai Zhang
Summary: In this study, the effects of extracorporeal shock wave therapy (ESWT) for shoulder pain after stroke were systematically reviewed. The results showed that compared to the control group, the ESWT group had better outcomes in terms of visual analogue scale scores, Fugl-Meyer assessment upper extremity scale scores, active range of motion assessment, and functional comprehensive assessment scores. Therefore, ESWT is more effective than conventional treatment in improving pain levels, motor function, active mobility, comprehensive function of shoulder, and activities of daily living (ADL) in patients with shoulder pain after stroke.
CLINICAL REHABILITATION
(2023)
Review
Biochemistry & Molecular Biology
Tobias Wuerfel, Christoph Schmitz, Leon L. J. Jokinen
Summary: Extracorporeal shock wave therapy (ESWT) is a safe and effective treatment option for musculoskeletal disorders, but there is no consensus on its mechanism of action. Different tissues respond to shock waves in different ways, and the description of a mechanism does not guarantee its clinical relevance. Focused and radial shock waves seem to have similar effects. Optimum intensity, frequency, and localization of ESWT still require clinical research.
Review
Rehabilitation
A. C. Silva, V. S. Almeida, P. M. Veras, F. R. N. Carnauba, J. E. Filho, M. A. C. Garcia, D. S. Fonseca
Summary: This systematic review and meta-analysis investigated the effect of extracorporeal shock wave therapy on knee osteoarthritis compared to a sham or kinesiotherapy. The results showed that shockwave therapy improved functionality in the short term and pain in all follow-up periods compared to the sham. When combined with kinesiotherapy, it also improved function in the short term and pain in all follow-up time points, although the improvement in pain may not be clinically significant.
CLINICAL REHABILITATION
(2023)
Review
Medicine, General & Internal
Chunhong Li, Zhibo Xiao, Liuli Chen, Songli Pan
Summary: ESWT appears to be effective in alleviating pain and improving functional outcomes for patients with low back pain, but there is a lack of high-level evidence to support its clinical application.
Review
Neurosciences
Binash Afzal, Rabiya Noor, Nazia Mumtaz, Muhammad Salman Bashir
Summary: The objective of this study was to evaluate the effects of ESWT on lower limb function, walking, and quality of life in patients with lower limb poststroke spasticity. A comprehensive search of electronic databases and meta-analysis revealed that ESWT has beneficial effects in reducing spasticity and improving lower limb motor function, but its effectiveness in walking performance remains uncertain.
INTERNATIONAL JOURNAL OF NEUROSCIENCE
(2023)
Review
Neurosciences
Isabel Maria Martinez, Nuria Sempere-Rubio, Olga Navarro, Raquel Faubel
Summary: The study suggests that shock wave therapy may effectively reduce spasticity levels, irrespective of the age and injury type of participants. However, due to the heterogeneity of treatment protocols, there is no optimal application protocol identified. Further high-quality scientific evidence is needed through primary studies.
Article
Medicine, General & Internal
Emanuela Elena Mihai, Ilie Valentin Mihai, Mihai Berteanu
Summary: This study aimed to evaluate the effects of visual feedback balance training and radial extracorporeal shock wave therapy (rESWT), along with conventional physiotherapy, on post-stroke spasticity, trunk control, and static and dynamic balance. The results showed that the use of visual feedback training and rESWT intervention significantly improved static and dynamic balance, trunk performance, sensorimotor outcome, and limb function, while reducing lower limb spasticity, pain intensity, and clonus score in stroke patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Medicine, General & Internal
Jozef Opara, Jakub Taradaj, Karolina Walewicz, Joanna Rosinczuk, Robert Dymarek
Summary: The article reviews the use of ESWT for post-stroke spasticity management, finding that it effectively reduces muscle tone and is safe with no adverse effects. However, more research is needed to establish standardized parameters for ESWT in treating post-stroke spasticity.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Medicine, General & Internal
Lei Zhang, Ting Yang, Long Pang, Yinghao Li, Tao Li, Chunsen Zhang, Lei Yao, Ran Li, Xin Tang
Summary: This study found that extracorporeal shock wave therapy (ESWT) is more clinically effective than control intervention and local corticosteroid injection (LCI) in patients with mild-to-moderate carpal tunnel syndrome (CTS). ESWT showed better results in symptom relief, functional enhancement, and electrophysiologic parameters' improvement, with better pain relief and functional recovery in the medium and long term compared to LCI.
JOURNAL OF CLINICAL MEDICINE
(2023)
