Zhang 2023 | Stroke shoulder | Review
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Zhang T, Zhang C. Extracorporeal shock wave therapy for shoulder pain after stroke: A systematic review and meta-analysis. Clin Rehabil. 2023 Jan 22:2692155231152134. doi: 10.1177/02692155231152134. Epub ahead of print.
Systematic review and Meta-analysis • 18 RCTs (total 1248 subjects) were included Results:
Compared to control group (who received conventional PT and/or sham shock wave), ESWT group (who received ESWT alone or in combination with conventional PT) had significantly better: • Visual analogue scale (VAS) scores for pain, • Fugl-Meyer assessment upper extremity scale for function, • Active range of motion (AROM), • Functionalcomprehensive assessment (FCA) scores for activities of daily living (ADL). Recommended treatment parameters included: • Energy flux density ranges from 0.06 to 0.25 mJ/mm2 • ≥ 2000 shocks per treatment; • Intervention duration between 2 and 4 weeks.
Key message: ESWT is an effective treatment for shoulder pain after stroke, both alone and in addition to conventional treatment. The ESWT improves pain levels, motor function, active mobility, shoulder function, and ADL better than conventional treatment in patients with shoulder pain after stroke.
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