Leng 2021 | Spasticity | RSW
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Leng Y, Lo WLA, Hu C, Bian R, Xu Z, Shan X, Huang D, Li L. The Effects of Extracorporeal Shock Wave Therapy on Spastic Muscle of the Wrist Joint in Stroke Survivors: Evidence From Neuromechanical Analysis. Front Neurosci. 2021 Jan 21;14:580762.
Single-blinded randomized controlled study. 27 stroke patients (> 1 month after onset) • RSW group (n=14): standard rehab + 1 RSW session with Chattanooga Intelect RPW • Control group (n=13): standard rehab only Outcome measure for severity of muscle spasm: MAS (Modified Ashworth Scale) Results • Significant improvement of MAS immediately post RSW and at 1 week follow-up, compared to baseline and compared to control. • Significant improvement of muscle stiffness measured by Myotonometer immediately post RSW and at 1 week follow- up, compared to baseline and compared to control. • Significant improvement of function (Fugl Meyer) at 1 week in both groups.
Key message RSW significantly reduced muscle spasm and stiffness of the wrist flexors compared to regular rehabilitation.
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