Ou-Yang 2023 | Spasticity | Review
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Ou-Yang LJ, Chen PH, Lee CH, Li TY, Wu YT, Jhou HJ, Yu TY. Effect and Optimal Timing of Extracorporeal Shock-Wave Intervention to Patients With Spasticity After Stroke: A Systematic Review and Meta-analysis. Am J Phys Med Rehabil. 2023 Jan 1;102(1):43-51.
Systematic review & Meta-analysis 13 studies (677 patients) were included in the meta- analysis Spasticity and functional assessment was done at short (< 2 wks) mid (2-4 wks) and long (4-12 wks) term Spasticity (MAS) significantly improved with ESWT compared to placebo at all time points. Function significantly improved compared to placebo in the short term. Meta-regression analysisshowed that starting the ESWT at less than 45 months post stroke produced greatest benefit; if stroke is > 45 months, there was no difference anymore with placebo.
Key message Shockwave therapy is an effective treatment for post stroke spasticity with effects maintained up to 3 months.
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