title: Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open-Label, Preliminary Clinical Trial.
abstract: Objective. To evaluate the effectiveness of radial shock waves (rESW) for wrist and fingers flexors spasticity in stroke patients. Methods. Twenty patients with upper limb muscle spasticity were enrolled in the study and treated with a single session of rESW. The spasticity level of the radio carpal (RC) and finger (FF) joints was assessed using Modified Ashworth Scale (MAS). The resting bioelectrical activity of the flexor carpi radialis (FCR) and flexor carpi ulnaris (FCU) was examined using surface electromyography (sEMG). Trophic conditions were measured using infrared thermal (IRT) imaging. All measurements were conducted at baseline (t 0), immediately after rESW (t 1), and 1 (t 2) and 24 (t 3) hours following rESW. Results. Significant reduction in MAS was observed for the RC joint in t 1, as well as for the FF joints in t 1, t 2, and t 3. A significant decrease in sEMG was shown for the FCR muscle in t 1 and t 2, as well as for the FCU muscle in t 1 and t 3. Also, a significant increase in IRT value was observed in t 3 only. Conclusions. A single session of rESW could be an effective alternative treatment for reduction of limb spasticity and could lead to improvement of trophic conditions of the spastic muscles.
authors: Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław, Poland.
authors: Robert
authors: 0000-0002-2806-1775
authors: R
authors: Dymarek
authors: Department of Physiotherapy Basics, Academy School of Physical Education in Katowice, Mikolowska 65 Street, 40-065 Katowice, Poland.
authors: Jakub
authors: 0000-0002-1796-5832
authors: J
authors: Taradaj
authors: Department of Nervous System Diseases, Faculty of Health Science, Wrocław Medical University, Bartla 5 Street, 51-618 Wrocław, Poland.
authors: Joanna
authors: 0000-0001-7359-2287
authors: J
authors: Rosińczuk