Vol. 11 No. 1 (2019): Archives of Public Health
Clinical Science

Еffects of radial extracorporeal shock wave therapy on post-stroke hand spasticity

Cvetanka Gjerakaroska Savevska
Institute for Physical Medicine and Rehabilitation; Medical Faculty, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
Erieta Nikolikj Dimitrova
Institute for Physical Medicine and Rehabilitation; Medical Faculty, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
Vesna Velic Stefanovska
Institute of Epidemiology and Biostatistics with Medical Informatics, Medical Faculty, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
Marija Gocevska
Institute for Physical Medicine and Rehabilitation; Medical Faculty, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia

Published 2019-04-06

Keywords

  • stroke,
  • spasticity,
  • radial extracorporeal shock wave therapy,
  • rehabilitation

How to Cite

1.
Геракароска Савевска Ц, Николиќ Димитрова Е, Велиќ Стефановска В, Гоцевска М. Еffects of radial extracorporeal shock wave therapy on post-stroke hand spasticity. Arch Pub Health [Internet]. 2019 Apr. 6 [cited 2021 Dec. 4];11(1):68-76. Available from: https://id-press.eu/aph/article/view/2858

Abstract

Hand spasticity after stroke increases the difficulties of daily living activities and limits the effectiveness of rehabilitation. Radial extracorporeal shock wave therapy (RESWT) has been suggested as an alternative treatment in spasticity reduction.The aim of the study was to evaluate the effectiveness of RESWT on hand spasticity in stroke patients. Material and methods: Controlled clinical trial in which 30patients with post-stroke hand spasticity were assigned in two groups. The examined group received RESWT (6 treatments in a period of two to three days) along with a standard rehabilitation programme. The control group received only standard rehabilitation programme. Clinical evaluations for both groups were performed using the Modified Ashworth Scale (MAS) and the subscore for motor recovery of the Fugl–Meyer assessment for the upper extremity at baseline, immediately after the second, at 6th and 14th week from the start of the rehabilitation.Results: The mean MAS score was significantly decreased inthe examined group after the RESWT.The examined group showed a significant improvement according to Fugl-Meyer test score after treatment. These results lasted 12 weeks after the treatment. Conclusion: RESWT has reduced the hand spasticity and led to a better motor outcome of spastic hand after а stroke.

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