Effects of extracorporeal shock wave therapy on spasticity in post-stroke patients: A systematic review and meta-analysis of randomized controlled trials.

Abstract:

OBJECTIVE:To evaluate whether extracorporeal shock wave therapy significantly improves spasticity in post-stroke patients. DESIGN:Systematic review and meta-analysis. DATA SOURCES:PubMed, EMBASE, EBSCO, Web of Science, Cochrane CENTRAL electronic databases. STUDY SELECTION:Randomized controlled trials assessing the effect of extracorporeal shock wave therapy on post-stroke patients with spasticity were selected for inclusion. DATA EXTRACTION:Two authors independently screened the literature, extracted data, and assessed the quality of included studies. Primary outcome was modified Ashworth scale (MAS). Secondary outcomes were Modified Tardieu Scale (MTS), H/M ratio and range of motion. DATA SYNTHESIS:Eight randomized controlled trial studies (n = 385 patients) were included in the meta-analysis. There was a high level of evidence that extracorporeal shock wave therapy significantly ameliorates spasticity in post-stroke patients according to the 4 parameters: MAS (standard mean difference (SMD) -1.22; 95% confidence interval (95% CI): -1.77 to -0.66); MTS (SMD 0.70; 95% CI 0.42-0.99,); H/M ratio (weighted mean difference (WMD) -0.76; 95% CI -1.19 to -0.33); range of motion (SMD 0.69; 95% CI 0.06-1.32). However, there was no statically significant difference on the MAS at 4 weeks (SMD -1.73; 95% CI -3.99 to 0.54). CONCLUSION:Extracorporeal shock wave therapy has a significant effect on spasticity in post-stroke patients.

journal_name

J Rehabil Med

authors

Xiang J,Wang W,Jiang W,Qian Q

doi

10.2340/16501977-2385

subject

Has Abstract

pub_date

2018-11-07 00:00:00

pages

852-859

issue

10

eissn

1650-1977

issn

1651-2081

journal_volume

50

pub_type

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