Comparing the Effect of Focused and Radial Extracorporeal Shock Waves on Post-stroke Hypertonia
Spasticity
About this trial
This is an interventional treatment trial for Spasticity
Eligibility Criteria
Inclusion Criteria:
- aged greater than 18 years old;
- at least 6 months since onset of last stroke;
- triceps surae muscle tone graded at least 1+ on the Modified Ashworth Scale (MAS) score;
- ability to walk alone with/without orthosis.
Exclusion Criteria:
- Exclusion criteria included fixed ankle joint contracture, previous treatment of the affected leg with neurolytic or surgical procedures, concomitant progressive central nervous system diseases, and skin breakdown, vascular disease in the affected leg
Sites / Locations
- Mackay Memorial Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
focused shock wave
radial shock wave
Treatment was administered directly to the middle of muscle bellies of the spastic triceps surae muscle in three sessions, with one week interval. During each session, 3000 pulses (1500 shots in the gastrocnemius and 1500 shots in the soleus muscle) were delivered at 5 Hz. The intensities of FSWT were 0.10 mJ/mm2.
Treatment was administered directly to the middle of muscle bellies of the spastic triceps surae muscle in three sessions, with one week interval. During each session, 3000 pulses (1500 shots in the gastrocnemius and 1500 shots in the soleus muscle) were delivered at 5 Hz.The intensities of RSWT were 2.0 bar.