Abstract

Objective To evaluate the efficacy and safety of extracorporeal shock wave (ESW) treatment in cases of post-stroke spasticity. Methods Reports of randomized and controlled trials of extracorporeal shock wave therapy in treating post-stroke spasticity were searched for in the PubMed, Embase and China Knowledge Infrastructure databases. The subsequent meta-analysis was carried out using version 5.3 of the RevMan software. Results Twelve reports were found involving a total of 536 patients. The meta-analysis showed significant immediate and short-term effects of extracorporeal shock waves in treating spasticity in the finger flexors, wrist flexors, and biceps brachii after stroke. However, no significant improvement was observed in the treatment of wrist or lower limb spasticity. Conclusion Extracorporeal shock wave therapy can effectively relieve some post-stroke spasticity safely. It can be used as an auxiliary treatment with many patients. Key words: Extracorporeal shock waves; Spasticity; Randomized controlled trials; Systematic reviews

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