The effectiveness of extracorporeal shock wave therapy for improving upper limb spasticity and functionality in stroke patients: a systematic review and meta-analysis
| Autor: | Pere Ramón Rodríguez-Rubio, Pol Serra-Llobet, Carlos López-de-Celis, Rosa Cabanas-Valdés, Jordi Calvo-Sanz, Mercé Llauró-Fores |
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| Rok vydání: | 2020 |
| Předmět: |
Extracorporeal Shockwave Therapy
medicine.medical_specialty Stroke patient Extracorporeal shock wave therapy medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Upper Extremity Physical medicine and rehabilitation medicine Humans Spasticity Stroke business.industry Rehabilitation Stroke Rehabilitation medicine.disease Treatment Outcome Hemiparesis medicine.anatomical_structure Muscle Spasticity Meta-analysis Extracorporeal shockwave therapy Upper limb medicine.symptom business |
| Zdroj: | Clinical Rehabilitation. 34:1141-1156 |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215520932196 |
| Popis: | Objective: To assess the effectiveness of Extracorporeal Shock Wave Therapy for reducing spasticity and improving functionality of the upper limb in stroke survivors. Data sources: A systematic review of MEDLINE, Cochrane Central Register of Controlled Trials, CINAHL, PEDro, REHABDATA, Scielo, Scopus, Web of Science, Tripdatabase and Epistemonikos from 1980 to April 2020 was carried out. Review methods: The bibliography was screened to identify randomized controlled clinical trials that applied extracorporeal shock waves to upper limb spastic muscles in post-stroke individuals. Two reviewers independently screened references, selected relevant studies, extracted data and assessed risk of bias using the PEDro scale. The primary outcome was spasticity and functionality of the upper limb. Results: A total of 1,103 studies were identified and 16 randomized controlled trials were finally included (764 individuals) were analyzed. A meta-analysis was performed and a beneficial effect on spasticity was found. The mean difference (MD) on the Modified Ashworth Scale for comparison extracorporeal shock wave versus sham was −0.28; with a 95% confidence interval (CI) from −0.54 to −0.03. The MD of the comparison of extracorporeal shock wave plus conventional physiotherapy versus conventional physiotherapy was −1.78; 95% CI from −2.02 to −1.53. The MD for upper limb motor-function using the Fugl Meyer Assessment was 0.94; 95% CI from 0.42 to 1.47 in the short term and 0.97; 95% CI from 0.19 to 1.74 in the medium term. Conclusion: The extracorporeal shock wave therapy is effective for reducing upper limb spasticity. Adding it to conventional therapy provides an additional benefit. |
| Databáze: | OpenAIRE |
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