Effectiveness of Shock Wave Therapy as a Treatment for Spasticity: A Systematic Review

The purpose of this study was to collect and analyse the available scientific evidence on the effectiveness of shock wave therapy as a treatment for spasticity. the search was performed in the following databases: PubMed, PEDro, Cochrane, Embase, and the Virtual Health Library. All publications from...

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Published in:Brain sciences 2020-12, Vol.11 (1), p.15
Main Authors: Martínez, Isabel María, Sempere-Rubio, Nuria, Navarro, Olga, Faubel, Raquel
Format: Article
Language:English
Subjects:
Botulinum toxin
Cerebral palsy
extracorporeal shockwave therapy
Intervention
Libraries
Lithotripsy
muscle spasticity
Review
Rheology
Shock
shock wave
Shock waves
Spasticity
Spinal cord injuries
Stroke
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container_title Brain sciences
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creator Martínez, Isabel María
Sempere-Rubio, Nuria
Navarro, Olga
Faubel, Raquel
description The purpose of this study was to collect and analyse the available scientific evidence on the effectiveness of shock wave therapy as a treatment for spasticity. the search was performed in the following databases: PubMed, PEDro, Cochrane, Embase, and the Virtual Health Library. All publications from November 2009 to November 2019 were selected that included a sample of patients with spasticity and prior suspension of botulinum toxin, to whom shock wave therapy was applied. The methodological quality of the articles was evaluated using the Jadad scale and the pyramid of quality of scientific evidence. 25 studies involving 866 participants with spasticity were selected. The results obtained suggest that shock wave therapy appears to be effective in reducing spasticity levels irrespective of the age of the participants, the type of injury, and the tool used to measure the effect. shock wave therapy reports evidence of improvement in motor function, motor impairment, pain, and functional independence, applied independently of botulinum toxin. However, due to the heterogeneity of the protocols, there is no optimum protocol for its application, and it would be appropriate to gain more high-quality scientific evidence through primary studies.
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subjects Botulinum toxin
Cerebral palsy
extracorporeal shockwave therapy
Intervention
Libraries
Lithotripsy
muscle spasticity
Review
Rheology
Shock
shock wave
Shock waves
Spasticity
Spinal cord injuries
Stroke
title Effectiveness of Shock Wave Therapy as a Treatment for Spasticity: A Systematic Review
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