Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-Analysis
<b>Background</b>: Spasticity is a motor disorder characterised by exaggerated movements of the tendons and accompanied by hyperreflexia and hypertonia. Extracorporeal shock wave therapy (ESWT) is used as a treatment for spasticity, although more evidence is needed on the effectiveness o...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/5/1323 |
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| author | Iris Otero-Luis Iván Cavero-Redondo Celia Álvarez-Bueno Arturo Martinez-Rodrigo Carlos Pascual-Morena Nerea Moreno-Herráiz Alicia Saz-Lara |
| author_facet | Iris Otero-Luis Iván Cavero-Redondo Celia Álvarez-Bueno Arturo Martinez-Rodrigo Carlos Pascual-Morena Nerea Moreno-Herráiz Alicia Saz-Lara |
| author_sort | Iris Otero-Luis |
| collection | DOAJ |
| description | <b>Background</b>: Spasticity is a motor disorder characterised by exaggerated movements of the tendons and accompanied by hyperreflexia and hypertonia. Extracorporeal shock wave therapy (ESWT) is used as a treatment for spasticity, although more evidence is needed on the effectiveness of this therapy in the treatment of spasticity. Therefore, the aim of this study was to assess the effectiveness ESWT in the treatment of upper and lower limbs spasticity in both children and adults through different aetiologies. <b>Methods</b>: A systematic search was performed in different databases from inception to December 2023. Random-effects meta-analysis was used to estimate the efficacy of ESWT on spasticity using the Modified Ashworth Scale. <b>Results</b>: Sixteen studies were included in the systematic review and meta-analysis. The effect of ESWT on spasticity measured with the Modified Ashworth Scale shows a significant decrease in spasticity in the upper limbs and in the lower limbs in adults with chronic stroke and in children with cerebral palsy, is more effective immediately after application, and maintains its effect up to 12 weeks post treatment. <b>Conclusions</b>: These findings are important for clinical practice since they show evidence that ESWT is effective in reducing spasticity in both children and adults. |
| first_indexed | 2024-04-25T00:26:21Z |
| format | Article |
| id | doaj.art-220f19e668094d788ff901985877ed50 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-25T00:26:21Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-220f19e668094d788ff901985877ed502024-03-12T16:48:01ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01135132310.3390/jcm13051323Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-AnalysisIris Otero-Luis0Iván Cavero-Redondo1Celia Álvarez-Bueno2Arturo Martinez-Rodrigo3Carlos Pascual-Morena4Nerea Moreno-Herráiz5Alicia Saz-Lara6Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, SpainFacultad de Ciencias de la Salud, Universidad Autonoma de Chile, Talca 3460000, ChileHealth and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, SpainDepartamento de Sistemas Informáticos (DSI), Facultad de Comunicación de Cuenca, University of Castilla-La Mancha, 16071 Cuenca, SpainHealth and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, SpainHealth and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, SpainHealth and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain<b>Background</b>: Spasticity is a motor disorder characterised by exaggerated movements of the tendons and accompanied by hyperreflexia and hypertonia. Extracorporeal shock wave therapy (ESWT) is used as a treatment for spasticity, although more evidence is needed on the effectiveness of this therapy in the treatment of spasticity. Therefore, the aim of this study was to assess the effectiveness ESWT in the treatment of upper and lower limbs spasticity in both children and adults through different aetiologies. <b>Methods</b>: A systematic search was performed in different databases from inception to December 2023. Random-effects meta-analysis was used to estimate the efficacy of ESWT on spasticity using the Modified Ashworth Scale. <b>Results</b>: Sixteen studies were included in the systematic review and meta-analysis. The effect of ESWT on spasticity measured with the Modified Ashworth Scale shows a significant decrease in spasticity in the upper limbs and in the lower limbs in adults with chronic stroke and in children with cerebral palsy, is more effective immediately after application, and maintains its effect up to 12 weeks post treatment. <b>Conclusions</b>: These findings are important for clinical practice since they show evidence that ESWT is effective in reducing spasticity in both children and adults.https://www.mdpi.com/2077-0383/13/5/1323extracorporeal shock wave therapyspasticitychildren with cerebral palsyadults with chronic strokeupper limbslower limbs |
| spellingShingle | Iris Otero-Luis Iván Cavero-Redondo Celia Álvarez-Bueno Arturo Martinez-Rodrigo Carlos Pascual-Morena Nerea Moreno-Herráiz Alicia Saz-Lara Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-Analysis Journal of Clinical Medicine extracorporeal shock wave therapy spasticity children with cerebral palsy adults with chronic stroke upper limbs lower limbs |
| title | Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-Analysis |
| title_full | Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-Analysis |
| title_fullStr | Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-Analysis |
| title_short | Effectiveness of Extracorporeal Shock Wave Therapy in Treatment of Spasticity of Different Aetiologies: A Systematic Review and Meta-Analysis |
| title_sort | effectiveness of extracorporeal shock wave therapy in treatment of spasticity of different aetiologies a systematic review and meta analysis |
| topic | extracorporeal shock wave therapy spasticity children with cerebral palsy adults with chronic stroke upper limbs lower limbs |
| url | https://www.mdpi.com/2077-0383/13/5/1323 |
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