The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle
Background: Spasticity is one of the most common problems and greatly interferes with the functional capacity of chronic stroke patients. The most commonly used treatments are infrared therapy and stretching exercises, but they have not reduced spasticity effectively. The addition of Radial Shock Wa...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2023-08-01
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| Series: | Surabaya Physical Medicine and Rehabilitation Journal |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/SPMRJ/article/view/44017 |
| _version_ | 1797658939894005760 |
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| author | Go Linda Sugiarto Tanti Ajoe Kesoema |
| author_facet | Go Linda Sugiarto Tanti Ajoe Kesoema |
| author_sort | Go Linda Sugiarto |
| collection | DOAJ |
| description | Background: Spasticity is one of the most common problems and greatly interferes with the functional capacity of chronic stroke patients. The most commonly used treatments are infrared therapy and stretching exercises, but they have not reduced spasticity effectively. The addition of Radial Shock Wave Therapy (RSWT) was expected to be more effective in reducing spasticity in chronic stroke patients.
Aim: The purpose of this study is to prove that the addition of RSWT is more effective reducing spasticity of chronic stroke patients.
Material and methods: This study was a simple randomized controlled pre- and post-experimental design. The total sample of 30 chronic spastic stroke patients with the Modified Asworth Scale 2-3 was divided into 2 groups: the study group and the control group. RSWT was provided once a week to the muscle belly of the flexor wist muscle on the ventral aspect of the forearm, the intrinsic muscle of the hand, and flexor digitorum tendon. They were added to infrared therapy and stretching exercises in the upper extremities which are provided three times a week for six weeks consecutively. The level of spasticity was measured by the Tardieu Scale, which measures quality and angle of resistance at the beginning and end of the study.
Results: A significantly greater reduction was obtained (p<0.05) from the level of spasticity measured by the Tardieu Scale, both on the quality and angle of resistance, in the study group.
Conclusion: The addition of RSWT has been shown to have a greater reduction in spasticity in upper extremity muscle in chronic stroke patients. |
| first_indexed | 2024-03-11T18:06:40Z |
| format | Article |
| id | doaj.art-e666a668938b482d9cbc8c6d0c4e56a0 |
| institution | Directory Open Access Journal |
| issn | 2656-0895 |
| language | English |
| last_indexed | 2024-03-11T18:06:40Z |
| publishDate | 2023-08-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Surabaya Physical Medicine and Rehabilitation Journal |
| spelling | doaj.art-e666a668938b482d9cbc8c6d0c4e56a02023-10-17T07:31:53ZengUniversitas AirlanggaSurabaya Physical Medicine and Rehabilitation Journal2656-08952023-08-0152687710.20473/spmrj.v5i2.44017The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity MuscleGo Linda Sugiarto0Tanti Ajoe Kesoema1RSUD Dr. MoewardiDiponegoro National Hospital, Semarang, Central Java, IndonesiaBackground: Spasticity is one of the most common problems and greatly interferes with the functional capacity of chronic stroke patients. The most commonly used treatments are infrared therapy and stretching exercises, but they have not reduced spasticity effectively. The addition of Radial Shock Wave Therapy (RSWT) was expected to be more effective in reducing spasticity in chronic stroke patients. Aim: The purpose of this study is to prove that the addition of RSWT is more effective reducing spasticity of chronic stroke patients. Material and methods: This study was a simple randomized controlled pre- and post-experimental design. The total sample of 30 chronic spastic stroke patients with the Modified Asworth Scale 2-3 was divided into 2 groups: the study group and the control group. RSWT was provided once a week to the muscle belly of the flexor wist muscle on the ventral aspect of the forearm, the intrinsic muscle of the hand, and flexor digitorum tendon. They were added to infrared therapy and stretching exercises in the upper extremities which are provided three times a week for six weeks consecutively. The level of spasticity was measured by the Tardieu Scale, which measures quality and angle of resistance at the beginning and end of the study. Results: A significantly greater reduction was obtained (p<0.05) from the level of spasticity measured by the Tardieu Scale, both on the quality and angle of resistance, in the study group. Conclusion: The addition of RSWT has been shown to have a greater reduction in spasticity in upper extremity muscle in chronic stroke patients.https://e-journal.unair.ac.id/SPMRJ/article/view/44017chronic strokeinfraredmuscleradial shock wave therapyspasticitystretchingtardieu scale |
| spellingShingle | Go Linda Sugiarto Tanti Ajoe Kesoema The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle Surabaya Physical Medicine and Rehabilitation Journal chronic stroke infrared muscle radial shock wave therapy spasticity stretching tardieu scale |
| title | The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle |
| title_full | The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle |
| title_fullStr | The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle |
| title_full_unstemmed | The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle |
| title_short | The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle |
| title_sort | effects of additional radial shock wave therapy on spasticity of upper extremity muscle |
| topic | chronic stroke infrared muscle radial shock wave therapy spasticity stretching tardieu scale |
| url | https://e-journal.unair.ac.id/SPMRJ/article/view/44017 |
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