2014
DOI: 10.1589/jpts.26.1641
|View full text |Cite
|
Sign up to set email alerts
|

Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after Brain Injury: A Meta-analysis

Abstract: [Purpose] The purpose of this meta-analysis was to assess the effects of extracorporeal shock wave therapy (ESWT) on reducing spasticity immediately and 4 weeks after application of ESWT. [Subjects and Methods] We searched PubMed, TCL, Embase, and Scopus from their inception dates through June 2013. The key words “muscle hypertonia OR spasticity” were used for spasticity, and the key words “shock wave OR ESWT” were used for ESWT. Five studies were ultimately included in the meta-analysis. [Results] The Modifie… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

2
39
0

Year Published

2015
2015
2022
2022

Publication Types

Select...
7
1
1

Relationship

0
9

Authors

Journals

citations
Cited by 53 publications
(41 citation statements)
references
References 58 publications
2
39
0
Order By: Relevance
“…In the last five years, a few review studies have provided primary evidence to support the use of ESWT for the upper and lower limb spasticity: one meta-analysis of clinical trials on all types of spasticity in patients after brain injury, 40 two meta-analyses of randomized controlled trials (RCTs) on spasticity in post-stroke patients, 41,42 one narrative review on muscle hypertonia and dystonia, 43 and one authorized narrative review on upper and lower limb spasticity in post-stroke patients. 44 Additionally, several studies have confirmed utility of ESWT in reducing spasticity among patients with cerebral palsy (CP, 8 studies on the total sample of 124 patients, 4 used fESWT and 4 rESWT) [45][46][47][48][49][50][51][52] and multiple sclerosis (MS, 1 study involved a group of 34 patients treated with rESWT).…”
Section: Current Evidence On Shock Wavesmentioning
confidence: 99%
“…In the last five years, a few review studies have provided primary evidence to support the use of ESWT for the upper and lower limb spasticity: one meta-analysis of clinical trials on all types of spasticity in patients after brain injury, 40 two meta-analyses of randomized controlled trials (RCTs) on spasticity in post-stroke patients, 41,42 one narrative review on muscle hypertonia and dystonia, 43 and one authorized narrative review on upper and lower limb spasticity in post-stroke patients. 44 Additionally, several studies have confirmed utility of ESWT in reducing spasticity among patients with cerebral palsy (CP, 8 studies on the total sample of 124 patients, 4 used fESWT and 4 rESWT) [45][46][47][48][49][50][51][52] and multiple sclerosis (MS, 1 study involved a group of 34 patients treated with rESWT).…”
Section: Current Evidence On Shock Wavesmentioning
confidence: 99%
“…It is believed that tissue neovascularization results from the release of angiogenic growth and proliferation factors, including endothelial nitric oxide synthase (eNOS), vascular endothelial growth factor (VEGF) and nuclear cell proliferation antigen (PCNA) [1,6,12]. In the context of tissue injuries, vessel elongation is identi ed as one of the main agents promoting the release of these mediators through the in ux of calcium into endothelial cells and phosphorylation of phosphatidylinositol-3-kinase (PI3K) [13,14]. In spite of the lack of speci c studies on skeletal muscle, the literature points out that the use of shock wave therapy is capable of stimulating the same pathway and stimulating the activation and proliferation of endothelial cells similar to what occurred in the injury [6,13].…”
Section: Discussionmentioning
confidence: 99%
“…There are few studies on the effects of ESWT for treatment of muscle problems. In spastic muscles of patients affected by brain lesion, ESWT reduces muscle tone in the short term 1213. In myofascial pain syndrome, ESWT significantly reduces muscle pain immediately after treatments 11.…”
Section: Discussionmentioning
confidence: 99%
“…This position was sustained for 1 minute, followed by 10 seconds of rest, and was repeated for five sets. The opposite hamstring muscle was stretched in the same way 1213…”
Section: Methodsmentioning
confidence: 99%