The effects of extracorporeal shock wave therapy on stroke patients with plantar fasciitis

Kim, Tae-Gon; Bae, Sea Hyun; Kim, Gye Yeop; Kim, Kyung Yoon

doi:10.1589/jpts.27.523

Cited by 15 publications

(11 citation statements)

References 31 publications

(35 reference statements)

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“…Paralleling this finding, physical function increased after ESWT in the PF patients but still was not comparable to the functional assessments in the control group. Our findings were consistent with earlier reports showing that bodily pain decreased after ESWT (25,26,31,32), which might be related to restoration of a more normal gait pattern (3,21).…”

Section: Discussionsupporting

confidence: 93%

Effect of Extracorporeal Shockwave Therapy on Passive Ankle Stiffness in Patients With Plantar Fasciopathy

Hsu

Lai

et al. 2018

The Journal of Foot and Ankle Surgery

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Plantar fasciopathy (PF) is the most common cause of heel pain. Extracorporeal shockwave therapy (ESWT) improves the gait pattern in patients with PF. However, the effects of ESWT on the biomechanics of the ankle in these patients remains unclear. Sixteen participants were included in the present study. Of the 16 participants, 8 patients with PF were assigned to receive extracorporeal shockwave therapy, and 8 healthy participants served as an external control group. ESWT was applied to the PF group for 1500 pulses at an energy flux of 0.26 mJ/mm every 3 weeks for 3 sessions. The biomechanics of the ankle joints were then assessed using an isokinetic dynamometer, and a health-related quality of life questionnaire was administered at baseline and at the final follow-up session 12 weeks after the initial treatment. Passive stiffness was calculated and compared between the foot affected with PF, the opposite foot, and both feet of those in the healthy control group. The Kruskal-Wallis 1-way analysis of variance with repeated measures was performed, and statistical significance was considered present at the 5% (p ≤ .05) level. Ankle dorsiflexion in the affected limb increased from 14° ± 3° to 17° ± 2° after ESWT (p < .05). No statistically significant differences were noted in the strength of dorsiflexion or plantarflexion at baseline and after ESWT. However, a statistically significant increase in the ratio of strength in ankle dorsiflexion versus plantarflexion was found after ESWT (p < .05). No differences in the passive stiffness of the ankle joint were demonstrated. Patients reported an improved physical function score after ESWT (p < .05). An increased dorsiflexion/plantarflexion torque ratio and maximal dorsiflexion associated with decreased pain might contribute to the improved physical function after ESWT for PF.

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Section: Discussionsupporting

confidence: 93%

Effect of Extracorporeal Shockwave Therapy on Passive Ankle Stiffness in Patients With Plantar Fasciopathy

Hsu

Lai

et al. 2018

The Journal of Foot and Ankle Surgery

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“…Positive effects in clinical assessments were observed in the follow-up analysis at 1 and 5 weeks after active rESW finalisation. Also, Kim et al [ 23 ], in a prospective and open-label clinical study of poststroke subjects, evaluated the efficiency of pneumatic rESW in lower limb spasticity associated with plantar fasciitis where the authors observed positive results in all measured parameters, which were much greater at the t 2 measurement time point, suggesting some long-term effect of rESW. These findings are very similar to our results; however, we are not able to refer to follow-up changes.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open‐Label, Preliminary Clinical Trial

Dymarek

Taradaj

Rosińczuk

2016

Evidence-Based Complementary and Alternative Medicine

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Objective. To evaluate the effectiveness of radial shock waves (rESW) for wrist and fingers flexors spasticity in stroke patients. Methods. Twenty patients with upper limb muscle spasticity were enrolled in the study and treated with a single session of rESW. The spasticity level of the radio carpal (RC) and finger (FF) joints was assessed using Modified Ashworth Scale (MAS). The resting bioelectrical activity of the flexor carpi radialis (FCR) and flexor carpi ulnaris (FCU) was examined using surface electromyography (sEMG). Trophic conditions were measured using infrared thermal (IRT) imaging. All measurements were conducted at baseline (t 0), immediately after rESW (t 1), and 1 (t 2) and 24 (t 3) hours following rESW. Results. Significant reduction in MAS was observed for the RC joint in t 1, as well as for the FF joints in t 1, t 2, and t 3. A significant decrease in sEMG was shown for the FCR muscle in t 1 and t 2, as well as for the FCU muscle in t 1 and t 3. Also, a significant increase in IRT value was observed in t 3 only. Conclusions. A single session of rESW could be an effective alternative treatment for reduction of limb spasticity and could lead to improvement of trophic conditions of the spastic muscles.

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“…However, current treatment of spasticity in post-stroke survivors are often unsatisfactory 6 ) . In recent years, studies have reported that ESWT is a safe, noninvasive, alternative treatment for spasticity that does not cause muscle weakness or unpleasant effects in patients with multiple disease of central nerve system 7 , 8 ) .…”

Section: Introductionmentioning

confidence: 99%

Effects of extracorporeal shock wave therapy on upper extremity muscle tone in chronic stroke patients

et al. 2018

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[Purpose] The purpose of this study was to examine the effects of extracorporeal shock wave therapy (ESWT) on upper extremity muscle tone in chronic stroke patients. [Subjects and Methods] For this study, 30 stroke patients participated in this study and they were divided into ESWT group and sham-ESWT group, each group consisted of 15 patients. ESWT and sham-ESWT was performed by the patients for two times a week, for eight weeks. MyotonPRO was used to measure muscle tone. [Results] According to the results of the comparisons between the groups, after intervention, upper extremity muscle tone were significantly higher in the ESWT group than in the sham-ESWT group. [Conclusion] This study showed that ESWT is effective for improving decrease of muscle tone in chronic stroke patients.

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The effects of extracorporeal shock wave therapy on stroke patients with plantar fasciitis

Cited by 15 publications

References 31 publications

Effect of Extracorporeal Shockwave Therapy on Passive Ankle Stiffness in Patients With Plantar Fasciopathy

Effect of Extracorporeal Shockwave Therapy on Passive Ankle Stiffness in Patients With Plantar Fasciopathy

Extracorporeal Shock Wave Stimulation as Alternative Treatment Modality for Wrist and Fingers Spasticity in Poststroke Patients: A Prospective, Open‐Label, Preliminary Clinical Trial

Effects of extracorporeal shock wave therapy on upper extremity muscle tone in chronic stroke patients

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