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OUTCOMES OF EXTRACORPOREAL SHOCKWAVE THERAPY IN THE TREATMENT OF SPASTIC HEMIPLEGIA IN STROKE PATIENTS AT THE REHABILITATION DEPARTMENT OF VIET – TIEP FRIENDSHIP HOSPITAL, 2024 - 2025
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Abstract
Objective: To evaluate the outcomes of extracorporeal shock wave therapy in treating spasticity among post-stroke patients at the Rehabilitation Department, Viet Tiep Friendship Hospital, during 2024–2025. Subjects and Methods: This was a descriptive interventional study without a control group, conducted on 35 post-stroke patients presenting with spasticity from November 2024 to June 2025. Results: The study population had a mean age of 64.71 ± 11.07 years, predominantly male (68.57%), with ischemic stroke and left-sided hemiplegia being more common. After 2 and 4 weeks of rehabilitation, significant improvements were observed in Modified Ashworth Scale (MAS), Visual Analogue Scale (VAS), and six-minute walk test (6MWT) scores (p<0.001). Conclusion: Extracorporeal shock wave therapy demonstrated initial positive effects in reducing spasticity and pain, as well as improving motor function in post-stroke patients.
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References
2. Brainin M, Norrving B, Sunnerhagen KS, Goldstein LB, Cramer SC, Donnan GA, et al. Poststroke Chronic Disease Management: Towards Improved Identification and Interventions for Poststroke Spasticity-Related Complications. International Journal of Stroke.2011 Feb 1;6(1):42–6.
3. Gillard PJ, Sucharew H, Kleindorfer D, Belagaje S, Varon S, Alwell K, et al. The negative impact of spasticity on the health-related quality of life of stroke survivors: a longitudinal cohort study. Health Qual Life Outcomes. 2015 Sep 29;13(1):159.
4. Li S, Francisco GE. New insights into the pathophysiology of post-stroke spasticity. Front Hum Neurosci [Internet]. 2015 Apr 10 [cited 2025 Jun 16];9. Available from: https://www. frontiersin.org/journals/human-neuroscience/ articles/10.3389/fnhum.2015.00192/full
5. Thibaut A, Chatelle C, Ziegler E, Bruno MA, Laureys S, Gosseries O. Spasticity after stroke: Physiology, assessment and treatment. Brain Injury [Internet]. 2013 Sep 1 [cited 2025 Jun 16]; Available from: https://www.tandfonline.com/doi/ abs/10.3109/02699052.2013.804202
6. Ou-Yang LJ, Chen PH, Lee CH, Li TY, Wu YT, Jhou HJ, et al. Effect and Optimal Timing of Extracorporeal Shock-Wave Intervention to Patients With Spasticity After Stroke: A Systematic Review and Meta-analysis. American Journal of Physical Medicine & Rehabilitation. 2023 Jan;102(1):43.
7. Vidmar T, Goljar Kregar N, Puh U. Reliability of the Modified Ashworth Scale After Stroke for 13 Muscle Groups. Arch Phys Med Rehabil. 2023 Oct;104(10):1606–11.
8. Liu WF, Zhang SM. Extracorporeal Shock Wave Therapy for Limb Dysfunction after Stroke: A Systematic Review and Meta-analysis. Am J Phys Med Rehabil. 2025 Jan 3;