Evidence map›Paper›PMID 27149465›Full record

Trial reportMedicine2016

Effect of Radial Shock Wave Therapy on Spasticity of the Upper Limb in Patients With Chronic Stroke: A Prospective, Randomized, Single Blind, Controlled Trial.

Tsung-Ying Li, Chih-Ya Chang, Yu-Ching Chou, Liang-Cheng Chen, Heng-Yi Chu, Shang-Lin Chiang, Shin-Tsu Chang, Yung-Tsan Wu

3 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04312581 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Extracorporeal Shock Wave Therapy on Wrist and Hand Functions in Spastic Chronic Stroke Patients :Randomized Controlled Study

TypeinterventionalSponsorTanta UniversityRan2020 to 2020Enrolled40ConditionsStroke, Spasticity, Shock WaveArmsExtracorporeal shock wave therapy, Conventional rehabilitation
NCT05878223 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Dose Effectiveness of Extracorporeal Shockwave on Plantar Flexor Spasticity of Ankle in Stroke Patients: a Randomised Controlled Trial

TypeinterventionalSponsorNational Taiwan University Hospital Hsin-Chu BranchRan2022 to 2024Enrolled40ConditionsStrokeArmsExtracorporeal shock waves
NCT07364110 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparison of High Intensity Laser Therapy (HILT) and Extracorporeal Shock Wave Therapy (ESWT) for the Treatment of Plantar Flexor Spasticity in Post-Stroke Patients

TypeinterventionalSponsorNecmettin Erbakan UniversityRan2021 to 2022Enrolled39ConditionsStroke Gait RehabilitationArmsRehabilitation Protocol, Extracorporeal Shock Wave Therapy (ESWT), High-Intensity Laser Therapy (HILT)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  8. Clinical study of combined mirror and extracorporeal shock wave therapy on upper limb spasticity in poststroke patients.International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Tsung-Ying LiFrom the Department of Physical Medicine and Rehabilitation (T-YL, C-YC, L-CC, H-YC, S-LC, S-TC, Y-TW), Tri-Service General Hospital, School of Medicine; School of Public Health, National Defense Medical Center (Y-CC), Neihu District, Taipei; Department of Physical Medicine and Rehabilitation (L-CC), Hualien Armed Forces General Hospital, Hualien County; and Department of Rehabilitation (S-TC), Taichung Veterans General Hospital, Taiwan Boulevard, Taichung, Taiwan, Republic of China.
Chih-Ya Chang
Yu-Ching Chou
Liang-Cheng Chen
Heng-Yi Chu
Shang-Lin Chiang
Shin-Tsu Chang
Yung-Tsan Wu
National Defense Medical Center · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, studies have reported that extracorporeal shock wave therapy (ESWT) is a safe, noninvasive, alternative treatment for spasticity. However, the effect of ESWT on spasticity cannot be determined, because most studies to date have enrolled small patient numbers and have lacked placebo-controlled groups and/or long-term follow-up. In addition, whether varying the number of ESWT sessions would affect the duration of the therapeutic effect has not been investigated in a single study. Hence, we performed a prospective, randomized, single blind, placebo-controlled study to investigate the long-term effect of radial ESWT (rESWT) in patients with poststroke spasticity and surveyed the outcome of functional activity.Sixty patients were randomized into 3 groups. Group A patients received 1 session of rESWT per week for 3 consecutive weeks; group B patients received a single session of rESWT; group C patients received one session of sham rESWT per week for 3 consecutive weeks. The primary outcome was Modified Ashworth Scale of hand and wrist, whereas the secondary outcomes were Fugl-Meyer Assessment of hand function and wrist control. Evaluations were performed before the first rESWT treatment and immediately 1, 4, 8, 12, and 16 weeks after the last session of rESWT.Compared to the control group, the significant reduction in spasticity of hand and wrist lasted at least 16 and 8 weeks in group A and B, respectively. Three sessions of rESWT had a longer-lasting effect than one session. Furthermore, the reduction in spasticity after 3 sessions of rESWT may be beneficial for hand function and wrist control and the effect was maintained for 16 and 12 weeks, respectively.rESWT may be valuable in decreasing spasticity of the hand and wrist with accompanying enhancement of wrist control and hand function in chronic stroke patients.

Indexed as

AdultAgedChronic DiseaseFemaleHigh-Energy Shock WavesHumansMaleMiddle AgedMuscle SpasticityProspective StudiesSingle-Blind MethodStroke

Identifiers

PMID27149465
PMCPMC4863782
OpenAlexW2346405542

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.