Ireland
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Efficacy of Shock Wave Therapy in Post-Stroke Muscle Spasticity Management

NCT06815328 · tracked via the Priya Life Science Spain tracker
Phase
Not applicable
Started
2025-03-15
Last updated
2025-03-12

Condition(s) studied

StrokeSpasticityPost-strokeMuscle HypertoniaNeurological DisordersPhysiotherapy

Investigational drug(s) / intervention(s)

Shock Wave Therapy (SWT)Active Comparator - Conventional Therapy

Shock Wave Therapy (SWT): Focused SWT sessions targeting spastic muscle groups. Parameters include standardized frequency, energy level, and session duration (30 minutes per session, once weekly for 8 weeks). This therapy aims to reduce muscle spasticity, improve joint mobility, and enhance quality of life. Standard care consisting of physical therapy sessions (e.g., stretching, mobility exercises) and/or prescribed medications for spasticity management. The therapy follows clinical guidelines and is administered with the same frequency and duration (once weekly for 8 weeks) as the experimental intervention.

Active Comparator - Conventional Therapy: Standard care consisting of physical therapy sessions (stretching, mobility exercises) and/or prescribed medications for spasticity management. Follows clinical guidelines and is administered with the same frequency and duration (once weekly for 8 weeks) as the experimental intervention.

Study summary

The goal of this clinical trial is to evaluate the efficacy and safety of shock wave therapy (SWT) in reducing muscle spasticity in patients who have suffered a stroke. The main questions it aims to answer are:

Does SWT reduce muscle tone and improve joint range of motion in post-stroke patients with spasticity? Does SWT improve the quality of life for these patients? What side effects, if any, occur during or after SWT? Researchers will compare SWT to conventional spasticity treatments to determine its effectiveness and potential advantages.

Participants will:

Undergo SWT sessions as part of their rehabilitation protocol over a period of 8 weeks.

Attend follow-up visits to assess muscle tone, joint mobility, and overall functional improvement.

Complete quality-of-life questionnaires to measure the therapy's impact on daily living.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
Accepted
"Inclusion Criteria": * Adults aged 18 years or older. * Confirmed diagnosis of stroke (ischemic or hemorrhagic) at least 6 months prior to enrollment. * Clinically diagnosed muscle spasticity, measured by the Modified Ashworth Scale (MAS), with a score of 0 to 3. * Stable medical condition that permits participation in the intervention. * No significant changes in spasticity-related treatment for at least 3 months prior to the study. * Ability to provide written informed consent to participate in the study. * Ability to attend weekly sessions and follow-up visits as required. "Exclusion Criteria": * Severe spasticity or contractures unresponsive to prior treatments. * Contraindications to Shock Wave Therapy, including: * Local infections in the treatment area. * Known or suspected malignancy near the treatment site. * Severe bleeding disorders or anticoagulation therapy. * Pregnancy. * Neurological conditions other than stroke that could interfere with study outcomes (e.g., Parkinson's disease, multiple sclerosis). * Recent treatments that might interfere with spasticity assessment, including: * Injections of botulinum toxin within the past 6 months. * Recent surgery or other interventions targeting spasticity. * Cognitive impairment or other conditions preventing the participant from following instructions or completing study tasks. * Severe cardiovascular, renal, or hepatic disease that might complicate therapy or participation. * Inability to commit to follow-up visits or complete the intervention protocol due to logistical, mobility, or health-related issues.

Primary outcome measure(s)

  • Change in Muscle Spasticity — Baseline, at 10 weeks (end of intervention), and at 12 weeks (follow-up).
    Measurement of changes in muscle tone using the Modified Ashworth Scale (MAS) from baseline to the end of the treatment period. The MAS ranges from 0 (no increase in muscle tone) to 4 (affected part rigid in flexion or extension). Units of Measure: Score from 0 to 4. Lower MAS scores indicate reduced spasticity.

Trial sites (1)

FacilityCityRegionStatus
University of Oviedo Oviedo Principality of Asturias
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06815328 on ClinicalTrials.gov ↗ ← All trials in Spain