Radial Extracorporeal Shock Wave Therapy for Triceps Surae Spasticity in People With Multiple Sclerosis: A Pilot Study.
BACKGROUND: Spasticity represents a major symptom of people with multiple sclerosis (MS), frequently causing disability, pain, and abnormal postures. The aim of this study is the evaluation of safety and efficacy of radial extracorporeal shock wave therapy (RESWT) for triceps surae muscle spastic hy...
| Publicado en: | International Journal of MS Care Vol. 28; no. 3; pp. 146 - 151 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Consortium of Multiple Sclerosis Centers
May/Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196172525&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196172525 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15372073 1FUA jtl: International Journal of MS Care issn: 15372073 maglogo: N pubinfo: dt: May/Jun2026 vid: 28 iid: 3 pid: 66082 pub: Consortium of Multiple Sclerosis Centers place: Hackensack, New Jersey artinfo: ui: 196172525 196172525 196172525 10.7224/1537-2073.2024-089 196172525 ppf: 146 ppct: 5 formats: tig: atl: Radial Extracorporeal Shock Wave Therapy for Triceps Surae Spasticity in People With Multiple Sclerosis: A Pilot Study. aug: au: Di Giovanni, Rachele Grange, Erica Masuccio, Fabio Giuseppe Bodrero, Matteo Puce, Luca Trompetto, Carlo Solaro, Claudio Marcello affil: Department of Rehabilitation, C.R.R.F. "Mons. Luigi Novarese," Moncrivello, Italy sug: subj: Multiple Sclerosis Pathology Muscle Spasticity Therapy Triceps Surae Muscles Physiology Ultrasonic Therapy Methods Balance, Postural Functional Assessment Treatment Outcomes Human Male Female Pilot Studies Multicenter Studies Comparative Studies Descriptive Statistics Kruskal-Wallis Test Chi Square Test Spearman's Rank Correlation Coefficient Nonparametric Statistics Wilcoxon Signed Rank Test Clinical Assessment Tools Male Female ab: BACKGROUND: Spasticity represents a major symptom of people with multiple sclerosis (MS), frequently causing disability, pain, and abnormal postures. The aim of this study is the evaluation of safety and efficacy of radial extracorporeal shock wave therapy (RESWT) for triceps surae muscle spastic hypertonia in people with MS. METHODS: Two centers recruited people 18 years or older with MS and triceps surae muscle hypertonia. People were excluded if they had other neurological conditions; had used anticoagulants; had intrathecal baclofen, botulinum toxin, and/or physiotherapy within the past 8 months; or had oral antispasmodics therapy modification in the past 4 weeks. The participants underwent triceps surae RESWT once a week for 4 weeks. Participants were scored on the Modified Ash-worth Scale (MAS), the Numerical Rating Scale for spasticity (NRS-Sp), the Medical Research Council (MRC) scale, the Timed Up and Go (TUG) test, and the Timed 25-Foot Walk (T25-FW) test before RESWT (To) and immediately after RESWT (Ti). Self-perceived effect was evaluated via the Global Perceived Effect (GPE) at Ti. RESULTS: Twenty-six people with MS were included (10 women and 16 men; mean age ± SD, 52.46 ± 8.39 years; mean Expanded Disability Status Scale score ± SD, 5.44 ± 1.34; mean disease duration ± SD, 14.88 ± 10.83 years), and 36 triceps surae were treated. MAS and NRS-Sp scores decreased at T1, whereas TUG, T25-FW, and MRC scores were comparable over time. Via the GPE, 73% of participants reported a self-perceived positive effect of RESWT on spasticity. CONCLUSIONS: RESWT may be efficacious and safe for treating spasticity in people with MS and does not adversely affect gait, strength, or dynamic balance. Further long-term studies are needed to evaluate the possibility of using RESWT as a treatment for spasticity in people with MS. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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