Spasticity is the most problematic self-reported secondary medical problem in patients with spinal cord injury. It has the potential to negatively influence quality of life through restricting activities of daily living. Problematic spasticity can cause pain and fatigue, disturb sleep, contribute to the developement of contractures and pressure ulcers, and has a negative effect on patients morbidity. For this reason there is enormous interest in therapeutic interventions addressing to decrease spasticity in persons with spinal cord injury. Recently, studies reported positive effects of extracorporeal shock wave therapy on spasticity in patients with stroke, focal limb dystonia and cerebral palsy. To date, no studies are published, assessing the effect of extracorporeal shock wave therapy on focal spasticity in patients with spinal cord injury. The purpose of this study is to investigate the effect of a one-time ESWT on lower limb spasticity in patients with an incomplete spinal cord injury.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
2000 pulses per muscle, energy level: 0.030 mJ/mm2, frequency: 4 Hz
Swiss Paraplegic Centre
Nottwil, Canton of Lucerne, Switzerland
severity of spasticity
Ashworth Scale
Time frame: time 0, time 2h
personal goal attainment
Goal Attainment Scale
Time frame: at day 0, 1, 3 and 5
walking speed
10 Meters Walking Test
Time frame: difference between pre- and post-intervention
walking distance
6 Minutes Walking Test
Time frame: difference between pre- and post-intervention
thickness of the treated muscle
thickness measurement of the treated muscle using ultrasound
Time frame: difference between pre- and post-intervention
severity of spasticity
Adductor Tone Rating Scale
Time frame: time 0, time 2h
severity of spasticity
Penn Spasm Frequency Scale
Time frame: time 0, time 2h
severity of spasticity
Clonus Scale
Time frame: time 0, time 2h
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