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RECRUITING
NCT07520032
NA

Effectiveness of Extra-corporeal Shockwave Diathermy in the Management of Upper Limb Function Patients With Stroke.

Sponsor: Gulf Medical University

View on ClinicalTrials.gov

Summary

Stroke is a leading cause of death and disability worldwide. A major complication of stroke is spasticity, marked by increased muscle tone and impaired movement. It affects majority stroke patients and complicates rehabilitation, affecting the upper limb function of survivors. While traditional treatments like oral medications and botulinum toxin injections offer some relief, they have notable limitations, causing the need for novel, non-invasive approaches. Extracorporeal shock wave therapy (ESWT), which uses acoustic waves for regeneration and neuromodulation, has shown promise in reducing spasticity with minimal side effects, though its precise mechanisms and ideal protocols need further study. Current evidence supports ESWT's efficacy and safety, often matching established treatments, but gaps remain regarding standardized application and long-term functional outcomes, highlighting the need for more robust research.

Official title: Effectiveness of Extra-corporeal Shockwave Diathermy in the Management of Upper Limb Function Patients With Stroke: Randomized Controlled Trial.

Key Details

Gender

All

Age Range

18 Years - 65 Years

Study Type

INTERVENTIONAL

Enrollment

50

Start Date

2025-10-30

Completion Date

2026-06-30

Last Updated

2026-04-09

Healthy Volunteers

No

Conditions

Interventions

OTHER

ESWT

Target muscles: biceps brachii, flexor carpi radialis, pronator teres, wrist and finger flexors. Protocol: 2000 shocks per muscle per session, energy flux density 0.03 mJ/mm², frequency 8 Hz, pressure \~0.2 MPa (2 bars).(1)

OTHER

Stretching

Sustained stretches held for 10 seconds, 3-5 repetitions per muscle group

OTHER

Mobility

Active and passive range of motion (ROM) exercises, 10-15 reps

OTHER

Strengthening

Isometric/ Isotonic exercises for antagonist muscles, 3 sets of 10-15 reps

OTHER

Functional training

Task-oriented activities ADLs. Eg: grasping, reaching, manipulation, 20-30 minutes per session

Locations (1)

Gulf Medical University

Ajman, Ajman Emirate, United Arab Emirates