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Tests shock wave therapy for shoulder stiffness after stroke

Tests focused shock wave therapy on shoulder muscle stiffness in adults after stroke.

Plain-language title generated from the registry record
Registry title: SIRS-ESWT Trial: Shoulder Internal Rotator Spasticity Trial Treated With Extracorporeal Shock Wave Therapy Trial

Key facts

Where
Taipei, TaiwanSee the site

Where in Taiwan

  • Department of Physical Medicine & Rehabilitation , National Taiwan University HospitalTaipei, TaiwanTaking people

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Trial details

Who runs it
National Taiwan University Hospital
Trial code
NCT06674785
Record updated
29 July 2025
Original description
Extracorporeal shock wave therapy (ESWT) has shown potential in reducing post-stroke limb spasticity. This study aims to evaluate the efficacy of focused ESWT on shoulder internal rotator spasticity in post-stroke patients.Read full original descriptionShow less

Effects of Extracorporeal Shock Wave Therapy on Shoulder Internal Rotator Spasticity in Post-Stroke Patients: A Randomized Controlled Trial

Extracorporeal shock wave therapy (ESWT) has shown potential in reducing post-stroke limb spasticity. This study aims to evaluate the efficacy of focused ESWT on shoulder internal rotator spasticity in post-stroke patients.

Inclusion: Patients aged 18 years or older with unilateral cerebral stroke; Restricted passive external rotation of the spastic shoulder by more than 20 degrees; A Modified Ashworth Scale score of 1 or higher for shoulder internal rotator spasticity; Stable medical condition and vital signs; Clear consciousness, able to follow instructions.

Exclusion: Prior shock wave intervention or botulinum toxin injection for post-stroke spasticity within the past three months; History of two or more strokes, traumatic brain injury, brain tumors, or other cerebral disorders; Coexisting central nervous system disorders (e.g., spinal cord injury, Parkinson's disease) or other musculoskeletal conditions affecting muscle tone assessment; Ineligibility for shock wave intervention due to malignancies, coagulation disorders, localized infections, or presence of a pacemaker; Inability to participate in interventions or functional assessments due to cognitive, consciousness, or language impairments.

ClinicalTrials.gov NCT06674785