Abstract

The goal of this study was to compile and evaluate the relevant scientific data about shock wave therapy's efficacy as a spasticity treatment. All articles that featured a sample of patients with spasticity and a history of botulinum toxin suspension and who received shock wave treatment were chosen. Using the Jadad scale and the pyramid of scientific evidence quality, the papers' methodological quality was assessed. A total of 25 studies comprising 866 spastic patients were chosen. According to the data, shock wave treatment appears to be helpful in lowering spasticity levels regardless of the participants' ages, the nature of their injuries, or the method employed to gauge its effectiveness. Shock wave treatment, used without the use of botulinum toxin, shows improvement in motor function, motor impairment, discomfort,and functional independence. There is no ideal protocol for its use, however, due to the variety of the procedures; thus,it would be necessary to get further high-quality scientific data through primary investigations.