The Eurasian Journal of Medicine
Original Article

Extracorporeal Shock Wave Therapy with Low-Energy Flux Density Treatment Applied to Hemiplegia Patients on Somatosensory Functions and Spatiotemporal Parameters


Department of Physiotherapy and Rehabilitation, Erzurum Technical University Faculty of Health Sciences, Erzurum, Turkey


Department of Gerontology, Muğla Sıtkı Koçman University Fethiye Faculty of Health Sciences, Muğla, Turkey


Department of Physical Medicine and Rehabilitation, Fırat University Faculty of Medicine, Elazığ, Turkey


Department of Neurosurgery, Faculty of Medicine, Atatürk University, Erzurum, Turkey


Movement Disorders and Neuromodulation Center, Erzurum, Turkey

Eurasian J Med 2024; 56: 61-68
DOI: 10.5152/eurasianjmed.2024.23270
Read: 380 Downloads: 194 Published: 05 March 2024

Background: We aimed to investigate the efect of Extracorporeal Shock Wave Therapy (ESWT) applied to patients with hemiplegia on somatosensory data, spatiotemporal parameters, posture, and muscle tone.

Methods: This was a double-blind, randomised, controlled trial. Patients were randomised within pairs to either the experimental (ESWT) group (n=20) or the control group (n=20). All patients participated in the same conventional stroke rehabilitation program for 60 minutes of treatment a day, 5 times a week for 6 weeks (30 sessions). Patients assigned to the ESWT group received additional ESWT over the plantar fascia 3 days/week for 6 weeks. Timed Up and Go (TUG) test, Modified Ashworth Scale (MAS) score, Posture Assessment Scale for Stroke Patients (PASS), spatiotemporal parameters, Semmes–Weinstein monofilament (SWM) test, and vibration sensation test (VST) were performed in all participant before and after treatment.

Results: In the ESWT and control groups, statistically, significant diferences were obtained in the posttreatment analysis than pre-treatment. Significant diferences were found in foot angle, step cycle duration, swing phase, cadence, gait cycle distance, and VST values after ESWT treatment (P < .01).

Conclusion: When combined with a neurological rehabilitation program, it was determined that ESWT applied to the plantar face of the foot in individuals with hemiplegia increased somatosensory functions and was more successful in developing postural control and balance.

Cite this article as: Deniz G, Bilek F, Gulkesen A, Cakir M. Extracorporeal shock wave therapy with low-energy flux density treatment applied to hemiplegia patients on somatosensory functions and spatiotemporal parameters. Eurasian J Med., 2024;56(1):61-68.

EISSN 1308-8742