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14 April 2026 : Clinical Research  

Stretching-Positioned Extracorporeal Shock Wave Therapy Yields Superior Short-Term Efficacy for Post-Stroke Upper-Limb Spasticity: A Retrospective Comparative Study

Jing Ouyang ORCID logo BCE 1, Jian Xu BE 1, Changsheng Li EF 1, Yangzheng Li DF 1, Zhipin Liao FG 1, Haixin Song AG 1*

DOI: 10.12659/MSM.951444

Med Sci Monit 2026; 32:e951444

Figure 1 Short-term trajectory of outcome measures following a single session of extracorporeal shock wave therapy (ESWT) applied in stretching versus relaxation postures(A) Comparison of Modified Ashworth Scale (MAS) scores (median with interquartile range) for elbow flexor spasticity. (B) Comparison of normalized average electromyography (AEMG) values (mean±standard deviation, expressed as percentage of individual baseline). (C) Comparison of normalized root mean square (RMS) values (mean±standard deviation, expressed as percentage of individual baseline). (D) Comparison of Fugl-Meyer Assessment for Upper Extremity (FMA-UE) scores (mean±standard deviation). (E) Comparison of Mayo Elbow Performance Score (MEPS) (mean±standard deviation). (F) Comparison of elbow joint passive extension range of motion (PROM) in degrees (mean±standard deviation). Data were derived from standardized retrospective clinical records. Asterisks (*) indicate P<0.05 for between-group comparisons at the indicated time point (Mann-Whitney U test for MAS; independent samples t-test for other outcomes).

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750