Pengaruh Radial Extracorporeal Shock Wave Therapy Terhadap Nyeri Dan Kemampuan Fungsional Pada Hemiplegic Shoulder

Abstract

ABSTRACT : This research is an experimental study with a one group pre test - post test design which aims to analyze the effect of radial extracorporeal shock wave therapy on pain and functional capability of the upper limbs in hemiplegic shoulder pain. Pain was analyzed by measuring changes using numerical pain rating scale (NPRS) and functional capability of the upper limbs was analyzed by carrying out the box and block test (BBT). This research was conducted for 2 months, namely from subject recruitment in November 2023 until completion of the final evaluation in December 2023. Subjects who meet research criteria based on the results of anamnesis, physical examination and supporting examinations. Subjects and caregivers were given an explanation of the aims, benefits and research protocol. Subject/caregiver is asked to sign an informed consent sheet and continue with initial evaluation of pain using NPRS and functional capability of the upper limbs using BBT. The interventions using radial extracorporeal shockwave therapy was carried out three times a week for two weeks (6 sessions) with a final evaluation  of NPRS and BBT was carried out at the end of second week. Respective differences in NPRS scores between baseline and post-intervention was 4.64±0.48 and 1.70±0.46 (Z = -5.297 with p value < 0.001) and Baseline BBT was improved from 25.06±9.99 to 42.03±12.36 post-intervention (t = -14.507 with p value <0.001). RESWT consisting of six sessions could be one of the effective and safe modalities for pain management and increase functional capability of the upper limbs along with conventional therapy in hemiplegic shoulder pain.