PENGARUH PEMBERIAN RADIAL EXTRACORPOREAL SHOCK WAVE THERAPY DIBANDING SUPER INDUCTIVE SYSTEM TERHADAP KEKUATAN OTOT MENGGENGGAM PADA PASIEN STROKE FASE SUBAKUT DENGAN SPASTISITAS

Abstract

Background: Stroke is a leading cause of disability in adults, with spasticity as a common complication affecting grip strength. Modalities such as R-ESWT and SIS are used to manage spasticity, but their comparative effectiveness remains understudied. Methods: An experimental study with a randomized pre-post groups design involved 30 subacute stroke patients divided into two groups: R-ESWT + standard rehabilitation and SIS + standard rehabilitation. Grip strength was measured using the Jamar Hand Dynamometer (JHD) before and after the intervention. Results: Both groups showed significant improvements in grip strength (R-ESWT: mean 9.07 kg to 12.93 kg, p < 0.001; SIS: mean 9.93 kg to 14.60 kg, p < 0.001). However, no significant difference was found between the two modalities (p = 0.151). Conclusion: R-ESWT and SIS are equally effective in improving grip strength in subacute stroke patients with spasticity. The choice of modality can be tailored to clinical needs and resource availability.