Sound waves vs. stroke spasticity: scientists probe how it works
NCT ID NCT06311526
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study looked at how focused sound waves (shock wave therapy) reduce muscle tightness in the arm after a stroke. Twelve adults who had a stroke at least six months ago received the treatment. Researchers measured changes in muscle stiffness, nerve signals, and arm function to see whether the therapy works by altering muscle tissue or by calming overactive nerves. Understanding this could help tailor the treatment to the right patients in the future.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Extracorporeal shock wave therapy (sound wave pulses applied to spastic muscles)
- What this could lead to
- If successful, this could help doctors choose the best patients for shock wave therapy based on muscle or nerve tests, making treatment more personalized.
- What could go wrong
- This is a very small pilot study (12 people) with no control group, so results may not apply broadly. The therapy's effects are temporary (up to 12 weeks) and the mechanism remains uncertain.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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12 people
The number who actually took part.
- Started
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May 2023
- Finished
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Mar 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Stroke patients with an upper limb spastic paresis.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria * age \> 18 years * first hemispheric stroke at least six months ago * spasticity of wrist and elbow flexors muscles with grade 1 to 3 of the Modified Ashworth Scal * no botulinum toxin injection in the previous six months * ability to give informed consent Exclusion criteria * anticoagulant medicine * presence of a pacemaker, an implantable cardioverter defibrillator or other medical devices * active cancer * skin lesions at the site of shock wave administration * an major neurological disease in addition to the hemiparesis (e.g. spastic hemiparesis in a patient who had Parkinson's disease before their stroke).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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IRCCS Istituto Auxologico Italiano
Milan, MI, 20122, Italy
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