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CompletedNCT02203994ESWTUpdated Jan 26, 2017

Extracorporeal Shock Wave Therapy (ESWT) for the Treatment of Spasticity in Persons With Spinal Cord Injury

An interventional study of Duolith® SD 1 "T-Top" (Storz Medical AG, Switzerland) in Spinal Cord Injury and Spasticity, sponsored by Swiss Paraplegic Research, Nottwil. Completed at 1 site in Switzerland. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2017-01-26.

Sponsored by Swiss Paraplegic Research, Nottwil · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Spasticity is the most problematic self-reported secondary medical problem in patients with spinal cord injury. It has the potential to negatively influence quality of life through restricting activities of daily living. Problematic spasticity can cause pain and fatigue, disturb sleep, contribute to the developement of contractures and pressure ulcers, and has a negative effect on patients morbidity. For this reason there is enormous interest in therapeutic interventions addressing to decrease spasticity in persons with spinal cord injury. Recently, studies reported positive effects of extracorporeal shock wave therapy on spasticity in patients with stroke, focal limb dystonia and cerebral palsy. To date, no studies are published, assessing the effect of extracorporeal shock wave therapy on focal spasticity in patients with spinal cord injury.

The purpose of this study is to investigate the effect of a one-time ESWT on lower limb spasticity in patients with an incomplete spinal cord injury.

02

Conditions studied

  • Spinal Cord Injury
  • Spasticity

Keywords

  • extracorporal shock wave therapy (ESWT)
  • spasticity
  • spinal cord injury
03

In context

Muscle Spasticity

704 studies on the registry are indexed under Muscle Spasticity; 149 are open to participants now.

This study's enrollment of 20 is below the median of 36 across 525 interventional studies indexed under Muscle Spasticity.

Browse Muscle Spasticity studies →

Lead sponsor

Swiss Paraplegic Research, Nottwil is the lead sponsor of 69 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Traumatic or non traumatic spinal cord injury
  • Minimum age: 18 years
  • Minimum time since spinal cord injury: two years
  • Lesion: C3-Th10
  • American Association of Spinal Cord Injury Impairment Score C and D
  • Focal spasticity in the adductor muscles and/ or triceps surae
  • Ability to walk 14 meters
  • Spasticity/clonus/spasms disturbing the activities of daily living or participation

Exclusion criteria

Exclusion Criteria:

  • Changes in spasticity medication during the last 3 months
  • Treatment with botulinum toxin during the last 6 months
  • Anticoagulant medication
  • Thrombosis
  • Malignant tumors
  • Pregnancy
  • Inflammations or skin lesions in the treated area
  • Acute urinary tract infection
  • Intended change in spasticity medication within 5 days after intervention
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    extracorporeal shock wave therapy (ESWT)

    one-time treatment of the spastic muscle/ spastic muscles (adductor muscles and/ or M. triceps surae) with extracorporeal shock wave therapy (device: Duolith® SD 1 "T-Top" (Storz Medical AG, Tägerwilen, Switzerland))

    Device: Duolith® SD 1 "T-Top" (Storz Medical AG, Switzerland)

Interventions

  • DeviceDuolith® SD 1 "T-Top" (Storz Medical AG, Switzerland)

    2000 pulses per muscle, energy level: 0.030 mJ/mm2, frequency: 4 Hz

06

What researchers measure

Primary outcomes

  1. severity of spasticity

    Ashworth Scale

    Time frame: time 0, time 2h

Secondary outcomes

  1. personal goal attainment

    Goal Attainment Scale

    Time frame: at day 0, 1, 3 and 5

  2. walking speed

    10 Meters Walking Test

    Time frame: difference between pre- and post-intervention

  3. walking distance

    6 Minutes Walking Test

    Time frame: difference between pre- and post-intervention

  4. thickness of the treated muscle

    thickness measurement of the treated muscle using ultrasound

    Time frame: difference between pre- and post-intervention

  5. severity of spasticity

    Adductor Tone Rating Scale

    Time frame: time 0, time 2h

  6. severity of spasticity

    Penn Spasm Frequency Scale

    Time frame: time 0, time 2h

  7. severity of spasticity

    Clonus Scale

    Time frame: time 0, time 2h

07

Study locations

1 site
  • Swiss Paraplegic Centre
    Nottwil, LU 6207, Switzerland
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 26, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02203994
Lead sponsor
Swiss Paraplegic Research, Nottwil
Responsible party
Sponsor
First posted
Jul 30, 2014
Start date
Jul 2014
Primary completion
Oct 2016
Completion
Dec 2016
Last update
Jan 26, 2017

Study contacts

Michael Baumberger, Dr. med.
principal investigator · Swiss Paraplegic Centre

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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