OBJECTIVE: To determine whether ESWT is able to safely and positively influence specific ADL activities in people with SCI and spasticity, measured by Goal Attainment Scaling (GAS). STUDY DESIGN: Multiple single-case experimental design with a randomized baseline length. SETTING: Rehabilitation centre. SUBJECTS: This study included 11 participants with SCI, aged >
18 years (mean (SD) 63 (12.2) years), mean (SD) duration after injury 9 (8.1) years, with hindering spasticity in the upper or lower limb. METHODS: During the 3-week treatment phase, radial ESWT in the plantar flexors of the calf ( RESULTS: At descriptive level, in total, 28 of the 33 GAS items improved after ESWT and these effects generally were maintained during the follow-up phase. The results of all secondary outcome measures varied. No serious adverse events occurred. CONCLUSIONS: In this study, ESWT resulted in improved performance of specific ADL items in most persons with SCI. More research is needed to confirm these results in a larger cohort.