Radial Extracorporeal Shock Wave Therapy and Visual Feedback Balance Training on Lower Limb Post-Stroke Spasticity, Trunk Performance and Balance:

Inclusion Criteria: * a hemorrhagic or ischemic stroke in acute, subacute or chronic phase; * no history of previous stroke; * lower limb post-stroke spasticity and spasticity grade ≥1 on the Modified Ashworth Scale (MAS); * pain intensity measured on Visual Analogue Scale (VAS) ≥1; * ability to stand unassisted in upright position for 30 seconds; * no change in anti-spastic drug dose or treatment and no changes in analgesic medication, as it could affect the results on the Modified Ashworth Scale and the Visual Analogue Scale * adult patients (\>18 years old) Exclusion Criteria: * other neurological and orthopaedic disorders or lower limb deformities that could in-terfere with motor performance and balance; * myopathies; * severe cognitive impairment, severe aphasia or inability to understand instructions; * severe spasticity; * visual field conditions or hemineglect; * patients unable to undergo follow-up evaluation and excluded from the final analysis; * anticoagulant medication or any contraindication to receive radial extracorporeal shockwave therapy (rESWT), or any contraindication to physical therapy.