Inclusion Criteria:  suffered from a hemorrhagic or ischemic stroke and they were in the subacute or chronic phase; had no history of previous stroke; had 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 and walk unassisted for at least 30 seconds; adult patients (>18 years old).  Exclusion Criteria:  other neurological, musculoskeletal, orthopaedic, or cardiovascular conditions; -- severe cognitive impairment, severe aphasia or inability to understand or execute instructions; changes in antispastic medication and dose or changes in the analgesic medication; myopathy; severe spasticity grade; visual field disorders or hemineglect; anticoagulants or any contraindication to receive radial extracorporeal shock wave therapy (rESWT), or any contraindication to receive physical therapy sessions.