Therapeutic Effect of Extracorporeal Shock Wave Therapy According to Treatment Session on Gastrocnemius Muscle Spasticity in Children With Spastic Cerebral Palsy: A Pilot Study

Annals of Rehabilitation Medicine
Dong-Soon ParkMichael Y Lee

Abstract

To investigate the therapeutic effect of extracorporeal shockwave therapy (ESWT) according to treatment session on gastrocnemius muscle spasticity in children with spastic cerebral palsy (CP). Twelve children with spastic CP underwent 1 ESWT and 2 sham ESWT sessions for gastrocnemius (group 1) or 3 ESWT sessions (group 2) once per week for 3 weeks. Modified Ashworth Scale (MAS) score, passive range of motion (PROM) of the ankle plantar-flexor muscles with knee extension, and median red pixel intensity (RPI) of color histogram of medial gastrocnemius on real-time sonoelastography (RTS) were measured before ESWT, immediately after the first and third ESWT, and at 4 weeks after the third ESWT. Mean ankle PROM was significantly increased whereas as mean ankle MAS and median gastrocnemius RPI were significantly decreased in both groups after the first ESWT. Clinical and RTS parameters before ESWT were not significantly different from those immediately after the third ESWT or at 4 weeks after the third ESWT in group 1. However, they were significantly different from those immediately after the third ESWT or at 4 weeks after the third ESWT in group 2. Mean ankle PROM, mean ankle MAS, and median gastrocnemius RPI in group 2 were signif...Continue Reading

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Citations

Oct 29, 2015·PloS One·Nikolaus B M CsászárChristoph Schmitz
May 26, 2018·American Journal of Physical Medicine & Rehabilitation·Mohammad EtoomCalogero Foti
Oct 17, 2019·European Journal of Physical and Rehabilitation Medicine·Hyun-Jung KimKiyeun Nam
Jun 4, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Huseyin BertanFigen Yilmaz
Apr 10, 2019·Journal of Tissue Engineering and Regenerative Medicine·Gi-Young ParkSang Chul Lee
Dec 31, 2020·Brain Sciences·Isabel María MartínezRaquel Faubel
Jun 19, 2021·Journal of Pain Research·Shuang BaMing Yu

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