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Effect of Shock Wave Therapy on Muscle Spasticity in Children with Cerebral Palsy

E. Ilieva, M. Gonkova, I. Chavdarov

Source: Annals of Physical and Rehabilitation Medicine, Volume 54, Supplement 1, October 2011


Improves spasticity and motor functionality


ESWT might efficiently improve spasticity in affected children and also their gross motor functionality


As there are already some reports of the use of Extracorporeal Shockwave Therapy (ESWT) for the management of spasticity of children with Cerebral Palsy (CP) the purpose of our trial was to achieve improvement of our patients.


We included 56 spastic children (29 males, 27 females) in our study with CP, aged between 5 and 16 years. We used radial focused ESWT (BTL-5000 SWT) for 4 sessions during the admission of each child on the mainly affected muscles using for all children the same treatment parameters (500 shocks, frequency: 10 Hz). All patients were assessed twice: for the first time during admission (before 1st ESWT application) and the second time at discharge (after the 4th ESWT session). The following examinations have been performed: active range of motion, modified Ashworth scale scores and patient’s Quality of Life (QoL).


We found a significant decrease of modified Ashworth scale level. ESWT also proved to be efficient for the improvement of global functioning of the upper and lower limbs.


For more reliable statistical assessment and improvement of the methodology further studies are necessary.


ESWT applied 4 times in 2 weeks decreased spasticity level in children without affecting the Quality of Life as other anti-spastic procedures might do.

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