title: Extracorporeal shockwave therapy (ESWT) benefits in spastic children with cerebral palsy (CP).
abstract: BACKGROUND
  ESWT refers to the use of Shock Waves in medical practice. It was used as an important tool in spasticity management of children with CP. The aim of our study was to evaluate the effect of a 3 session of ESWT on spastic upper and lower limbs muscles in children with CP.
  
  
  METHODS
  Sixty-three children (37 boys and 26 girls), mean age 99.57±53.74 months, were included in the study. We used focused ESWT, applied in 3 sessions during the admission of each child, on the mainly affected muscles, using the same parameters on all patients (energy - 0.15 mJ/mm2, shot dose - 500 shocks/ session, frequency - 10 Hz). All patients were assessed two times: once, in admission (before any physical or ESWT appliance) and second, at discharge (after receiving the entire prescribed treatment), following: Modified Ashworth Scale (MAS), Gross Motor Function Classification System (GMFCS), Gross Motor Function Measure 66 (GMFM-66) and also a Questionnaire on Pain caused by spasticity (QPS).
  
  
  RESULTS
  We found a better and significant decrease of MAS level in the ESWT treated group, thus leading to a concomitant decrease of QPS score and also increase of GMFM-66 score.
  
  
  CONCLUSIONS
  ESWT, applied in 3 sessions, with 0.15 mJ/ mm2, using 500 shocks/ min and 10 Hz as frequency may decrease children spasticity level and pain caused by it and improve the gross motor function.
authors: "Dr. Nicolae Robănescu" National Centre of Neuro-Psychomotor Clinical Rehabilitation, Bucharest, Romania ; "Bagdasar-Arseni" Clinical Emergency Hospital, Bucharest, Romania.
authors: A
authors: A
authors: Mirea
authors: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania ; "Bagdasar-Arseni" Clinical Emergency Hospital, Bucharest, Romania.
authors: G
authors: G
authors: Onose
authors: "Dr. Nicolae Robănescu" National Centre of Neuro-Psychomotor Clinical Rehabilitation, Bucharest, Romania ; "Bagdasar-Arseni" Clinical Emergency Hospital, Bucharest, Romania.
authors: L
authors: L
authors: Padure
authors: Craiova University, Department of Kinesiotherapy and Sports Medicine, Craiova, Romania.
authors: E
authors: E
authors: Rosulescu
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D019220:High-Energy Shock Waves; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000628:therapy*
keywords: cerebral palsy; shockwave therapy; spasticity