Title:
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Efficacy of radial extracorporeal shock wave therapy compared with botulinum toxin type A injection in treatment of lower extremity spasticity in subjects with cerebral palsy: A randomized, controlled, cross-over study
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Author:
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Vidal, Xavier; Martí i Fàbregas, Joan; Canet Vélez, Olga; Roqué, Marta; Morral Fernández, Antoni; Tur, Miriam; Schmitz, Christoph; Sitjà i Rabert, Mercè
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Other authors:
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Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna |
Abstract:
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Objectives: To investigate whether botulinum toxin type A (BTX-A) injection is more effective than radial extracorporeal shock wave therapy in reducing plantar flexor muscle spasticity in subjects with cerebral palsy.
Methods: A total of 68 subjects with cerebral palsy were randomly allocated to BTX-A injection (Group 1) or radial extracorporeal shock wave therapy (Group 2) (first experiment; E1). Outcome was evaluated using the Tardieu V1 and V3 stretches, at 3 weeks, 2 months (M2) and M3 after baseline. At M6 subjects in Group 1 received radial extracorporeal shock wave therapy and subjects in Group 2 received BTX-A injection (second experiment; E2); outcome was evaluated as in E1. Treatment success was defined as improvement in foot dorsiflexion ≥10° when performing the V3 stretch at M2 in both experiments.
Results: In both experiments mean V1 and V3 significantly improved over time. In E1 both treatments resulted in similar treatment success. In E2 fewer subjects treated with BTX-A injection reached the criteria of treatment success than did subjects treated with radial extracorporeal shock wave therapy, which was due to a carry-over effect from E1. No significant complications were observed.
Conclusion: BTX-A injection is not superior to radial extracorporeal shock wave therapy in the treatment of plantar flexor muscle spasticity in subjects with cerebral palsy. |
Publication date:
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2020-06 |
Subject (UDC):
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616.8 - Neurologia. Neuropatologia. Sistema nerviós |
Subject(s):
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Trastorns motors--Pacients--Rehabilitació Espasticitat Paràlisi cerebral--Tractament Ones de xoc |
Rights:
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© Foundation of Rehabilitation Information
L'accés als continguts d'aquest document queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons:http://creativecommons.org/licenses/by-nc/4.0/ |
Pages:
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10 p. |
Document type:
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Article Article - Published version |
DOI:
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http://dx.doi. org/10.2340/16501977-2703
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Published by:
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Foundation of Rehabilitation Information
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Publish at:
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Journal of Rehabilitation Medicine, 2020, vol. 52, núm. 6
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