Therapeutic Effect of Extracorporeal Shock Wave Therapy According to Treatment Session on Gastrocnemius Muscle Spasticity in Children With Spastic Cerebral Palsy: A Pilot Study
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Objective 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). Methods 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. Results 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 significantly different from that in group 1 at 4 weeks or immediately after the third ESWT. Conclusion The therapeutic effect of ESWT on spastic medial gastrocnemius in children with spastic CP is dependent on the number of ESWT sessions.
Abstract
Objective 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). Methods 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. Results 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 significantly different from that in group 1 at 4 weeks or immediately after the third ESWT. Conclusion The therapeutic effect of ESWT on spastic medial gastrocnemius in children with spastic CP is dependent on the number of ESWT sessions.
참고문헌 (29)
- Graham HK, "Musculoskeletal aspects of cerebral palsy", J Bone Joint Surg Br, 85, pp.157~166 (2003)
- Hagglund G, "Development of spasticity with age in a total population of children with cerebral palsy", BMC Musculoskelet Disord, 9, pp.150~ (2008)
- Johnson DC, "The evolution of gait in childhood and adolescent cerebral palsy", J Pediatr Orthop, 17, pp.392~396 (1997)
- Bell KJ, "Natural progression of gait in children with cerebral palsy", J Pediatr Orthop, 22, pp.677~682 (2002)
- de Paiva A, "Functional repair of motor endplates after botulinum neurotoxin type A poisoning: biphasic switch of synaptic activity between nerve sprouts and their parent terminals", Proc Natl Acad Sci U S A, 96, pp.3200~3205 (1999)
- Pierce SR, "Relationship between age and spasticity in children with diplegic cerebral palsy", Arch Phys Med Rehabil, 91, pp.448~451 (2010)
- Won-Yub Lee, "Comparison of Treatment Effects Between Children With Spastic Cerebral Palsy Under and Over Five Years After Botulinum Toxin Type A Injection", Annals of Rehabilitation Medicine, 38(2), pp.200~208 (2014), 대한재활의학회
- Amelio E, "Effect of shock wave stimulation on hypertonic plantar flexor muscles in patients with cerebral palsy: a placebo-controlled study", J Rehabil Med, 42, pp.339~343 (2010)
- Vidal X, "Radial extracorporeal shock wave therapy (rESWT) in the treatment of spasticity in cerebral palsy: a randomized, placebo-controlled clinical trial", NeuroRehabilitation, 29, pp.413~419 (2011)
- Gonkova MI, "Effect of radial shock wave therapy on muscle spasticity in children with cerebral palsy", Int J Rehabil Res, 36, pp.284~290 (2013)
- Manganotti P, "Long-term effect of shock wave therapy on upper limb hypertonia in patients affected by stroke", Stroke, 36, pp.1967~1971 (2005)
- Park GY, "Application of real-time sonoelastography in musculoskeletal diseases related to physical medicine and rehabilitation", Am J Phys Med Rehabil, 90, pp.875~886 (2011)
- Kwon DR, "Spastic cerebral palsy in children: dynamic sonoelastographic findings of medial gastrocnemius", Radiology, 263, pp.794~801 (2012)
- Speed CA., "Extracorporeal shock-wave therapy in the management of chronic soft-tissue conditions", J Bone Joint Surg Br, 86, pp.165~171 (2004)
- Takahashi N, "Second application of low-energy shock waves has a cumulative effect on free nerve endings", Clin Orthop Relat Res, 443, pp.315~319 (2006)
- 이수진, "Dose-Related Effect of Extracorporeal Shock Wave Therapy for Plantar Fasciitis", Annals of Rehabilitation Medicine, 37(3), pp.379~388 (2013), 대한재활의학회
- Kolber MJ, "The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report", Int J Sports Phys Ther, 7, pp.306~313 (2012)
- Santamato A, "Extracorporeal shock wave therapy for the treatment of poststroke plantar-flexor muscles spasticity: a prospective open-label study", Top Stroke Rehabil, 21(Suppl 1), pp.S17~S24 (2014)
- Harries N, "Changes over years in gross motor function of 3-8 year old children with cerebral palsy: using the Gross Motor Function Measure (GMFM-88)", Isr Med Assoc J, 6, pp.408~411 (2004)
- Beckung E, "The natural history of gross motor development in children with cerebral palsy aged 1 to 15 years", Dev Med Child Neurol, 49, pp.751~756 (2007)
- 고인희, "Relationships between lower limb muscle architecture and activities and participation of children with cerebral palsy", Journal of exercise rehabilitation, 9(3), pp.368~374 (2013), 한국운동재활학회[DOI]
- Gracies JM., "Pathophysiology of spastic paresis. I: Paresis and soft tissue changes", Muscle Nerve, 31, pp.535~551 (2005)
- Friden J, "Spastic muscle cells are shorter and stiffer than normal cells", Muscle Nerve, 27, pp.157~164 (2003)
- Feit H, "Increased resistance of the collagen in avian dystrophic muscle to collagenolytic attack: evidence for increased crosslinking", Muscle Nerve, 12, pp.476~485 (1989)
- Mirea A, "Extracorporeal shockwave therapy (ESWT) benefits in spastic children with cerebral palsy (CP)", J Med Life, 7Spec(3), pp.127~132 (2014)
- Shrivastava SK, "Kailash. Shock wave treatment in medicine", J Biosci, 30, pp.269~275 (2005)
- Park GY, "Sonoelastographic evaluation of medial gastrocnemius muscles intrinsic stiffness after rehabilitation therapy with botulinum toxin A injection in spastic cerebral palsy", Arch Phys Med Rehabil, 93, pp.2085~2089 (2012)
- 권동락, "The Change of Intrinsic Stiffness in Gastrocnemius after Intensive Rehabilitation with Botulinum Toxin A Injection in Spastic Diplegic Cerebral Palsy", Annals of Rehabilitation Medicine, 36(3), pp.400~403 (2012), 대한재활의학회[DOI]
- Nordez A, "Characterization of muscle belly elastic properties during passive stretching using transient elastography", J Biomech, 41, pp.2305~2311 (2008)