El-Shamy Shamekh Mohamed, Eid Mohamed Ahmed, El-Banna Mohamed Fawzy
From the Faculty of Physical Therapy, Department of Physical Therapy for Disturbance of Growth and Development in Children and its Surgery, Cairo University, Giza, Egypt.
Am J Phys Med Rehabil. 2014 Dec;93(12):1065-72. doi: 10.1097/PHM.0000000000000133.
The aim of this study was to investigate the effects of shock wave therapy on gait pattern in children with hemiplegic cerebral palsy.
Fifteen children were assigned to the study group, whose members received shock wave therapy (1500 shots/muscle, frequency of 5Hz, energy of 0.030 mJ/mm, one session/wk). Another 15 were assigned to the control group, whose members participated in a conventional physical therapy exercise program for 3 successive months. Baseline and posttreatment assessments were performed using the Modified Ashworth Scale to evaluate spasticity degrees and using a three-dimensional gait analysis to evaluate gait parameters.
Children in the study group showed a significant improvement when compared with those in the control group (P < 0.005). The Modified Ashworth scores after treatment were 1.86 (0.22) and 1.63 (0.23) for the control and study groups, respectively. The gait parameters (stride length, cadence, speed, cycle time, and stance phase percentage) after treatment were 0.5 m, 125 steps/min, 0.6 m/sec, 0.48 sec, and 50.4% and 0.74 m, 119 steps/min, 0.75 m/sec, 0.65 sec, and 55.9% for the control group and the study group, respectively.
Shock wave therapy may be a useful tool for improving spasticity and gait pattern in children with hemiplegic cerebral palsy.
本研究旨在探讨冲击波疗法对偏瘫型脑瘫患儿步态模式的影响。
15名儿童被分配到研究组，其成员接受冲击波疗法（每块肌肉1500次冲击，频率5Hz，能量0.030mJ/mm，每周一次）。另外15名被分配到对照组，其成员连续3个月参加常规物理治疗锻炼计划。使用改良Ashworth量表评估痉挛程度，并使用三维步态分析评估步态参数，进行基线和治疗后评估。
与对照组相比，研究组儿童有显著改善（P<0.005）。治疗后，对照组和研究组的改良Ashworth评分分别为1.86（0.22）和1.63（0.23）。治疗后，对照组和研究组的步态参数（步长、步频、速度、周期时间和站立相百分比）分别为0.5m、125步/分钟、0.6m/秒、0.48秒和50.4%，以及0.74m、119步/分钟、0.75m/秒、0.65秒和55.9%。
冲击波疗法可能是改善偏瘫型脑瘫患儿痉挛和步态模式的一种有用工具。
