The effects of extracorporeal shock wave therapy in children with cerebral palsy: a systematic review.

INTRODUCTION

Spastic cerebral palsy (CP) is a major cause of movement disorders in pediatric rehabilitation. Current treatments are often invasive and may lead to substantial discomfort. Extracorporeal shockwave therapy (ESWT) presents a potential alternative, offering a less invasive approach with a reduced side effect profile. However, the impact of ESWT on children with CP remains unclear. This systematic review aims to summarize the current evidence on ESWT's impact in children with spastic CP across various domains of the International Classification of Functioning, Disability, and Health for Children and Youth.

METHOD

To answer the main question, a systematic literature study is used. The studies, collected from four databases, were screened, and data on outcome measures and methodological quality were extracted. Effect sizes were calculated to facilitate study comparison.

RESULTS

In total, twelve randomized controlled trials met inclusion criteria, with PEDro scores ranging from three to eight. The combined study population included 421 children. Positive effects were observed on resistance to passive movements, passive range of motion, and gross motor skills, with effect sizes ranging from moderate (0.65) to very large (14.62).

CONCLUSION

ESWT demonstrated positive effects across multiple domains in children with spastic CP.