This study is a randomized controlled trial consisting of thirteen patients with spastic CP, 9 males and 4 females, aged 5 to 14 years (mean age 9.2). Twenty-five spastic hamstring muscles were divided in four groups. Group I: 500 pulses, Group II: 1,000 pulses, Group III: 1,500 pulses, and Group IV: 2,000 pulses. Australian Spasticity Assessment Scale (ASAS) was measured at four different time points (pre-ESWT, post-ESWT, 2 weeks post-ESWT, and 4 weeks post-ESWT).
All four groups showed improvement in ASAS relative to pre-treatment, although only significant in Group III (1,500 pulses). There were no statistically significant differences in ASAS between all four groups in pre-ESWT [|2(2) = 3.907, p = 0.272], immediately post-ESWT [|2(2) = 1.250, p = 0.741], 2 weeks post-ESWT vs pre-ESWT [|2(2) = 3.367, p = 0.338], and 4 weeks post-ESWT vs pre-ESWT [|2(2) = 1.566, p = 0.667].
The effect of rESWT on spastic hamstring in children with spastic CP is not dependent on the number of pulses.
这项研究是一项随机对照试验,由13名痉挛型CP患者组成,9男4女,5至14岁(平均年龄9.2岁)。将25条痉挛的腿筋肌分为四组。第一组:500脉冲,第二组:1000个脉冲,第三组:1500脉冲,和第四组:2,000脉冲。在四个不同的时间点测量澳大利亚痉挛评估量表(ASAS)(ESWT前,ESWT后,ESWT后2周,和ESWT后4周)。
四组均显示ASAS相对于治疗前有所改善,尽管仅在第三组(1,500脉冲)中具有重要意义。在ESWT之前,所有四组之间的ASAS没有统计学上的显着差异[|2(2)=3.907,p=0.272],ESWT后立即[|2(2)=1.250,p=0.741],ESWT后2周与ESWT前[|2(2)=3.367,p=0.338],ESWT后4周与ESWT前[|2(2)=1.566,p=0.667]。
rESWT对痉挛型CP患儿痉挛型腿筋的影响与脉搏数无关。