Abstract：
To evaluate the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) according to total number of pulses on hamstring muscle spasticity in children with spastic type cerebral palsy (CP).
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.
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.
摘要：
目的根据搏动总数评价放射状体外冲击波治疗(rESWT)对痉挛型脑性瘫痪(CP)患儿腿筋肌痉挛的疗效和安全性。
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。
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。
