Clinical effect of extracorporeal shock wave combined with botulinum toxin on talipes equinovarus in children with cerebral palsy
Liu Qing, Cao Jianguo, Yun Guojun, Yang Xue, Wang Yujuan, Wang Jinggang
Published 2018-06-25
Cite as Chin J Pract Med, 2018,45(12): 4-6. DOI: 10.3760/cma.j.issn.1674-4756.2018.12.002
Abstract
ObjectiveTo compare the effects of extracorporeal shock wave combined with botulinum toxin or botulinum toxin injection alone on talipes equinovarus in children with cerebral palsy.
MethodsForty spastic children with botulinum toxin injection were sorted according to the order of botulinum toxin treatment, and were divided into the experimental group and the control group, with 20 cases in each group by random number table method. All the patients in the two groups were treated with botulinum toxin injection. The patients in the experimental group were treated by low energy extracorporeal shock wave the second day after the injection. One month before and after the treatment and 3 months and 6 months after the treatment, the degree of spasm of the triceps of the calf (MAS score) and the back flexion of the ankle joint during the knee extension were examined.
ResultsThere was no significant difference in the MAS score of the leg triceps muscle tension between the two groups and the flexion of the ankle joint at knee extension between the two groups of patients before treatment (P>0.05). One month, 3 months and 6 months after the treatment, there were significant differences between the two groups in the MAS scores of the leg triceps muscle tension and the degrees of flexion of ankle joint at knee extension, compared with those before the treatment (P<0.05). Before the treatment and one month, 3 months and 6 months, there were significant differences in the MAS scores of the leg triceps muscle tension and the degrees of flexion of ankle joint at knee extension in the experiment group, compared with those in the control group at the same time point (P<0.05).
ConclusionsThe effect of extracorporeal shock wave combined with botulinum toxin injection is better than botulinum toxin alone on talipes equinovarus in children with cerebral palsy, and can better reduce the degrees of spasmodic spasm of the triceps muscle in the calf and improve joint mobility, and the curative effect lasts longer.
Key words:
Cerebral palsy; Botulinum toxin injection therapy; Shock wave therapy; Muscle spasm; Talipes equinovarus
Contributor Information
Liu Qing
Department of Rehabilitation, Shenzhen Children’s Hospital, Shenzhen 518038, China
Cao Jianguo
Yun Guojun
Yang Xue
Wang Yujuan
Wang Jinggang
