典型文献
Efficacy of radial extracorporeal shock wave therapy compared with botulinum toxin type A injection in treatment of lower extremity spasticity in subjects with cerebral palsy: A randomized, controlled, cross-over study
文献摘要：
Objectives:To investigate whether botulinum toxin type A (BTX-A) injection is more effective than radial extracorporeal shock wave therapy in reducing plantar flexor muscle spasticity in subjects with cerebral palsy.Methods:A total of 68 subjects with cerebral palsy were randomly allocated to BTX-A injection (Group 1) or radial extracorporeal shock wave therapy (Group 2) (first experiment; E1). Outcome was evaluated using the Tardieu V1 and V3 stretches, at 3 weeks, 2 months (M2) and M3 after baseline. At M6 subjects in Group 1 received radial extracorporeal shock wave therapy and subjects in Group 2 received BTX-A injection (second experiment; E2); outcome was evaluated as in E1. Treatment success was defined as improvement in foot dorsiflexion ≥10° when performing the V3 stretch at M2 in both experiments.Results:In both experiments mean V1 and V3 significantly improved over time. In E1 both treatments resulted in similar treatment success. In E2 fewer subjects treated with BTX-A injection reached the criteria of treatment success than did subjects treated with radial extracorporeal shock wave therapy, which was due to a carry-over effect from E1. No significant complications were observed.Conclusion:BTX-A injection is not superior to radial extracorporeal shock wave therapy in the treatment of plantar flexor muscle spasticity in subjects with cerebral palsy.
文献关键词：
botulinum toxin type A;cerebral palsy;rESWT, spasticity;radial extracorporeal shock wave therapy
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引用格式：
[1]-.Efficacy of radial extracorporeal shock wave therapy compared with botulinum toxin type A injection in treatment of lower extremity spasticity in subjects with cerebral palsy: A randomized, controlled, cross-over study)[J].中华物理医学与康复杂志,2022(05):389
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Efficacy,radial,extracorporeal,shock,wave,therapy,compared,botulinum,toxin,type,injection,lower,extremity,spasticity,subjects,cerebral,palsy,randomized,controlled,cross,over,study,Objectives,To,investigate,whether,BTX,is,more,effective,than,reducing,plantar,flexor,muscle,Methods,total,were,randomly,allocated,Group,first,E1,Outcome,was,evaluated,using,Tardieu,V1,V3,stretches,weeks,months,M2,M3,after,baseline,At,M6,received,second,E2,outcome,Treatment,success,defined,improvement,foot,dorsiflexion,when,performing,both,experiments,Results,In,mean,significantly,improved,treatments,resulted,similar,fewer,treated,reached,criteria,did,which,due,carry,from,No,complications,observed,Conclusion,not,superior,rESWT
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0.435876
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