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dc.contributorUniversitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.contributor.authorVidal, Xavier
dc.contributor.authorMartí i Fàbregas, Joan
dc.contributor.authorCanet Vélez, Olga
dc.contributor.authorRoqué, Marta
dc.contributor.authorMorral Fernández, Antoni
dc.contributor.authorTur, Miriam
dc.contributor.authorSchmitz, Christoph
dc.contributor.authorSitjà i Rabert, Mercè
dc.date.accessioned2021-02-12T08:32:04Z
dc.date.accessioned2023-07-12T12:05:16Z
dc.date.available2021-02-12T08:32:04Z
dc.date.available2023-07-12T12:05:16Z
dc.date.issued2020-06
dc.identifier.urihttp://hdl.handle.net/20.500.14342/741
dc.description.abstractObjectives: 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.eng
dc.format.extent10 p.cat
dc.language.isoengcat
dc.publisherFoundation of Rehabilitation Informationcat
dc.relation.ispartofJournal of Rehabilitation Medicine, 2020, vol. 52, núm. 6cat
dc.rights© Foundation of Rehabilitation Information
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceRECERCAT (Dipòsit de la Recerca de Catalunya)
dc.subject.otherTrastorns motors--Pacients--Rehabilitaciócat
dc.subject.otherEspasticitatcat
dc.subject.otherParàlisi cerebral--Tractamentcat
dc.subject.otherOnes de xoccat
dc.titleEfficacy 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 studycat
dc.typeinfo:eu-repo/semantics/articlecat
dc.typeinfo:eu-repo/semantics/publishedVersioncat
dc.rights.accessLevelinfo:eu-repo/semantics/openAccess
dc.embargo.termscapcat
dc.subject.udc616.8
dc.identifier.doihttp://dx.doi. org/10.2340/16501977-2703cat


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