Comparison of the Immediate Effect between Radial Shock Wave Therapy and Ultrasound Diathermy on Ankle Range of Motion in Cerebral Palsy with Plantar Flexor Spasticity

Nur Sulastri, Sri Mardjiati Mei Wulan, Noor Idha Handajani

2017

Abstract

Range of motion (ROM) limitation is one of the main complications caused by spasticity, and one of the main purposes of the management of spasticity is to maintain and increase the ROM. Radial shock wave therapy and ultrasound diathermy are physical modalities that can increase joint ROM. The objective of this study is to compare the immediate effect of radial shock wave therapy (RSWT) and ultrasound diathermy (USD) on ankle range of motion in cerebral palsy patients with plantar flexor spasticity. This was a randomized trial study. A total of 12 children with cerebral palsy (6-11 years old), with spastic diplegia and quadriplegia type, and median Modified Asworth Scale of 3 were divided into 2 groups: RSWT and USD group. Radial shock wave therapy at 1.5 bar, 5 Hz, 1500 shots, or USD 3 MHz, 1.5 W/cm2, 5 minutes duration, was applied on plantar flexor muscles. Ankle range of motion and plantar flexor spasticity using the Modified Asworth Scale were measured before treatment (baseline), immediately after, 15 minutes and 30 minutes after therapy. After RSWT and USD, a statistically significant increase in ankle ROM was observed (p<0.05), but there was no difference between the groups (p>0.05). The measurement of MAS showed no significant improvement within groups (p>0.05). In conclusion, both RSWT and USD are effective in increasing ankle ROM in CP children with plantar flexor spasticity.

Paper Citation

in Harvard Style

Sulastri N., Wulan S. and Handajani N. (2017). Comparison of the Immediate Effect between Radial Shock Wave Therapy and Ultrasound Diathermy on Ankle Range of Motion in Cerebral Palsy with Plantar Flexor Spasticity.In Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM, ISBN 978-989-758-334-6, pages 120-124. DOI: 10.5220/0007317001200124

in Bibtex Style

@conference{imrm17,
author={Nur Sulastri and Sri Mardjiati Mei Wulan and Noor Idha Handajani},
title={Comparison of the Immediate Effect between Radial Shock Wave Therapy and Ultrasound Diathermy on Ankle Range of Motion in Cerebral Palsy with Plantar Flexor Spasticity},
booktitle={Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,},
year={2017},
pages={120-124},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007317001200124},
isbn={978-989-758-334-6},
}

in EndNote Style

TY - CONF

JO - Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,
TI - Comparison of the Immediate Effect between Radial Shock Wave Therapy and Ultrasound Diathermy on Ankle Range of Motion in Cerebral Palsy with Plantar Flexor Spasticity
SN - 978-989-758-334-6
AU - Sulastri N.
AU - Wulan S.
AU - Handajani N.
PY - 2017
SP - 120
EP - 124
DO - 10.5220/0007317001200124