Effect of Extracorporeal Shock Wave and Peripheral Magnetic Stimulation on Spastic CP Children

Summary

Hypotheses:

There will be an effect of radial extracorporeal shock wave therapy and peripheral magnetic stimulation on the following parameters, in children with spastic hemiplegia:

* Wrist flexors spasticity.
* Wrist joint range of motion.
* Hand grip muscles strength.
* Sensorimotor function of wrist and hand.

Conditions

• Hemiplegic Cerebral Palsy

Interventions

OTHER

selected physical and occupational therapy program

The children in this group will receive a selected physical and occupational therapy programs one hour three times weekly for eight successive weeks.

DEVICE

Radial Extracorporeal Shock Wave

The children in this group will receive in addition to the selected physical therapy and occupational program as single session of shock wave intervention once per week for four eight successive weeks using (STORZ MEDICAL AG, Tagerwilen, Schweiz) device. rESWT will be applied on flexor carpi ulnaris, flexor carpi radialis, in the middle of the muscle belly and tendons of flexor digitorum on the palm. The treatment protocol of rESW will follow; 1500 shoots for each muscle; 0.030 mj/mm2; 4 HZ with pressure 1 bar will be used.

DEVICE

Peripheral magnetic stimulation

The children in this group will receive in addition to the selected physical therapy program peripheral magnetic stimulation (PMS) therapy for twenty minutes, three sessions per week, for eight successive weeks using Peripheral magnetic stimulation device "A MAGNUM XL Pro, Globus, Italia". The PMS consisted of 2000 stimuli at a stimulation frequency of 20Hz, a train duration of 1 second, and an intertrain interval of 2 seconds. Intensity was individually set at 10% to 100% of the maximum stimulus intensity.

Sponsors & Collaborators

• Cairo University

  lead OTHER

Principal Investigators

• Hany A. Saad, M. SC. · Cairo University

• KHALED A. MAMDOUH, PHD · Prof. of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University

• Hoda A. EL-TALAWY, PHD · Prof. of Ph.Th. for Pediatrics, Faculty of Physical Therapy, Cairo University

• Mohamed A. Elshafey, PHD · Ass. Prof. of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Model

PARALLEL

Eligibility

Min Age

6 Years

Max Age

10 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-01-01

Primary Completion

2023-12-31

Completion

2024-05-31

Countries

• Egypt

Study Locations