Observation on the Curative Effect of Extracorporeal Shock Wave Combined with Wax Therapy on Acupodia in Children with Spastic Cerebral Palsy
Objective To observe the therapeutic effect of extracorporeal shock wave combined with wax therapy on acupodia in children with spastic cerebral palsy.Methods Sixty children with spastic cerebral palsy with apical foot admitted to our hospital from June 2021 to October 2023 were selected as the study objects and divided into a treatment group and a control group according to random number table method,which 30 cases in each group.The treatment group was treated with extracorporeal shock wave combined with wax therapy,and the control group was treated with wax therapy.The Modified Ashworth Scale(MAS),passive joint motion of foot dorsiflexion Angle(PROM),surface electromyography(RMS),Gross Motor Function Scale(GMFM)score in D+E area and clinical efficacy were compared between the two groups.Results Before treatment,MAS score,PROM,RMS,and GMFM D+E area were not significantly different between the two groups(P＞0.05);after treatment,MAS score,PROM and RMS of the two groups were decreased compared with before treatment,and GMFM D+E scores were increased compared with before treatment,MAS score,PROM and RMS of the treatment group were lower than those of the control group,and GMFM D+E scores were higher than those of the control group,with statistical significance(P＜0.05).The total effective rate of treatment group was 83.30%,which was higher than 56.67%of the control group,the difference was statistically significant(P＜0.05).Conclusion Extracorporeal shock wave combined wax therapy can effectively improve the tipfoot condition and lower limb motor function in children with spastic cerebral palsy,which is superior to wax therapy alone.
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