Radial extracorporeal shock wave therapy for the management of spasticity in cerebral palsy: a randomized controlled trial with different time intervals between sessions - Scorecard - MDSpire

Radial extracorporeal shock wave therapy for the management of spasticity in cerebral palsy: a randomized controlled trial with different time intervals between sessions

  • By

  • Míriam Tur Segura

  • Antoni Morral

  • Francisca Gimeno Esteve

  • Tamara Biedermann Villagra

  • Ana Mangas Hernández

  • Sonia Ancosta Diez

  • Jordi Jiménez Redondo

  • Nicolás García Rodríguez

  • Raimon Milà Villarroel

  • June 5, 2026

  • 0 min

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Clinical Scorecard: Radial Extracorporeal Shock Wave Therapy for Spasticity Management in Cerebral Palsy: A Randomized Controlled Trial Assessing Varying Intervals Between Treatment Sessions

At a Glance

CategoryDetail
ConditionCerebral Palsy with Spasticity
Key MechanismsInduction of nitric oxide production, activation of biological cascades involving growth factors, and transient alterations at the neuromuscular junction.
Target PopulationPatients with cerebral palsy experiencing spasticity.
Care SettingClinical settings providing non-invasive therapies.

Key Highlights

  • Significant improvement in passive range of motion and catch angle observed across all groups.
  • No significant differences in outcomes based on varying intervals between treatment sessions.
  • Younger patients showed greater treatment response.
  • All groups demonstrated statistically significant improvements in functional mobility tests.

Guideline-Based Recommendations

Diagnosis

  • Assessment of spasticity using the Modified Tardieu Scale.

Management

  • Utilization of radial extracorporeal shock wave therapy as a non-invasive treatment option.

Monitoring & Follow-up

  • Regular assessment of functional mobility using the Timed Up and Go Test and the 10-Meter Walk Test.

Risks

  • Potential for muscle spasms and discomfort during treatment.

Patient & Prescribing Data

Patients with cerebral palsy, particularly children.

Flexibility in treatment intervals may be adjusted according to clinical needs without compromising therapeutic effects.

Clinical Best Practices

  • Conduct multidisciplinary assessments for tailored spasticity management.
  • Incorporate rESWT into a comprehensive treatment plan for spasticity.

Related Resources & Content

Original Source(s)

Radial extracorporeal shock wave therapy for the management of spasticity in cerebral palsy: a randomized controlled trial with different time intervals between sessions

  • by Míriam Tur Segura, Antoni Morral, Francisca Gimeno Esteve, Tamara Biedermann Villagra, Ana Mangas Hernández, Sonia Ancosta Diez, Jordi Jiménez Redondo, Nicolás García Rodríguez, Raimon Milà Villarroel

  • June 5, 2026

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