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2019, Number 1-2

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Rev Mex Med Fis Rehab 2019; 31 (1-2)

Shockwave management of coxalgia in an adolescent with spastic cerebral palsy

Paredes BM, Díaz SMI

Language: Spanish
References: 9
Page: 24-27
PDF size: 113.34 Kb.


ABSTRACT

Introduction: Cerebral palsy (CP) gives muscular imbalance affecting as time goes on each one of articulations; according to ontological the impact will be at developmental and function. Hip displacement is in direct relation with gross motor function delimited by the gross motor system scale and can gives pain, in the most cases difficult to control. Treatment for hip pain secondary to CP is diverse. Case report: We present the case of an adolescent with hip pain who his family reject surgical option and, after lacked response to physiatric and pharmacologic methods plus negative impact in the quality of life and work load of caregiver, was treated with radial shockwave. Discussion: The response was noticeable with remission during surveillance by six months.


REFERENCES

  1. Porter D. Patterns of postural deformity in non-ambulant people with cerebral palsy: what is the relationship between the direction of scoliosis, direction of pelvic obliquity, direction of windswept hip deformity and side of hip dislocation? Clinical Rehabilitation. 2007; 21: 1087-1096.

  2. Scrutton D, Baird G, Smeeton N. Hip dysplasia in bilateral cerebral palsy: incidence and natural history in children aged 18 months to 5 years. Dev Med Child Neurol. 2001; 43 (9): 586-600.

  3. Elkamil A, Andersen G, Hägglund T et al. Prevalence of hip dislocation among children with cerebral palsy in regions with and without a surveillance programmed: a cross sectional study in Sweden and Norway. BMC Musculoskelet Disord. 2011; 12: 284-290. Disponible en: http://www.ncbi.nml.nih.gov/pmc/articles/PMC3282658/

  4. Hodgkinson I, Jindrich M, Vadot J et al. Hip pain in 234 non ambulatory adolescents and young adults with cerebral palsy: a cross sectional multicenter study. Dev Med Child Neurol. 2001; 43: 806-808.

  5. Lundy C, Doherty G, Fairhurst C. Botulinum toxine type injections can be an effective treatment for pain in children with hip spasms and cerebral palsy. Dev Med Child Neurol. 2009; 51: 705-710.

  6. Loew M, Daecke W, Kusnierczak D et al. Shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder. J Bone Joint Surg. 1999; 81-B: 863-867.

  7. Rompe JD, Hopf C, Nafe B et al. Low-energy extracorporeal shock wave therapy for painful hell: a prospective controlled single-blind study. Arch Orthop Trauma Surg. 1996; 115: 75-79.

  8. Ruano RA. Tratamiento con ondas de choque extracorpóreas en ortopedia y rehabilitación. Revisión sistemática. Axencia de Avaliación de Tecnologías Sanitarias de Galicia. 2001. Disponible en: www.sergas.es/gal/Servicios/docs/.../INF2001_08.pdf.

  9. Schmitz C, Császár N, Milz S, Schieker M. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database. Br Med Boll. 2015; 116 (1): 115-138.




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