Evidence map›Paper›PMID 36832460›Full record

ArticleChildren (Basel, Switzerland)2023

Effectiveness of Extracorporeal Shockwave Therapy on Controlling Spasticity in Cerebral Palsy Patients: A Meta-Analysis of Timing of Outcome Measurement.

Min Cheol Chang, You Jin Choo, Sang Gyu Kwak, Kiyeun Nam, Sae Yoon Kim, Hee Jin Lee, Soyoung Kwak

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06128616 phase3unknown statusnot on this map

Efficacy of Extracorporeal Shock Wave Therapy Integrated to Combined Treatment of Botulinum Toxin A and Serial Casting in Children With Cerebral Palsy

TypeinterventionalSponsorKocaeli UniversityRan2023 to 2024Enrolled40ConditionsSpasticity/Paresis, Cerebral PalsyArmsESWT, Botulinum Toxin Type A, Serial Casting, Physical Therapy, Occupational Therapy
NCT07476690 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect Of Radial Extracorporeal Shock Wave Therapy (rESWT) Session Frequency For Plantar Flexor Muscle Spasticity On Spasticity, Function, Balance And Muscle Morphology In Children With Cerebral Palsy: A Randomized Controlled Trial Using Sonoelastography

TypeinterventionalSponsorSisli Hamidiye Etfal Training and Research HospitalRan2025 to 2026Enrolled30ConditionsCerebral Palsy (CP)ArmsReal radial extracorporeal shock wave therapy (rESWT), Sham radial extracorporeal shock wave therapy (rESWT), Conventional physical therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Min Cheol ChangDepartment of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu 42415, Republic of Korea.ORCID 0000-0002-7629-7213
You Jin ChooDepartment of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu 42415, Republic of Korea.ORCID 0000-0002-3820-2279
Sang Gyu KwakDepartment of Medical Statistics, College of Medicine, Catholic University of Daegu, Daegu 42472, Republic of Korea.
Kiyeun NamDepartment of Rehabilitation Medicine, Dongguk University College of Medicine, Goyang 10326, Republic of Korea.
Sae Yoon KimDepartment of Pediatrics, College of Medicine, Yeungnam University, Daegu 42415, Republic of Korea.
Hee Jin LeeDepartment of Pediatrics, College of Medicine, Yeungnam University, Daegu 42415, Republic of Korea.
Soyoung KwakDepartment of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu 42415, Republic of Korea.ORCID 0000-0002-1031-7197
Yeungnam University · KRDaegu Catholic University · KRDongguk University · KR

Funding

National Research Foundation of Korea NRF-2022R1F1A1072553
6 · The paper itself

Abstract

Extracorporeal shockwave therapy (ESWT) has been suggested as an alternative treatment for reducing spasticity in patients with cerebral palsy (CP). However, the duration of its effect was rarely known. A meta-analysis was performed to investigate the effectiveness of ESWT at controlling spasticity in patients with CP according to the follow-up period. We included studies in which ESWT was used to manage spasticity in patients with CP, and the effect was compared with that in a control group. Finally, three studies were included. In the meta-analysis, spasticity, measured using the modified Ashworth scale (MAS), was significantly reduced after ESWT compared with that in the control group; however, it was sustained for only 1 month. After ESWT, significant increases in passive ankle range of motion (ROM) and plantar surface area in the standing position were observed compared with those in the control group and sustained for up to 3 months. Although spasticity measured using MAS was significantly reduced for only 1 month, improvement in spasticity-associated symptoms, such as ankle ROM and plantar surface area contacting the ground, persisted for over 3 months. ESWT appears to be a useful and effective therapeutic option for managing spasticity in patients with CP.

Indexed as

cerebral palsyextracorporeal shockwave therapymeta-analysismodified ashworth scaleplantar surface arearange of motion

Identifiers

PMID36832460
PMCPMC9954893
OpenAlexW4319972376

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.