Usefulness of point shear wave elastography to assess the effects of extracorporeal shockwaves on spastic muscles in children with cerebral palsy: an uncontrolled experimental study

Corrado, Bruno; Albano, Mariantonia; Caprio, Maria Grazia; Luise, Carla Di; Sansone, Mario; Servodidio, Valeria; Russo, Sergio; Vallone, Gianfranco; Vola, Elena Augusta; Iammarrone, Clemente Servodio

doi:10.32098/mltj.01.2019.04

Cited by 13 publications

(8 citation statements)

References 24 publications

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“…The dESWs were applied at the proximal one-third of the soleus muscle. The authors found a reduction in the elasticity index of the soleus muscle (determined with ultrasound elastography), with a minimum stiffness at approximately the 13 th week after baseline and return to baseline data at 25 weeks after baseline (28). There were 2 key differences between this (28) and the current study: (i) isolated treatment of the soleus muscle in (28) vs combined treatment of the gastrocnemius and the soleus muscles in the current study, and (ii) application of 500 dESWs per treatment session in (28) vs application of 2,000 rESWs per treatment session in the current study.…”

Section: Discussionmentioning

confidence: 96%

“…2) was unexpected (note that in this regard rESWT was superior to BTX-A injection in the present study). To our knowledge long-term effects of extracorporeal shock waves on spastic muscles have been investigated in only one study to date (28). The authors of this study treated 21 children (age range 3-16 years) with CP and unilateral spastic equinus foot with defocused extracorporeal shock waves (dESWs) generated with an electromagnetic ESWT device (Duolith SD1, Storz Medical AG, Tägerwilen, Switzerland).…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of radial extracorporeal shock wave therapy compared with botulinum toxin type A injection in treatment of lower extremity spasticity in subjects with cerebral palsy: A randomized, controlled, cross-over study

Vidal

Martí‐Fàbregas²,

Canet³

et al. 2020

J Rehabil Med

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Cerebral palsy is caused by a non-progressive disorder of the immature brain. In most subjects with cerebral palsy spasticity is the main motor disorder. Spasticity of the muscles that pull the foot upward is a particular problem in cerebral palsy, because it can result in disturbances in balance and walking. Botulinum toxin type A (BTX-A) injection is a widely used and effective treatment for spasticity. However, BTX-A is expensive and not available in many countries, and BTX-A injection is an invasive procedure that may cause pain. This study found that BTX-A injection is not superior to non-invasive radial extracorporeal shock wave therapy in managing spasticity of the muscles that pull the foot upward (both treatment modalities were combined with regular conservative therapy consisting of passive mobilization, balance work and coordination). How ever, radial extracorporeal shock wave therapy is much cheaper and much less painful than BTX-A injection. Objectives: To investigate whether botulinum toxin type A (BTX-A) injection is more effective than radial extracorporeal shock wave therapy in reducing plantar flexor muscle spasticity in subjects with cerebral palsy. Methods: A total of 68 subjects with cerebral palsy were randomly allocated to BTX-A injection (Group 1) or radial extracorporeal shock wave therapy (Group 2) (first experiment; E1). Outcome was evaluated using the Tardieu V1 and V3 stretches, at 3 weeks, 2 months (M2) and M3 after baseline. At M6 subjects in Group 1 received radial extracorporeal shock wave therapy and subjects in Group 2 received BTX-A injection (second experiment; E2); outcome was evaluated as in E1. Treatment success was defined as improvement in foot dorsiflexion ≥10° when performing the V3 stretch at M2 in both experiments. Results: In both experiments mean V1 and V3 significantly improved over time. In E1 both treatments resulted in similar treatment success. In E2 fewer subjects treated with BTX-A injection reached the criteria of treatment success than did subjects treated with radial extracorporeal shock wave therapy, which was due to a carry-over effect from E1. No significant complications were observed. Conclusion: BTX-A injection is not superior to radial extracorporeal shock wave therapy in the treatment of plantar flexor muscle spasticity in subjects with cerebral palsy.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Efficacy of radial extracorporeal shock wave therapy compared with botulinum toxin type A injection in treatment of lower extremity spasticity in subjects with cerebral palsy: A randomized, controlled, cross-over study

Vidal

Martí‐Fàbregas²,

Canet³

et al. 2020

J Rehabil Med

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“…It is important to monitor the patient's symptoms for cancer or any other medical illness 31,32 . The early detection of cancer creates a need for a better and accurate method that offers the disease information to enable better decision‐making by the clinicians and treating them.…”

Section: Introductionmentioning

confidence: 99%

An approach for cancer classification using optimization driven deep learning

Devendran

Sathya

2021

Int J Imaging Syst Tech

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The normal and cancer cell tissues exhibit different gene expressions. Therefore, gene expression data are the effective source for cancer classification, in which the usage of the original gene expression data is challenging due to their high dimension and small size of the data samples. This article proposes a fractional biogeography-based optimization-based deep convolutional neural network (FBBO-based deep CNN) for cancer classification. The developed FBBO is the integration of the fractional calculus (FC) in the biogeography-based optimization (BBO), which aims at determining the optimal weights for tuning the deep CNN. Initially, the gene expression data is pre-processed and subjected to dimensional reduction using the probabilistic principal component analysis (PPCA). The selected features are used for cancer classification enabling a high degree of robustness and accuracy. The experimental analysis using the Colon dataset and Leukemia dataset reveals that the proposed classifier acquired maximal accuracy, sensitivity, specificity, precision, and F-Measure of 0.98.

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“…In neuromuscular disorders, an effective rehabilitation program can help maximize the patient’s physical and psychosocial functions as well as maintain a patient’s quality of life [ 19 , 20 , 21 , 22 ]. Furthermore, an effective rehabilitation program can minimize secondary medical comorbidities, prevent or limit physical deformities, and allow the patient to integrate into society [ 23 , 24 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Practice in Rehabilitation of Myasthenia Gravis. A Systematic Review of the Literature

Corrado

Giardulli

Costa

2020

JFMK

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Myasthenia gravis is a rare neuromuscular disorder characterized by muscle weakness and fatigue. This review analyzes the most recent evidence regarding the effectiveness and safety of different rehabilitative approaches to the disease. The review was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 365 articles were found in the main scientific databases. Applying the inclusion/exclusion criteria, 11 studies were admitted to the final phase of the review. Three different rehabilitative approaches were identified: physical training, respiratory training, and balance training. All rehabilitative modalities contributed to enhancing functional outcomes, reducing fatigue, and improving quality of life, but currently none can be recommended over another for the lack of cross-comparative studies. The included studies showed methodological quality from low to fair. Despite the range of rehabilitative interventions available, there is a lack of high-quality evidence. However, this review suggests that a multidisciplinary rehabilitation approach should be recommended to people with myasthenia gravis, and above all, for those with mild to moderate symptomatology.

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Usefulness of point shear wave elastography to assess the effects of extracorporeal shockwaves on spastic muscles in children with cerebral palsy: an uncontrolled experimental study

Cited by 13 publications

References 24 publications

Efficacy of radial extracorporeal shock wave therapy compared with botulinum toxin type A injection in treatment of lower extremity spasticity in subjects with cerebral palsy: A randomized, controlled, cross-over study

Efficacy of radial extracorporeal shock wave therapy compared with botulinum toxin type A injection in treatment of lower extremity spasticity in subjects with cerebral palsy: A randomized, controlled, cross-over study

An approach for cancer classification using optimization driven deep learning

Evidence-Based Practice in Rehabilitation of Myasthenia Gravis. A Systematic Review of the Literature

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