Experiencias con las ondas de choque en el tratamiento de la hipertonía en personas con parálisis cerebral: una perspectiva cualitativa

Abstract

Introduction

Muscle hypertonia is one of the major issues in individuals with cerebral palsy. Treatment with radial shockwave therapy represents a relatively new alternative to conventional approaches and has been established in recent years as a non-invasive option with few side effects.

Objectives

To assess the subjective experience of individuals with cerebral palsy undergoing radial shockwave therapy in terms of reducing local hypertonia, changes in motor functionality, and changes in pain perception.

Methodology

A qualitative phenomenological study was conducted through semi-structured interviews. Out of 79 patients treated, 27 interviews were selected that provided the best information regarding the subjective experience before and after the treatment.

Results

Patients reported a perceived reduction in spasticity, muscle tension, and pain perception. There was an improvement in walking functionality, although functional improvement was less noticeable in the upper limbs. Among individuals engaged in sports, overall ability appeared to improve. Regarding the subjective experience of the treatment, the majority of patients reported good tolerance to the shockwaves.

Conclusions

Overall, the treatment of local hypertonia with shockwave therapy has been positive in all analyzed dimensions, with good acceptance of the treatment itself.