| Title： | Clinical Practice Guideline for Extracorporeal Shockwave Therapy of Muscle Spasticity in Children (2024) |
| Edition： | Original |
| Classification： | Standard guideline |
| Field： | Treatment |
| Countries and regions： | China |
| Guidelines users： | This guidance is applicable to all medical and healthcare settings, targeting medical personnel from various disciplines such as rehabilitation medicine, neurology, orthopedics, as well as professionals in medical education and researchers focusing on clinical treatment of childhood muscle spasticity. |
| Evidence classification method： | Recommendations are assessed, developed, and evaluated using the grading of recommendations assessment, development and evaluation (GRADE）approach, and reported in accordance with the Reporting Items for Practice Guidelines in Healthcare (RIGHT). |
| Development unit： | Pediatric Rehabilitation Committee of China Association Rehabilitation Medicine; Shockwave Medicine Committee of Chinese Research Hospital Association |
| Registration time: | 2024-04-21 |
| Registration number： | PREPARE-2024CN564 |
| Purpose of the guideline: | Extracorporeal shock wave therapy (ESWT) is a widely used non-invasive, safe, and effective treatment method in various clinical fields. In 2019, the Shockwave Medicine Committee of the Chinese Research Hospital Association released the first edition of the "Chinese Extracorporeal Shock Wave Therapy Guidelines for Musculoskeletal Diseases," which was updated in 2023. The Physical Medicine and Rehabilitation Branch of the Chinese Medical Association established the "Expert Consensus on Extracorporeal Shock Wave Therapy for Musculoskeletal Diseases" in 2019. In 2023, pain experts in China developed the "Expert Consensus on Clinical Application of Extracorporeal Shock Wave Therapy by Pain Experts in China." These guidelines have significantly contributed to standardizing ESWT's promotion and application within China. However, current expert consensus and clinical guidelines primarily focus on using ESWT for musculoskeletal diseases and chronic pain conditions, with less attention given to its application for muscle spasms, especially among children where there is no unified approach to key clinical techniques and treatment plans. Over recent years, as ESWT has been increasingly utilized in pediatric rehabilitation medicine, numerous new treatment experiences and research findings have emerged that continuously enhance the clinical evidence supporting ESWT's effectiveness in treating muscle spasms among children. Recognizing this progress, a collaboration between the Pediatric Rehabilitation Committee of China Association Rehabilitation Medicine and Shockwave Medicine Committee of Chinese Research Hospital Association led to formulating "Clinical Practice Guideline for Extracorporeal Shockwave Therapy of Muscle Spasticity in Children (2024)." This guideline aims to offer evidence-based support to practitioners specializing in pediatric rehabilitation, neurology, orthopedics when applying ESWT to treat muscle spasticity among children while promoting more standardized use of ESWT. |
