Enhancing treatment outcomes for spastic equinus foot in children with cerebral palsy: a multimodal approach including extracorporeal shock wave therapy

Introduction: Spastic plantar flexion deformities are very common in children with cerebral palsy (CP). These deformities usually involve spasticity of the plantar muscle complex, weakness of the antagonist dorsiflexor muscles, and, often, soft tissue/muscle contractures, requiring a multimodal treatment approach. Physical therapy (PT), serial casting (SC), and botulinum neurotoxin type A (BoNT-A) injections have shown positive results in managing these deformities.