Is Whole-Body Cryostimulation Useful in Modulating Spasticity in Adults with Cerebral Palsy? A Case Study
2024

Using Whole-Body Cryostimulation to Help Adults with Cerebral Palsy

Sample size: 1 publication 10 minutes Evidence: low

Author Information

Author(s): Piterà Paolo, Bigoni Matteo, Prina Elisa, Barrera Boris, Yavuz Duru Ceren, Verme Federica, Fontana Jacopo Maria, Priano Lorenzo, Mauro Alessandro, Capodaglio Paolo

Primary Institution: IRCCS Istituto Auxologico Italiano

Hypothesis

Can whole-body cryostimulation effectively reduce spasticity and improve mobility in adults with cerebral palsy?

Conclusion

Whole-body cryostimulation may improve gait and reduce spasticity in adults with cerebral palsy.

Supporting Evidence

  • After treatment, the patient's walking speed improved from 0.48 m/s to 0.61 m/s on the left and from 0.49 m/s to 0.57 m/s on the right.
  • The Ashworth Scale showed a 50% reduction in spasticity.
  • Pain levels decreased by 40% as measured by the Numeric Rating Scale.
  • Quality of life improved significantly according to the SF-36 and WHO-5 assessments.
  • Neuromuscular efficiency improved as indicated by changes in the H-reflex test.

Takeaway

This study looked at how cold therapy can help a woman with cerebral palsy walk better and feel less stiff. After treatment, she was able to walk faster and felt less pain.

Methodology

The patient underwent five sessions of whole-body cryostimulation at -110 °C, combined with a 10-day rehabilitation program, and assessments were made using various scales and tests.

Potential Biases

Potential placebo effects due to the patient's positive emotional response to the intervention.

Limitations

The study is based on a single case, limiting generalizability, and lacks a control group.

Participant Demographics

A 55-year-old Caucasian female with cerebral palsy and lower limb spasticity.

Digital Object Identifier (DOI)

10.3390/jcm13247674

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