Effect of Radial Shockwave on Calf Muscle Spasticity in Patients With Cerebral Palsy

the current study is a randomized controlled trial in which the researchers intended to examine the effect of adding radial shockwave therapy to standard physical therapy on the status of calf muscle spasticity and consequent effects on gross motor function, ankle joint ROM, plantar surface area, and quality of life. the experimental intervention will consist of 4 sessions of radial shockwave applied to the bulkiest area of the calf muscle in children having spastic cerebral palsy. participants will receive 1 session of radial shockwave per week and will continue their regular physical therapy as usual (3 sessions per week). outcome assessment will be conducted 3 times: at baseline, after the end of the treatment program, and at 3 months follow-up. the tools that will be used to collect data will be: 1. Modified Ashworth scale for muscle tone. 2. Goniometer for Ankle ROM. 3. EMed force platform for plantar surface area 4. Gross motor function scale for gross motor function 5. Cerebral Palsy Quality of Life Questionnaire for quality of life assessment