Cerebral Palsy (CP) is a group of movement and posture disorders associated with a non-progressive affect during brain development that can cause limitation of activity and disability. The most common movement disorders in CP are spasticity and dystonia. Currently, the treatment of muscle stiffness called spasticity includes physiotherapy, casting and device, various drugs and surgical treatment. Botulinum toxin injection into the muscle also acts by reducing muscle contraction. ESWT is a method used in various musculoskeletal diseases. It has been previously applied to pediatric patients and has been shown to be effective and painless in ankle muscle stiffness. However, there are few studies investigating the effect of ESWT on functionality.
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Modified Tardieu Scale
Timeframe: T0:Patients will be evaluated before botulinum toxin injection.
Modified Tardieu Scale
Timeframe: T1:Patients will be evaluated 1 week after botulinum toxin injection.
Modified Tardieu Scale
Timeframe: T2:Patients will be evaluated 1 month after botulinum toxin injection.
Modified Tardieu Scale
Timeframe: T3:Patients will be evaluated 3 months after botulinum toxin injection.
Modified Tardieu Scale
Timeframe: T4:Patients will be evaluated 6 months after botulinum toxin injection.