scholarly journals Effects of radial extracorporeal shockwave therapy on spasticity of upper-limb agonist/antagonist muscles in patients affected by stroke: a randomized, single-blind clinical trial

2019 ◽  
Vol 49 (2) ◽  
pp. 246-252 ◽  
Author(s):  
Gaiyan Li ◽  
Wenchao Yuan ◽  
Gongliang Liu ◽  
Lei Qiao ◽  
Ying Zhang ◽  
...  
Keyword(s):  
Extracorporeal Shock Wave Therapy ◽  
Extracorporeal Shockwave Therapy ◽  
Shockwave Therapy ◽  
Active Function ◽  
Extracorporeal Shock Wave ◽  
Antagonist Muscles ◽  
Modified Ashworth Scale ◽  
Agonist And Antagonist ◽  
Ashworth Scale

Abstract Background the effects of radial extracorporeal shock wave therapy (rESWT) were assessed on agonist/antagonist muscles in stroke patients with elbow spasticity, the duration of effects and influence on function. Methods patients were randomly assigned into groups: control (A, n = 25), rESWT on agonist muscles (B, n = 27) and rESWT on antagonist muscles (C, n = 30) groups. Conventional physical therapy was given to three groups for 3 weeks, six times a week, and besides, rESWT was given at 4-day intervals for five consecutive treatments, B received rESWT on agonist muscles and C received rESWT on antagonist muscles. The primary outcome was Modified Ashworth Scale (MAS) scores. Modified Tardieu Scale, Visual Analogue Scale (VAS), Fugl-Meyer Assessment and swelling scale (SS) scores were secondary outcomes. Indicators were assessed at baseline, after five treatments and after 4 weeks follow-up. Results the rate of treatment was determined by changes in MAS, which was 16.0 (A), 70.4 (B) and 63.3% (C) after rESWT treatments, and was 24.0 (A), 74.1 (B) and 66.7% (C) after 4 weeks follow-up. Improvements were achieved for R1 (P < 0.01), R2 (P < 0.01) and VAS (P < 0.01) after five rESWT interventions. At 4 weeks, significant improvements were achieved for R1 (P < 0.01) and VAS (P < 0.01). Conclusions rESWT is an effective therapy for spasticity after stroke, with lasting effects on both agonist and antagonist muscles after 4 weeks. rESWT relieved pain but had no effect on active function or swelling of the upper limbs.

scholarly journals Extracorporeal shock wave therapy- An emerging prospect in dentistry

2021 ◽  
Vol 3 (2) ◽  
pp. 93-96
Author(s):  
Rudrakshi Chickanna ◽  
Roxanne Genevieve Azevedo ◽  
Prabhuji MLV
Keyword(s):  
Medical Science ◽  
Online Communication ◽  
Extracorporeal Shock Wave Therapy ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Extracorporeal Shock Wave ◽  
Dental Professionals

There has been an upsurge for exploring new frontiers in the field of medical science for improved treatment. Extracorporeal shockwave therapy (ESWT) has been extensively used in medical practice, for the management of urolithiasis, cholelithiasis, in various orthopedic and musculoskeletal disorders. The prospective applications of ESWT in the field of dentistry in providing beneficial outcomes, is no exception to this trend. : To assess the awareness of the application of Extracorporeal Shockwave Therapy as a possible paradigm in various dental treatments among dental professionals.: This cross-sectional study was conducted among dental professionals across India. An online structured questionnaire was created and circulated to dental professionals via various online communication platforms. The result obtained was tabulated into tables and graphs.: A large percentage of General dentists and postgraduates were aware of ESWT and the benefits it can bring about. : ESWT is no-exception to the emerging therapies that needs to be up to date among dental professionals. ESWT may be of useful adjunct for the management of Periodontal disease.

Extracorporeal shockwave therapy for treatment of superficial digital flexor tendonitis in racing Thoroughbreds: 8 clinical cases

2004 ◽  
Vol 17 (03) ◽  
pp. 152-155 ◽  
Author(s):  
J. Hunter ◽  
D. K. Merritt ◽  
E. Reinertson ◽  
S. R. McClure
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Therapy ◽  
Tendon Injuries ◽  
Shock Wave Therapy ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Extracorporeal Shock Wave ◽  
Lesion Severity ◽  
Clinical Cases

SummaryExtracorporeal shock wave therapy (ESWT) was administered to 8 racing Thoroughbreds with superficial digital flexor (SDF) tendon injuries sustained during racing or race training. The tendons were assessed ultrasonographically. The ability of the horse to return to racing was monitored. Five of 8 horses raced successfully, 2 re-injured the tendon during retraining, and 1 horse was retired due to age and lesion severity.

scholarly journals Treatment of Medial Collateral Ligament Injuries of the Knee with Focused Extracorporeal Shockwave Therapy: A Case Report

2021 ◽  
Vol 12 (1) ◽  
pp. 234
Author(s):  
Lucrezia Tognolo ◽  
Daniele Coraci ◽  
Andrea Bernini ◽  
Stefano Masiero
Keyword(s):  
Medial Collateral Ligament ◽  
Extracorporeal Shock Wave Therapy ◽  
Ligament Injuries ◽  
Collateral Ligament ◽  
Shockwave Therapy ◽  
Extracorporeal Shock Wave ◽  
The Us ◽  
Effect Of Treatment ◽  
Initial Deposition

Medial collateral ligament (MCL) injuries are the most frequent ligamentous injuries of the knee. Focused extracorporeal shock wave therapy (f-ESWT) is progressively expanding its field of application to many musculoskeletal pathologies. Although there is evidence surrounding the efficacy of f-ESWT in tendinopathies, no studies have described the usefulness of ultrasound (US)-guided f-ESWT in the treatment of ligament injuries. Herein, we report a case of a MCL injury treated with f-ESWT. Moreover, our case shows the importance of using ultrasonography in determining the effect of treatment. A 60-year-old man with a focal area of lesion in the deep fibers underwent 4 weekly sessions of US-guided f-ESWT to the injured ligament area. His pain decreased to a visual analog scale (VAS) of 3 at the end of the treatment and was completely resolved at the 1-month follow-up visit, with these results being maintained at 4-month follow-up. The US examination showed an initial deposition of “newly formed tissue” at the site of previous injury of the proximal MCL insertion, and a reduction in MCL thickness together with an improvement in echostructure. Based on this result, we speculate that non-surgical ligament injuries could be a new indication for f-ESWT. However, further investigation on the effects of f-ESWT for ligament injuries is needed.

scholarly journals Extracorporeal shockwave therapy versus musculoskeletal mesotherapy for Achilles tendinopathy in athlete

2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Reem EL-Mallah ◽  
Enas A. Elattar
Keyword(s):  
Treatment Options ◽  
Visual Analogue Score ◽  
Achilles Tendinopathy ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Tendon Thickness ◽  
Vas Scores ◽  
Tendon Pathology

Abstract Background Achilles tendinopathy (AT) is considered the commonest tendon pathology, occurring mainly in athletes. Different conservative treatment options have been introduced but with short-term effects; however, extracorporeal shockwave therapy (ESWT) and mesotherapy (MT) injections were claimed to provide longer effects and could be used in cases failure of response to conservative treatments. The objective of our prospective 12-week study was to compare the effect of ESWT and MT on chronic Achilles tendinopathy in athletes by both clinical and ultrasonographical assessment. Results Forty patients with chronic AT diagnosed clinically and with high-resolution ultrasound (US) randomly allocated in two groups first received weekly ESWT session, and the other group underwent weekly MT sessions for 4 consecutive weeks. Both groups improved during the treatment and follow-up period. The mean visual analogue score (VAS) decreased in both the ESWT group and the MT group. Mean American Orthopedic Foot and Ankle Society (AOFAS) hindfoot score and VAS scores were not significantly different between ESWT and MT groups at the 4th and the 12th week of follow-up. However, US assessment significantly improved after 12 weeks in the ESWT group (as regards tendon thickness, calcifications, and Doppler signal), and for the mesotherapy group, there was the only improvement of tendon thickness. Conclusion ESWT showed improvement of pain and inflammation and calcifications of AT than MT injections, which was documented by US improved findings at week 12 follow up.

scholarly journals Platelet rich plasma versus extracorporeal shock wave therapy in patients with non-calcific supraspinatous tears

2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Samah M. Alian ◽  
Rabab S. Zaghlol ◽  
Sahar S. Khalil
Keyword(s):  
Shock Wave ◽  
Outcome Measures ◽  
Platelet Rich Plasma ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Tendon Tear ◽  
Extracorporeal Shock Wave ◽  
Group I ◽  
Group Ii

Abstract Background To compare the clinical efficacy of platelet rich plasma (PRP) subacromial injection and extracorporeal shock wave therapy (ESWT) on refractory non-calcific partial thickness supraspinatous tendon tear. Results Significant improvement in all outcome measures achieved in both groups at 4 weeks follow-up period (the end of treatment course) (P< 0.05). At 12 weeks follow-up period, group I, showed significant improvement in all outcome measures compared to baseline and group II; however, in group II, there was no significant difference compared to baseline; moreover, deterioration in the previous improvement was noticed. Conclusion Both PRP (group I) and ESWT (group II) are effective therapeutic methods in the management of refractory non-calcific partial thickness supraspinatous tendon tear; however, PRP (group I) has better long-term effects on both pain and function.

Comparison between customised foot orthoses and insole combined with the use of extracorporeal shock wave therapy in plantar fasciitis, medium-term follow-up results: A randomised controlled trial

2020 ◽  
pp. 026921552097661
Author(s):  
Manuel Coheña-Jiménez ◽  
Manuel Pabón-Carrasco ◽  
Ana Juana Pérez Belloso
Keyword(s):  
Shock Wave ◽  
Visual Analogue Scale ◽  
Plantar Fasciitis ◽  
Analogue Scale ◽  
Extracorporeal Shock Wave Therapy ◽  
Foot Orthoses ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Custom Made

Objective: To determine the clinical results of custom-made foot orthoses versus placebo flat cushioning insoles combined with an extracorporeal shock wave therapy on pain and foot functionality in patients with plantar fasciitis. Design and setting: A randomised controlled clinical trial with follow-up at six months. Faculty of Podiatry and Centre Clinical private of Physiotherapy, Seville, Spain. Subjects and interventions: Patients with plantar fasciitis were randomly assigned to either group A ( n = 42), which received custom-made foot orthoses, or group B ( n = 41), which received placebo insoles. All the participants received active extracorporeal shock wave therapy including stretching exercises. Recruitment period was from Mach 2019 to July 2020. Main measurements: The main outcome was foot pain, measured by visual analogue scale and the secondary outcome measures were recorded by Roles and Maudsley scores respectively, at the beginning and at one week, one month and six months. Results: Eighty-eight patients were assessed for eligibility. Eighty-three patients were recruited and randomised. This study showed significant differences between both groups according to the visual analogue scale. In control group, the difference was at baseline ( P 0.01) and, in the experimental group was at the one- and six-month follow-up ( P 0.001). The mean (SD) visual analogue scale at baseline were Control group 6.31 (1.69) and Experimental group 5.27 (1.64); and at six months were 7.52 (3.40) and 3.29 (4.26), respectively. The custom-made foot orthosis was perceived as ‘good’ (85%) and ‘excellent’ (97.5%) at medium-long term. Conclusion: Wearing a custom-made foot orthosis leads to a improvement in patients with plantar fasciitis; it reduced foot pain and improved foot functionality.

Selective Neurotomy of the Tibial Nerve for Treatment of the Spastic Foot

Neurosurgery ◽  
1988 ◽  
Vol 23 (6) ◽  
pp. 738-744 ◽  
Author(s):  
Marc Sindou ◽  
Patrick Mertens
Keyword(s):  
Tibial Nerve ◽  
Complete Suppression ◽  
Nerve Branch ◽  
Beneficial Effects ◽  
Antagonist Muscles ◽  
Abnormal Posture ◽  
Total Pain ◽  
Agonist And Antagonist ◽  
Selective Neurotomy

Abstract One of the most frequent neurological sequelae seen by the specialist in rehabilitation is the spastic foot. Spasticity in the foot may be responsible for abnormal posture and painful or trophic disturbances impairing standing and walking. This disability can be corrected by a simple neurosurgical procedure, the selective tibial neurotomy. In this procedure, one sections the tibial nerve branches to the muscles sustaining spasticity, i.e, the soleus and/or the gastrocnemius nerves for equinus and ankle clonus or the posterior tibialis branch for varus and the flexor fascicles for tonic flexion of the toes. After microsurgical dissection of each tibial nerve branch at the lower part of the popliteal region and their identification with bipolar electrostimulation, the selected branches are partially sectioned under the operating microscope. The present series consists of 62 operations performed in 53 patients, 9 bilaterally and 44 unilaterally. Operation obtained complete suppression of the disabling spasticity that had been present for 2 to 17 years (4 on average), total pain relief, and consequently improvement of the residual voluntary movements (by achieving a better balance between agonist and antagonist muscles) in 51 of the 62 spastic feet (i.e., 82% of the cases). For all of these patients, the beneficial effects were long-lasting over the 1- to 10-year follow-up (3 years on average). Selective neurotomy of the tibial nerve should be considered only after failure of intensive prolonged kinestherapy and of all available medical treatment. It must take place, however, before the onset of irreversible articular disturbances and musculotendinous retractions, which require complementary orthopedic corrections.

scholarly journals Comparative effectiveness of extracorporeal shock wave therapy, local corticosteroid injection, and conventional physiotherapy in treatment of chronic lateral epicondylitis

2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Mona Mohamed Mohamed Ismael ◽  
Mona Mahmoud Arafa ◽  
Abeer Ahmed Kadry El Zohiery ◽  
Soha Eldessouki Ibrahim
Keyword(s):  
Functional Disability ◽  
Corticosteroid Injection ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Considerable Change ◽  
Disability Score ◽  
Vas Score ◽  
Extracorporeal Shock Wave ◽  
Conventional Physiotherapy

Abstract Background Lateral epicondylitis (LE) is a popular overuse syndrome involving the forearm’s extensor tendons. Corticosteroid (CS) injection is the popular injection used for management of LE. Extracorporeal shockwave therapy (ESWT) is a noninvasive alternative inducing the neovascularization, tendon repairing, and decreasing pain. Our study aimed to compare the effectiveness of ESWT versus local CS injection versus conventional physiotherapy (PT) in management of chronic LE. Results Our results revealed that the three groups displayed a significant decrease of VAS score, decrease of PRTEE score, and increase of grip strength compared to baseline (P < 0.05) at 4 weeks and 12 weeks of follow-up. However, there was a significant decrease of VAS score in ESWT and CS groups more than PT group at 4 weeks follow-up (P < 0.05) while ESWT group displayed a considerable improvement in functional disability score (decrease in PRTEE score) more than CS and PT groups at 4 and 12 weeks of follow-up (P < 0.05), with no considerable change in HGS between the three groups. Conclusion ESWT, local CS injection, and conventional PT were efficient in management of chronic LE at 12 weeks of follow-up but ESWT had a higher effect decreasing pain and improving functional disability in daily life activity at short and long term follow-up.

Sign in / Sign up

Export Citation Format

Share Document