scholarly journals Casos clínicos referidos para terapia de ondas de choque en el hospital para équidos de la Facultad de Medicina Veterinaria y Zootecnia-UNAM (2011-2015)

Author(s):  
Missael García Márquez ◽  
Carlos Antonio López Díaz ◽  
Alejandro Rodríguez Monterde

Descripción de los casos. Se analizó una muestra de 232 pacientes remitidos para terapia de ondas de choque (toce), de 1 292 casos clínicos que ingresaron al hospital para équidos de la Facultad de Medicina Veterinaria y Zootecnia de la unam durante 2011-2015. Se aplicaron en total 323 terapias; el 86.6 % de los pacientes fueron prototipo warmblood con un promedio de edad de once años.Hallazgos clínicos. La patología con mayor incidencia fue desmitis proximal del ligamento suspensor del menudillo o tercer ligamento interóseo, seguida de miositis dorsal y exostosis anillada.  Tratamiento y evolución. El tratamiento se llevó a cabo mediante terapia de onda de choque focal y terapia de onda de choque radial o terapia de presión radial.Relevancia clínica. La toce representa el 17.9 % del total de pacientes que ingresaron en el periodo de estudio. Se recibieron 46 pacientes por año en promedio, únicamente para toce. Se requeriría un estudio de casos clínicos totales del Hospital para Équidos para comparar las diferentes causas de remisión.Clinical cases referred of shockwave therapy of equine hospital UNAM (2011-2015) Abstract Case report. From 2011 to 2015, out of 1292 patients 232 we referend to the hospital for equine of the Departamento de Medicina Cirugía y Zootecnia de Équidos of the Facultad de Medicina Veterinaria y Zootecnia for shockwave therapy (ESWT) were analyzed. This therapy was applicated 323 in 232 patients, 86 % of the patients are warmblood prototype and an average age of eleven years.Clinical findings. The pathology with the highest incidence was proximal desmitis of the suspensory ligament or third interosseous ligament, followed by dorsal myositis and ringbone.Treatment and evolution. The treatment was carried out by focal shock wave therapy and radial pressure therapy.Laboratory test. The laboratory test it is not necessary because the ESWT is not an invasive therapy.Clinical relevance. The ESWT represents 17.9% of the total number of patients admitted in this study period. An average of 46 patients per year were received, for ESWT. A study of total clinical cases of the hospital for equine would be required to compare the causes of origin.Keywords: SWT, Shock wave, Equine, ESWT, physical therapy.

Cases Journal ◽  
2008 ◽  
Vol 1 (1) ◽  
Author(s):  
Stefan Endres ◽  
Markus Weiskirch ◽  
Christiane Hinz ◽  
Felix Hütter ◽  
Axel Wilke

GYMNASIUM ◽  
2020 ◽  
Vol XXI (1) ◽  
pp. 87
Author(s):  
Daniel-Lucian Dobreci ◽  
Adina Camelia Șlicaru

The main purpose of this study was to evaluate to what extent shock wave therapy (ESWT) can influence the quality of life of patients with scapular-humeral periarthritis (PSH). The study included 30 male and female PSH sufferers who had previously undergone various therapies without any success in disease progression. The VAS scale, the Roles-Maudsley score, and the Flanagan Life Quality Scale with seven points on the rating scale recommended by Andrews and Crandall were used to evaluate patient evolution. ESWT sessions were held on a seven-day session for 12 weeks. Between ESWT meetings each patient followed a home medical gymnastics program. Following the study, ESWT treatment had a good effect on the progression of PSH patients in terms of pain reduction and disappearance, as well as regaining mobility of the affected shoulder. The conclusion of this studio is that shock wave therapy can help improve the quality of life of PSH patients.


2017 ◽  
Vol 9 (12) ◽  
pp. E1104-E1109
Author(s):  
Yingnan Bai ◽  
Xiaoyan Wang ◽  
Xin Deng ◽  
Hongyi Wu ◽  
Abdel Hamid Fathy ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
pp. 28-47
Author(s):  
Fereshteh Poursaeed ◽  
◽  
Nahid Tahan ◽  
Farideh Dehghan Manshadi ◽  
Ali Reza Akbarzade Bagheban ◽  
...  

Objective: Spasticity is one of the components of an Upper Motor Neuron (UMN) lesion that occurs usually after a period of flaccidity in the form of velocity-dependent resistance to passive stretch. Spasticity is a significant cause of limited mobility and disability in neurological diseases. There are several clinical approaches to control spasticity. Recently, Shock Wave Therapy (SWT) has been reported to be a new, safe, and effective method for reducing spasticity for people with upper motor neuron lesions. We conducted a meta-analysis of relevant clinical trials to assess the effect of applying SWT on spasticity in UMN lesions. Materials & Methods: An electronic search was performed in PubMed, ISI Web of Science, Scopus, Science Direct, MEDLINE, and Google scholar from January 2005 to January 2020. Studies were included if they measured spasticity with the Modified Ashworth Scale (MAS) or/and neurophysiological indices in patients with stroke, multiple sclerosis, and cerebral palsy. The keywords of muscle hypertonia or spasticity, extracorporeal shock wave therapy, stroke, multiple sclerosis, and cerebral palsy were used. Two independent researchers searched articles, screened eligible studies against the inclusion criteria, and assessed the methodological quality of included studies. The methodological quality of studies was evaluated using the Downs and Black tool. The difference between the means was considered as the effect size in the MAS and Hoffman reflex/motor response (H/M) ratio before and after the intervention with 95% CI in random-effects models. Analyzes were performed using STATA software version 11. Results: The initial search led to the retrieval of 98 studies based on the inclusion and exclusion criteria, of which 24 full-text articles were reviewed and 14 articles were included in the meta-analysis process. All 14 articles had examined the effects of shockwave on the MAS. Four studies with 120 patients had examined the effects of shockwave therapy on the H/M ratio. Significant reduction in MAS grade was observed immediately [I2 = 100%, P<0.001, SMD=1.38 with 95%CI: (0.80, 1.87)] and three months after SWT [I2 = 100%, P<0.001, SMD=1.13 with 95%CI: (0.50, 1.76)] in comparison with the baseline values. ESWT had no significant effects on the H/M ratio [I2 = 97.5%, P<0.001, SMD=1.09 with 95%CI: (-0.54, 2.73)]. Conclusion: SWT can improve spasticity based on the MAS. The lack of SWT effects on the neurophysiological parameter of spasticity supports this opinion that SWT acts on the non-neural component of spasticity. Differences observed in studies in terms of treatment sessions, intervals of treatment sessions, energy density, number of shocks, and follow-up duration need to be examined more closely. More randomized clinical trials are needed in the future to analyze the impact of these factors on the efficacy of SWT for spastic patients.


VCOT Open ◽  
2019 ◽  
Vol 02 (02) ◽  
pp. e56-e59
Author(s):  
Olivia J. Oginska ◽  
Richard Whitelock ◽  
Kirsten Hausler ◽  
Amy Stelman ◽  
Matthew J. Allen

AbstractThe use of extracorporeal shock wave therapy (ESWT) for the treatment of delayed or non-union of long bone fractures has been described in human patients with encouraging results. This case report describes the successful treatment of a mandibular fracture non-union with ESWT. To authors' knowledge, this is the first report of the clinical use of ESWT for the management of a non-union in a dog.


Sign in / Sign up

Export Citation Format

Share Document