scholarly journals Does adding extracorporeal shock wave therapy to postural correction exercises improve pain and functional disability in postpartum sacroiliac joint pain? A randomized controlled trial

2021 ◽  
Vol 10 (2) ◽  
pp. 247-257
Author(s):  
Eman Abdelfatah Mohamed Elhosary ◽  
Hamada Ahmed Hamada ◽  
Mahmoud Ewidea ◽  
Abdullah M. Al-Shenqiti ◽  
Yassmin Essam Mohamed
Keyword(s):  
Shock Wave ◽  
Joint Pain ◽  
Exercise Program ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Group A ◽  
Postural Correction ◽  
Group B ◽  
Los Grupos

El objetivo de este estudio fue examinar el resultado de la terapia de ondas de choque extracorpóreas (TOCH) en mujeres con dolor en la articulación sacroilíaca posparto. Cuarenta mujeres primigrávidas (seis semanas después del parto) con dolor sacroilíaco participaron en este estudio. Fueron asignadas al azar a los grupos A y B. El grupo A fue tratado mediante TOCH, además de ejercicios de corrección postural y ejercicios de inclinación pélvica posterior. El grupo B fue tratado únicamente con el mismo programa de ejercicios. Ambos grupos recibieron dos sesiones por semana durante cuatro semanas. Las variables estudiadas fueron el dolor sacroilíaco y el nivel de función, las cuales se midieron mediante la escala visual analógica (EVA) y la escala funcional de dolor de espalda (EFDE), respectivamente. Todas las mediciones se evaluaron antes y después de las cuatro semanas de intervención. El análisis dentro de los grupos mostró una mejora significativa en la EVA y un aumento significativo en la EFDE en ambos grupos después del tratamiento en comparación con el valor inicial. Con respecto a los análisis entre grupos, hubo una mejora significativa en la EVA y un aumento significativo en la EFDE en el grupo A en comparación al grupo B. En conclusión, tanto la TOCH como el programa de ejercicios son efectivos para disminuir el dolor y mejorar la función en mujeres con dolor sacroilíaco posparto. Sin embargo, al agregar TOCH a los ejercicios en el programa de tratamiento, los resultados son mejores, por lo que esta combinación se recomienda en el tratamiento de mujeres con dolor sacroilíaco posparto. Examining the outcome of the extracorporeal shock wave therapy (ESWT) on females with postpartum sacroiliac joint pain was the aim of this study. Forty primigravida (six weeks postpartum) females with sacroiliac pain was the sample in this study. The subjects equally randomly allocated in group A and B. Group A was treated by ESWT in addition to postural correction and posterior pelvic tilting exercises. Group B was treated by the same exercise program only. Two sessions every week for four weeks were received by both groups. The measurement variables were sacroiliac pain and function level that were measured by visual analogue scale (VAS) and the back pain functional scale (BPFS), respectively. All measurements were evaluated pre and post four weeks of intervention. The within groups analysis showed a significant improvement in VAS and a significant increase in BPFS in both groups after treatment compared with baseline. Regarding between groups analyses there was a significant improvement in VAS and a significant increase in BPFS in group A compared with group B. In conclusion, both ESWT and exercise program are effective in decreasing the pain and improving the function in females with postpartum sacroiliac pain. However, by adding ESWT to exercises in the treatment program the results are better, so this combination is recommended in treatment of females with postpartum sacroiliac pain.

scholarly journals Extracorporeal Shock-Wave Therapy for Supraspinatus Calcifying Tendinitis: A Randomized Clinical Trial Comparing Two Different Energy Levels

2012 ◽  
Vol 92 (11) ◽  
pp. 1376-1385 ◽  
Author(s):  
Francesco Ioppolo ◽  
Maria Tattoli ◽  
Luca Di Sante ◽  
Carmine Attanasi ◽  
Teresa Venditto ◽  
...  
Keyword(s):  
Shock Wave ◽  
Clinical Trial ◽  
Energy Level ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Calcifying Tendinitis ◽  
Extracorporeal Shock Wave ◽  
Group A ◽  
Vas Scores ◽  
Group B

BackgroundExtracorporeal shock-wave therapy (ESWT) represents a valid intervention in the treatment of people with supraspinatus calcifying tendinitis (SCT), but there is limited evidence for the useful range of ESWT doses.ObjectiveThe aim of this study was to compare 2 different ranges of energy flux density in treatment of SCT with ESWT.DesignThis study was designed as a single-blind randomized clinical trial.SettingThis study was performed in a university hospital.PatientsForty-six patients with SCT were randomly assigned to 2 groups that received different therapeutic energy doses of ESWT: (1) group A received ESWT at an energy level of 0.20 mJ/mm2, and (2) group B received ESWT at an energy level of 0.10 mJ/mm2.InterventionThe treatment protocol consisted of 4 sessions performed once a week.MeasurementsThe change in mean Constant Murley Scale (CMS) scores at 3 and 6 months was the primary endpoint. The change in the mean visual analog scale (VAS) scores from baseline to 3 and 6 months after the intervention and radiographic change in size of calcium deposits were evaluated as secondary endpoints. At 12 months, pain relief was assessed using a numeric rating scale.ResultsSignificant clinical improvement based on mean CMS scores was observed after 6 months in group A (X̅=79.43, SD=10.33) compared with group B (X̅=57.91, SD=6.53). Likewise, after 6 months, a significant decrease in VAS scores was found in group A (X̅=2.09, SD=1.54) compared with group B (X̅=5.36, SD=0.78). Calcific deposits disappeared in the same percentage of patients in both groups.LimitationsThe small sample size and lack of a control group were limitations of the study.ConclusionsIn ESWT for SCT, an energy level of 0.20 mJ/mm2 appears to be more effective than an energy level of 0.10 mJ/mm2 in pain relief and functional improvement.

scholarly journals Comparing Platelet-Rich Plasma Injections with Extracorporeal Shock Wave Therapy for Chronic Plantar Fasciitis: A Prospective Comparative Study

2021 ◽  
Author(s):  
Xin Wang ◽  
Dong Zhang ◽  
Fengqi Zhang ◽  
Lin Jin ◽  
Donglin Shi ◽  
...  
Keyword(s):  
Shock Wave ◽  
Plantar Fasciitis ◽  
Platelet Rich Plasma ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Significant Difference ◽  
Group A ◽  
American Orthopaedic ◽  
Group B

Abstract BackgroundPlantar fasciitis is a self-limiting disease that is a common cause of adult heel pain. The purpose of this prospective study was to compare the curative effect following platelet-rich plasma (PRP) injections with extracorporeal shock wave therapy (ESWT), in the patients with chronic plantar fasciitis.Method:100 patients with plantar fasciitis were randomly divided into 2 groups (group A and group B), 50 patients in each group. Patients were treated with autologous PRP injection in group A and with dolorclast radial ESWT in group B. Outcomes were assessed prior to the therapy and at 3, 6,12, and 24 months following the therapy, which included American Orthopaedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) pain scores, subjective satisfaction score and MRI studies were obtained in all cases to confirm the diagnosis of plantar fasciitis.ResultNo severe complications were recorded in the A and B groups. And in the treatment of plantar fasciitis have achieved good results. There was no significant difference in AOFAS scores between the two groups at 3 months after treatment. The AOFAS scores at 3, 6, 12, and 24 months after treatment in group A were 91, 85, 84, and 80. The AOFAS scores in group B were 89, 85, 83, and 79, respectively. Both groups of patients had significant improvement compared with before treatment(P<0.01).ConclusionThe observations in this study indicate that PRP and ESWT are safe and feasible options for the treatment of chronic plantar fasciitis. But the long-term effect is not particularly satisfying.

scholarly journals Ultrasound-Guided Stellate Ganglion Block Combined with Extracorporeal Shock Wave Therapy on Postherpetic Neuralgia

2022 ◽  
Vol 2022 ◽  
pp. 1-5
Author(s):  
Changsheng Wang ◽  
Fei Yuan ◽  
Lu Cai ◽  
Haiqin Lu ◽  
Gongjin Chen ◽  
...  
Keyword(s):  
Shock Wave ◽  
Postherpetic Neuralgia ◽  
Stellate Ganglion ◽  
Stellate Ganglion Block ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Ultrasound Guided ◽  
Ganglion Block ◽  
Extracorporeal Shock Wave ◽  
Group B

Objectives. To evaluate the effect of ultrasound-guided stellate ganglion block combined with extracorporeal shock wave therapy (ESWT) on postherpetic neuralgia. Methods. Thirty-six patients with craniofacial postherpetic neuralgia, whose skin lesions were healed and natural course more than 1 month, were selected for the study and then randomly divided into 3 groups: the ultrasound-guided stellate ganglion block group (group A, n = 12), the extracorporeal shock wave therapy group (group B, n = 12), and the combined treatment group (group C, n = 12). Each group received basic drug treatment. The Visual Analogue Scale (VAS) and the Pain Disability Index (PDI) were used to evaluate the clinical effects of the 3 groups of patients before treatment, after twice treatments, after treatment for four times, and after treatment for six times. Results. The VAS and PDI were significantly declined in each group after the treatment ( P < 0.05 ), and the declination in group C was more obvious than the other two groups ( P < 0.05 ). After treatment for six times, the VAS score of group A, group B, and group C was 3.1 ± 1.2, 3.3 ± 1.3, and 1.9 ± 0.7, respectively. After treatment for six times, the PDI of group A, group B, and group C was 11.7 ± 8.4, 12.3 ± 7.8, and 4.6 ± 3.2, respectively. Three patients developed skin bruising and slight swelling, which were relieved by themselves. Conclusions. Ultrasound-guided stellate ganglion block combined with shock wave therapy could significantly improve the pain symptoms of patients with postherpetic neuralgia, which is a safe and effective treatment for postherpetic neuralgia.

scholarly journals Refractory patella tendinopathy with failed conservative treatment—shock wave or arthroscopy?

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668470 ◽  
Author(s):  
HLM Williams ◽  
SA Jones ◽  
C Lyons ◽  
C Wilson ◽  
A Ghandour
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Therapy ◽  
Arthroscopic Debridement ◽  
Fat Pad ◽  
Mri Scan ◽  
Extracorporeal Shock Wave ◽  
Group A ◽  
Group B ◽  
Treatment Shock ◽  
Patella Tendinopathy

Aim: To identify whether the location of refractory patella tendinopathy (PT) has an effect on treatment modality (radial extracorporeal shock wave therapy (rESWT) or arthroscopic debridement). Methods: Between 2012 and 2014, 40 patients with PT underwent a magnetic resonance imaging (MRI) scan. This confirmed the diagnosis as either involving the tendon itself (group A, 20) or with retropatella fat pad extension (group B, 20). All patients underwent rESWT. If there was no improvement patients proceeded with surgery in the form of arthroscopic debridement (by senior authors CW and AG). Outcomes were assessed before and after treatment using the Victorian Institute of Sports Assessment-Patella (VISA-P) score. Results: There were 18 males and 2 females in group A and 15 males and 5 females in group B. The mean age was 41.4 years in group A (23–59) and 34.7 in group B (19–52). Seventeen of 20 in group A reported good or excellent outcomes and did not require surgical intervention (remaining three improved after second course of ESWT). All patients in group B failed to improve with rESWT, resulting in arthroscopic debridement and reported good or excellent outcomes. After 6 months, group A mean VISA-P score increased from 50.2 to 65.0 ( p = 0.01) and group B from 39.6 to 78.4 ( p = <0.001). Conclusion: An MRI should be performed to determine the precise location of tendinosis in patients with refractory PT who fail standard conservative management. If the MRI scan shows intratendon changes only, ESWT should be performed and those with extension into the fat pad should proceed to arthroscopic debridement without rESWT.

scholarly journals Effect of Radial Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Efficiency, and Postural Control Parameters in Patients with Chronic Low Back Pain: A Randomized Clinical Trial

2020 ◽  
Vol 9 (2) ◽  
pp. 568 ◽  
Author(s):  
Karolina Walewicz ◽  
Jakub Taradaj ◽  
Maciej Dobrzyński ◽  
Mirosław Sopel ◽  
Mateusz Kowal ◽  
...  
Keyword(s):  
Postural Sway ◽  
Extracorporeal Shock Wave Therapy ◽  
Core Stability ◽  
Low Back ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Functional Efficiency ◽  
Group A ◽  
Conventional Physiotherapy ◽  
Group B

Low back pain (LBP) is the leading cause of disability worldwide, placing a significant economic burden on healthcare systems. Radial extracorporeal shock wave therapy (rESWT) is useful in the rehabilitation of orthopedic diseases; however, there is still limited evidence for patients with LBP. The aim of this study was to assess the effect of rESWT on pain level, functional efficiency, and parameters of postural control in patients with LBP. Participants were randomized into group A (n = 20) treated with rESWT and group B (n = 20) treated with sham rESWT (placebo). Both groups received conventional physiotherapy, including core stability exercises. The following tests were performed: the Laitinen Pain Scale (LPS), the Roland–Morris Questionnaire (RMQ), the original Schober Test (OST), and a stabilometric platform for the assessment of postural sway, including total sway path (TSP). We found that the analgesic effect was higher after rESWT, especially in the follow-up’s (p < 0.05). Similar results were found for functional efficiency and range of motion (p < 0.05). The improved posture stability in placebo group B was not statistically significant (p > 0.05). The stabilometric parameters in group A were still gradually improved and statistically significant, even in follow-ups (p < 0.05). In conclusion, the rESWT had a significant effect on the reduction of pain and the improvement of functional condition compared to a conventional physiotherapy program. Also, rESWT with core stability exercises led to significant improvements in postural sway compared with conventional physiotherapy in patients with LBP.

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