scholarly journals Effectiveness of Extracorporeal Shock Wave Therapy Reduces Leg Cramps in Patients of Lumbar Degenerative Disorders: A Retrospective Study

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Bang-zhi Li ◽  
Heng-fei Li ◽  
Zhi-wen Zhang ◽  
Yang Li ◽  
Wei Wang ◽  
...  
Keyword(s):  
Shock Wave ◽  
Functional Status ◽  
Functional Limitations ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Improvement Program ◽  
Extracorporeal Shock Wave ◽  
Degenerative Disorders ◽  
Functional Efficiency ◽  
Significant Difference

Background. The extracorporeal shock wave therapy (ESWT) has been fully utilized in orthopedics, but there are few studies in the treatment of lower limb spasm and pain caused by lumbar degenerative disorders (LDD). This study assesses the influence of ESWT in patients with LDD. Methods. From October 2017 to June 2019, 126 patients with LDD were enrolled. All patients received shock wave therapy, once every two days for four weeks in total. Each treatment consisted of 2,000 shocks with a frequency of 8-10 shocks per second. To analyze the therapeutic progress, the following tests were performed (before and after therapy; 1- and 3-month follow-up) to assess pain and functional efficiency: (1) Visual Analog Scale (VAS), (2) the frequency and duration of muscle cramps, and (3) Fugl-Meyer (LL). Results. Mean BMI of the participants was 26.1 ± 3.0  kg/m2. There was no statistically significant difference in terms of age or BMI between the groups ( p > 0.05 ). Although all scoring parameters improved in both groups, the improvement in the ESWT group was more pronounced in pain ( p < 0.001 and p < 0.001 , respectively). A review of the LMA scores of our patients demonstrated moderate functional limitations before treatment and increased functional status after treatment in all patients, while overall functional status was fully improved in patients of the ESWT group ( p < 0.001 ). Conclusion. The ESWT is particularly effective effect for patients with LDD. The use of ESWT has a significant long-term influence on the reduction of pain, leg cramps, and the improvement of the general functional state in relation to the conventional motor improvement program.

Comparison of autogenous cancellous bone grafting and extra-corporeal shock wave therapy on osteotomy healing in the tibial tuberosity advancement procedure in dogs

2015 ◽  
Vol 28 (03) ◽  
pp. 207-214 ◽  
Author(s):  
O. Lanz ◽  
S. Werre ◽  
K. Clapp ◽  
R. Gilley ◽  
K. Barnes
Keyword(s):  
Shock Wave ◽  
Bone Graft ◽  
Cancellous Bone ◽  
Cruciate Ligament ◽  
Extracorporeal Shock Wave Therapy ◽  
Tibial Tuberosity ◽  
Cancellous Bone Graft ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Significant Difference

SummaryObjectives: To compare optical values in the osteotomy gap created after a tibial tuberosity advancement (TTA) treated with autogenous cancellous bone graft, extracorporeal shock wave therapy, a combination of auto-genous cancellous bone graft and extra -corporeal shock wave therapy, and absence of both autogenous cancellous bone graft and extracorporeal shock wave therapy using densitometry.Methods: Dogs that were presented for surgical repair of a cranial cruciate ligament rupture were randomly assigned to one of four groups: TTA with autogenous cancellous bone graft (TTA-G), TTA with autogenous cancellous bone graft and extracorporeal shock wave therapy (TTA-GS), TTA with extracorporeal shock wave therapy (TTA-S), and TTA with no additional therapy (TTA-O). Mediolateral radiographs at zero, four and eight weeks after surgery were evaluated to compare healing of the osteotomy gap via densitometry. An analysis of variance was used to compare the densitometric values between groups.Results: At four weeks after surgery, a significant difference in osteotomy gap density was noted between TTA-GS (8.4 millimetres of aluminium equivalent [mmAleq]) and TTA-S (6.1 mmAleq), and between TTA-GS (8.4 mmAleq) and TTA-O (6.4 mmAleq). There were no significant differences noted between any groups at the eight week re-evaluation.Clinical significance: There were no significant differences in the osteotomy gap density at eight weeks after surgery regardless of the treatment modality used. The combination of autogenous cancellous bone graft and extracorporeal shock wave therapy may lead to increased radiographic density of the osteotomy gap in the first four weeks after surgery. Densitometry using an aluminium step wedge is a feasible method for comparison of bone density after TTA in dogs.

scholarly journals Extracorporeal shock wave therapy (ESWT) versus local corticosteroid injection in treatment of lateral epicondylitis (tennis elbow) in athletes: clinical and ultrasonographic evaluation

2021 ◽  
Vol 48 (1) ◽  
Author(s):  
Noha Hosni Ibrahim ◽  
Refaat Mostafa El Tanawy ◽  
Amal Fathy Soliman Mostafa ◽  
Mayada Fawzy Mahmoud
Keyword(s):  
Shock Wave ◽  
Tennis Elbow ◽  
Corticosteroid Injection ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Significant Difference ◽  
Insignificant Difference

Abstract Background Lateral epicondylitis is one of the commonly noticed disorders of the arm described by agony focused over lateral epicondyle which is the site of wrist extensors origin. The purpose of this work was to compare the efficiency of extracorporeal shock wave therapy and local corticoid injection in management of lateral epicondylitis both clinically and ultrasonographically as well as to assess the role of ultrasound in diagnosis and follow-up of lateral epicondylitis. This study was performed on 30 athletes diagnosed as lateral epicondylitis. Results Both corticosteroid injection and shock wave treatment showed a highly significant effectiveness on pain by visual analog scale (VAS). A highly significant difference between before treatment and after 2 as well as 4 weeks of treatment regarding the functional disability parameters as patient-rated tennis elbow evaluation (PRTEE) and quick disabilities of the arm, shoulder, and hand (DASH) was found. Likewise, a statistically significant improvement in favor of shock wave therapy group after 2 weeks was found, inversely insignificant difference after 8 and 12 weeks regarding to VAS occurred. Both PRTEE and Quick DASH test showed a statistically significant difference among groups through all follow-up period. There was a statistically insignificant difference among the studied groups according to ultrasound (US) changes in the form of focal areas of hypo-echogenicity through follow-up periods. A significant improvement in favor of ESWT group is detected among the studied groups regarding tendon thickening in ultrasonography before treatment and after 2 and 4 weeks. However, the difference was insignificant after 8 and 12 weeks. Conclusions Both corticosteroid local injection and shock wave therapy are helpful and effective for lateral epicondylitis treatment. However, a shock wave therapy revealed better improvement on long-term clinical and ultrasonogrphic follow-up than corticosteroid injection. Musculoskeletal ultrasound represents a helpful diagnostic and follow-up tool for lateral epicondylitis.

scholarly journals Comparison of the effectiveness of radial extracorporeal shock wave therapy and supervised exercises with neuromuscular inhibition technique in lateral epicondylitis: A randomized-controlled t

2021 ◽  
Vol 67 (4) ◽  
pp. 439-448
Author(s):  
Mustafa Çorum ◽  
Ceyhun Başoğlu ◽  
Hadi Yavuz ◽  
Cihan Aksoy
Keyword(s):  
Shock Wave ◽  
Grip Strength ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Randomized Controlled ◽  
Extracorporeal Shock Wave ◽  
Significant Difference ◽  
Outcome Criteria

Objectives: The aim of this study was to evaluate and compare the effects of radial extracorporeal shock wave therapy (rESWT) and supervised exercises with neuromuscular inhibition (NMI) technique in improving pain, function, and grip strength in the treatment of patients with lateral epicondylitis (LE). Patients and methods: A total of 50 patients with LE (11 males, 30 females; median age: 46 years; range, 23 to 57 years) whose symptoms persisted for at least three months between February 2015 and August 2015 were included in the prospective, randomized-controlled, clinical study. The patients were divided into two groups as the rESWT group (n=25) receiving a total of three rESWT sessions (once per week with 1.8 bar pneumatic pressure, 10 Hz frequency, and with 2,000 pulses) and the exercise group (n=25) receiving supervised exercises with NMI (three times per week for three weeks). Pain and function were evaluated using Visual Analog Scale, the total Patient-Rated Tennis Elbow Evaluation, the Roles and Maudsley score, while the grip strength was evaluated using a hand dynamometer at one and three months after treatment compared to baseline. Results: A significant improvement was observed in all outcome criteria at one and three months after treatment, compared to baseline, in both the rESWT and exercise groups (p<0.05). There was no significant difference in terms of the changes in the outcome criteria between the groups (p>0.05). Conclusion: The rESWT seems to provide no significantly superior benefit than supervised exercises with NMI at least until the three months in the treatment of LE.

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.

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