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Radial Shock wave therapy

Mahmoud I Ibrahim, Robert A Donatelli, Madeleine Hellman, Ahmed Z Hussein, John P Furia, Christoph Schmitz
Numerous randomized controlled trials (RCTs) demonstrated efficacy and safety of extracorporeal shock wave therapy (ESWT) for chronic plantar fasciopathy (cPF). However, only two such RCTs investigated a follow-up period of more than 1 year, both applying focused ESWT. Corresponding data for radial ESWT (rESWT) have not yet been reported. We therefore tested the hypothesis that rESWT is effective and safe for the management of cPF with long-term follow-up of 2 years. To this end n = 50 patients with cPF were randomly allocated to either two sessions of rESWT (one session per week; 2,000 shock waves with energy flux density of 0...
August 27, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
G I Gertsen, Se-Fey, R M Ostapchuk, A V Lesovoy, V V Zherebchuk
In experiment on 24 rabbits the processes of reparative osteogenesis in perforated defect of proximal tibial metaphysis under the influence of extracorporeal shock-wave therapy were studied. In accordance to data of clinical, roentgenological and morphological investiagations, conducted in terms 5, 15, 30 and 45 days of observation, there was established, that under the influence of extracorporeal shock-wave therapy in the bone marrow in the traumatic region a vasodilatation, as well as the blood cells exit from capillaries and sinusoid vessels with creation of massive regions of osseous endostal regenerate, guaranteeing the tibial integrity restoration, occurs...
March 2016: Klinichna Khirurhiia
Heinz Lohrer, Tanja Nauck, Vasileios Korakakis, Nikos Malliaropoulos
Extracorporeal Shock Wave Therapy (ESWT) is a conservative treatment modality with still growing interest in musculoskeletal disorders. This narrative review aims to present an overview covering 20-year development in the field of musculoskeletal ESWT. Eight historical paradigms have been identified and put under question from a current perspective: energy intensity, focus size, anesthesia, imaging, growth plates, acuteness, calcifications, and number of sessions. All paradigms as set in a historical consensus meeting in 1995 are to be revised...
2016: BioMed Research International
Nikos Malliaropoulos, Georgina Crate, Maria Meke, Vasileios Korakakis, Tanja Nauck, Heinz Lohrer, Nat Padhiar
Background and Aims. The exploration of an individualised protocol of radial extracorporeal shock wave therapy (rESWT) for plantar fasciopathy, assessing success rates and the recurrence rate over a 1-year period after treatment, is not yet identified in literature. Methods and Results. Between 2006 and 2013, 68 patients (78 heels) were assessed for plantar fasciopathy. An individualised rESWT treatment protocol was applied and retrospectively analysed. Heels were analysed for mean number of shock wave impulses, mean pressure, and mean frequency applied...
2016: BioMed Research International
Tanja Hochstrasser, Hans-Georg Frank, Christoph Schmitz
Radial extracorporeal shock wave (rESW) therapy is widely used in musculoskeletal disorders and wound repair. However, the mechanisms of action are still largely unknown. The current study compared the effects of rESWs on two cell types. Human fetal foreskin fibroblasts (HFFF2) and human placental choriocarcinoma cell line JEG-3 were exposed to 0, 100, 200, 500 or 5000 rESWs generated with a Swiss DolorClast device (2.5 bar, 1 Hz). FACS analysis immediately after rESW exposure showed that initially, rESWs rather induced mechanical cell destruction than regulated or programmed cell death...
August 1, 2016: Scientific Reports
Sung Hwan Kim, Kang Wook Ha, Yun Hee Kim, Pyong-Hwa Seol, Ho-Jun Kwak, Seung-Wan Park, Byung-Ju Ryu
OBJECTIVE: To investigate the effect of radial extracorporeal shock wave therapy (rESWT) on hemiplegic shoulder pain (HSP) syndrome. METHODS: In this monocentric, randomized, patient-assessor blinded, placebo-controlled trial, patients with HSP were randomly divided into the rESWT (n=17) and control (n=17) groups. Treatment was administered four times a week for 2 weeks. The visual analogue scale (VAS) score and Constant-Murley score (CS) were assessed before and after treatment, and at 2 and 4 weeks...
June 2016: Annals of Rehabilitation Medicine
A M Magomedov, G I Gertsen, Se Fey, T A Kuzub, O F Krinitskaya
Results of investigations on impact of radial shock-wave therapy of low frequency on metabolism of the main protein of the bone tissue (collagen) as well as on the enzymes activity, taking part in a catabolic phase of the protein metabolism, were studied. Changes in content of glycosaminoglycans under impact of the therapy in experimental animals were studied.
April 2016: Klinichna Khirurhiia
Jolanta Krukowska, Jacek Wrona, Monika Sienkiewicz, Jan Czernicki
INTRODUCTION: Troublesome heel spur is a nuisance condition that affects people of all ages. Treatment of patients with heel spur is a difficult and lengthy process requiring patience from both the patient and the therapist. Sometimes, the only and ultimate method of treatment is surgery, although spurs tend to recur. The aim of the study is a comparative analysis of the analgesic efficacy of ultrasound and shock wave therapy in patients with heel spur. The cause of pain in the course of calcaneal spur is inflammation of the attachment of the plantar fascia, which plays an important role in the process of walking and is seriously strained during different types of movement...
September 2016: Archives of Orthopaedic and Trauma Surgery
Tsung-Hsun Yang, Yu-Chi Huang, Yiu-Chung Lau, Lin-Yi Wang
OBJECTIVE: To investigate the effects of radial extracorporeal shock wave therapy (rESWT) and to determine the posttreatment common extensor tendon stiffness among patients with lateral epicondylosis. DESIGN: Thirty patients with lateral epicondylosis were randomly divided into experimental and control groups. Participants in the experimental group received rESWT plus physical therapy, and those in the control group received sham shock wave plus physical therapy for 3 weeks...
June 17, 2016: American Journal of Physical Medicine & Rehabilitation
Fariba Eslamian, Seyed Kazem Shakouri, Fatemeh Jahanjoo, Mehrzad Hajialiloo, Faraz Notghi
OBJECTIVES: Plantar fasciitis is a self-limiting condition, but can be painful and disabling. Among the different treatments which exist, corticosteroid injections are effective and popular. Extracorporeal shock wave therapy (ESWT) is another treatment modality used for resistant conditions. In this study, the authors evaluated the efficacy of radial ESWT versus corticosteroid injections in the treatment of chronic plantar fasciitis. DESIGN: Randomized clinical trial...
September 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Tiantian Wang, Lin Du, Ling Shan, Hanyu Dong, Junyan Feng, Maren C Kiessling, Nicholas B Angstman, Christoph Schmitz, Feiyong Jia
To assess the effects of radial extracorporeal shock wave therapy (rESWT) on plantar flexor muscle spasticity and gross motor function in very young patients with cerebral palsy (CP).The design was case-control study (level of evidence 3).The setting was the Department of Pediatric Neurology and Neurorehabilitation, First Hospital of Jilin University, Changchun, China.Those with a diagnosis of CP and spastic plantar flexor muscles were recruited between April 2014 and April 2015.According to the parents' decision, patients received 1 ESWT session per week for 3 months, with 1500 radial shock waves per ESWT session and leg with positive energy flux density of 0...
May 2016: Medicine (Baltimore)
Tsung-Ying Li, Chih-Ya Chang, Yu-Ching Chou, Liang-Cheng Chen, Heng-Yi Chu, Shang-Lin Chiang, Shin-Tsu Chang, Yung-Tsan Wu
Recently, studies have reported that extracorporeal shock wave therapy (ESWT) is a safe, noninvasive, alternative treatment for spasticity. However, the effect of ESWT on spasticity cannot be determined, because most studies to date have enrolled small patient numbers and have lacked placebo-controlled groups and/or long-term follow-up. In addition, whether varying the number of ESWT sessions would affect the duration of the therapeutic effect has not been investigated in a single study. Hence, we performed a prospective, randomized, single blind, placebo-controlled study to investigate the long-term effect of radial ESWT (rESWT) in patients with poststroke spasticity and surveyed the outcome of functional activity...
May 2016: Medicine (Baltimore)
Byung-Ju Ryu, Kang-Wook Ha, Jin-Young Lee, Sung-Hwan Kim, Ho-Jun Kwak, Pyong-Hwa Seol
[Purpose] To report the effects of radial extracorporeal shock wave therapy (RSWT) on heterotopic ossification (HO). [Subjects and Methods] Two cases of neurogenic HO in the upper extremity were administered RSWT using the MASTER PLUS(®) MP 2000 (Storz, Tägerwilen, Switzerland) and ultrasonographic guidance. The RSWT protocol consisted of 3,000 pulses at a frequency of 12 Hz during each treatment. The intensity level ranged from 2-5 bars, and it was administered 5 times a week for 4 weeks, a total of 20 treatments...
January 2016: Journal of Physical Therapy Science
Yue Wen Ma, Dong Lei Jiang, Dai Zhang, Xiao Bei Wang, Xiao Tong Yu
This case report describes the first patient with avascular necrosis of the femoral head of Association Research Circulation Osseous stage IV, treated with radial extracorporeal shock wave therapy. By contrast, previous studies demonstrated the efficacy of a single treatment of focused extracorporeal shock wave therapy in improving pain and Harris Hip Scale in patients with avascular necrosis of the femoral head of Association Research Circulation Osseous stage I to III. The affected hip was treated with 6000 impulses of radial extracorporeal shock wave therapy at 10 Hz and an intensity ranging from 2...
September 2016: American Journal of Physical Medicine & Rehabilitation
Rachel Goldgrub, Pierre Côté, Deborah Sutton, Jessica J Wong, Hainan Yu, Kristi Randhawa, Sharanya Varatharajan, Danielle Southerst, Silvano Mior, Heather M Shearer, Craig Jacobs, Maja Stupar, Chadwick L Chung, Sean Abdulla, Robert Balogh, Shilpa Dogra, Margareta Nordin, Anne Taylor-Vaisey
OBJECTIVE: The purpose of this systematic review was to evaluate the effectiveness of multimodal care for the management of soft tissue injuries of the shoulder. METHODS: We conducted a systematic review and searched MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials from 1990 to 2015. Two independent reviewers critically appraised studies using the Scottish Intercollegiate Guidelines Network criteria. We used best evidence synthesis to synthesize evidence from studies with low risk of bias...
February 2016: Journal of Manipulative and Physiological Therapeutics
Hojjat Radinmehr, Noureddin Nakhostin Ansari, Soofia Naghdi, Gholamreza Olyaei, Azadeh Tabatabaei
Purpose To examine the effects of radial extracorporeal shockwave therapy (rESWT) on plantarflexor spasticity after stroke. Method Twelve patients with stroke were randomly included for this prospective, single-blind clinical trial. Patients received one rESWT session (0.340 mJ/mm(2), 2000 shots) on plantarflexor muscle. The Modified Modified Ashworth Scale (MMAS), H-reflex tests, ankle range of motion (ROM), passive plantarflexor torque (PPFT) and timed up and go test (TUG) were measured at baseline (T0), immediately after treatment (T1) and one hour after the end of the treatment (T2)...
March 13, 2016: Disability and Rehabilitation
Alexandre N A Souza, Marcio P Ferreira, Stefano C F Hagen, Geni C F Patrício, Julia M Matera
OBJECTIVE: The study aims were to evaluate the effects of radial shock wave therapy (RSWT) in dogs with hip osteoarthritis (OA) using clinical assessment and kinetic analysis. METHODS: Thirty dogs diagnosed with bilateral hip OA and 30 healthy dogs were used. In OA dogs, one limb was randomly selected for treatment with RSWT while the contralateral limb served as an untreated control. Dogs were evaluated while walking on a pressure walkway. Peak vertical force (PVF) and vertical impulse (VI) were documented; symmetry index (SI) was also calculated...
2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Yung-Tsan Wu, Ming-Jen Ke, Yu-Ching Chou, Chih-Ya Chang, Ching-Yueh Lin, Tsung-Ying Li, Feng-Mei Shih, Liang-Cheng Chen
Three recent studies demonstrated the positive effect of extracorporeal shock wave therapy (ESWT) for treating carpal tunnel syndrome (CTS). However, none have entirely proved the effects of ESWT on CTS because all studies had a small sample size and lacked a placebo-controlled design. Moreover, radial ESWT (rESWT) has not been used to treat CTS. We conducted a prospective randomized, controlled, double-blinded study to assess the effect of rESWT for treating CTS. Thirty-four enrolled patients (40 wrists) were randomized into intervention and control groups (20 wrists in each)...
June 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Christoph Schmitz, Nikolaus B M Császár, Stefan Milz, Matthias Schieker, Nicola Maffulli, Jan-Dirk Rompe, John P Furia
BACKGROUND: Extracorporeal shock wave therapy (ESWT) is an effective and safe non-invasive treatment option for tendon and other pathologies of the musculoskeletal system. SOURCES OF DATA: This systematic review used data derived from the Physiotherapy Evidence Database (PEDro;, 23 October 2015, date last accessed). AREAS OF AGREEMENT: ESWT is effective and safe. An optimum treatment protocol for ESWT appears to be three treatment sessions at 1-week intervals, with 2000 impulses per session and the highest energy flux density the patient can tolerate...
2015: British Medical Bulletin
Piotr Król, Andrzej Franek, Jacek Durmała, Edward Błaszczak, Krzysztof Ficek, Barbara Król, Ewa Detko, Bartosz Wnuk, Lidia Białek, Jakub Taradaj
The purpose of this article was to evaluate and compare the efficacy of radial and focused shock wave therapies applied to treat tennis elbow. Patients with tennis elbow were randomized into two comparative groups: focused shock wave therapy (FSWT; n=25) and radial shock wave therapy (RSWT; n=25). Subjects in the FSWT and RSWT groups were applied with a focused shock wave (3 sessions, 2000 shocks, 4 Hz, 0.2 mJ/mm(2)) and a radial shock wave (3 sessions, 2000 + 2000 shocks, 8 Hz, 2.5 bar), respectively. The primary study endpoints were pain relief and functional improvement (muscle strength) one week after therapy...
September 29, 2015: Journal of Human Kinetics
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