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Radial shockwave therapy

Yi-Cheng Wu, Wen-Chung Tsai, Yu-Kung Tu, Tung-Yang Yu
OBJECTIVE: To investigate the effectiveness of various non-operative treatments for chronic calcific tendinitis of the shoulder. A systematic review and network meta-analysis of randomized trials was performed to evaluate changes in pain reduction, functional improvements in patients with calcific tendinitis, and the ratio of complete resolution of calcific deposition. DATA SOURCES: Studies were comprehensively searched, without language restrictions on PubMed, Embase, Cochrane Controlled Trials Register, the Cochrane and other databases...
April 8, 2017: Archives of Physical Medicine and Rehabilitation
Nikos Malliaropoulos, Rosanna Jury, Debasish Pyne, Nat Padhiar, Jennifer Turner, Vasileios Korakakis, Maria Meke, Heinz Lohrer
INTRODUCTION: Stenosing tenosynovitis that is characterized by the inability to flex the digit smoothly, usually leads to prolonged rehabilitation or surgery. STUDY DESIGN: This case series is a retrospective cohort study. PURPOSE: The aim of this case series was to evaluate the effectiveness of radial extracorporeal shockwave therapy (rESWT) for the treatment of stenosing tenosynovitis of the digital flexor tendon (trigger digit). METHODS: A retrospective analysis of 44 patients (49 fingers) treated with an individually adapted rESWT protocol was conducted...
2016: Open Access Journal of Sports Medicine
Paul A Barratt, Nathan Brookes, Annalisa Newson
BACKGROUND: Greater trochanteric pain syndrome (GTPS) can have a significant effect on quality of life. AIM: To evaluate the conservative treatments for GTPS. DESIGN: This systematic review assessed risk of bias using the Cochrane Risk of Bias Tool and Cochrane Risk of Bias Tool for non-randomised studies of interventions. DATA SOURCES: On 13 January 2016, a comprehensive search was conducted, with no limit on year of publication for relevant studies in the MEDLINE, CINAHL, AMED and EMBASE databases...
January 2017: British Journal of Sports Medicine
Johannes Zwerver, Charlotte Waugh, Henk van der Worp, Alex Scott
Shockwave treatments are commonly used in the management of tendon injuries and there is increasing evidence for its clinical effectiveness. There is a paucity of fundamental (in vivo) studies investigating the biological action of shockwave therapy. Destruction of calcifications, pain relief and mechanotransduction-initiated tissue regeneration and remodeling of the tendon are considered to be the most important working mechanisms. The heterogeneity of systems (focussed shockwave therapy vs. radial pressurewave therapy), treatment protocols and study populations, and the fact that there seem to be responders and non-responders, continue to make it difficult to give firm recommendations with regard to the most optimal shockwave therapy approach...
2016: Advances in Experimental Medicine and Biology
Tsung-Hsun Yang, Lin-Yi Wang, Yu-Chi Huang, Yiu-Chung Lau
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Matthew J Page, Sally Green, Brodwen McBain, Stephen J Surace, Jessica Deitch, Nicolette Lyttle, Marshall A Mrocki, Rachelle Buchbinder
BACKGROUND: Management of rotator cuff disease often includes manual therapy and exercise, usually delivered together as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain'. OBJECTIVES: To synthesise available evidence regarding the benefits and harms of manual therapy and exercise, alone or in combination, for the treatment of people with rotator cuff disease...
June 10, 2016: Cochrane Database of Systematic Reviews
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
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 2017: Disability and Rehabilitation
Kristoffer Weckström, Johan Söderström
BACKGROUND: Although different conservative treatment options have been proposed, there is a paucity of research on the management of iliotibial band syndrome (ITBS) in runners. OBJECTIVE: To compare two treatment protocols for ITBS; radial shockwave therapy (RSWT) and manual therapy (ManT). Both therapies were administered concurrently with an exercise rehabilitation programme. METHODS: The study was designed as a randomised controlled clinical trial...
2016: Journal of Back and Musculoskeletal Rehabilitation
Marcus Vinicius Grecco, Guilherme Carlos Brech, Júlia Maria D'Andrea Greve
OBJECTIVE: To compare radial shockwave treatment with conventional physiotherapy for plantar fasciitis after 12 months of follow-up. METHOD: This was a randomized, prospective, comparative clinical study. Forty patients with a diagnosis of plantar fasciitis were divided randomly into two treatment groups: group 1, with 20 patients who underwent ten physiotherapy sessions comprising ultrasound, kinesiotherapy and guidance for home-based stretching; and group 2, with 20 patients who underwent three applications of radial shockwaves, once a week, and guidance for home-based stretching...
2013: Clinics
Cathy Speed
BACKGROUND: 'Shock wave' therapies are now extensively used in the treatment of musculoskeletal injuries. This systematic review summarises the evidence base for the use of these modalities. METHODS: A thorough search of the literature was performed to identify studies of adequate quality to assess the evidence base for shockwave therapies on pain in specific soft tissue injuries. Both focused extracorporeal shockwave therapy (F-ESWT) and radial pulse therapy (RPT) were examined...
November 2014: British Journal of Sports Medicine
Elena M Ilieva
UNLABELLED: The vast majority of published papers on the efficacy of extracorporeal shockwave therapy (ESWT) have come up with rather controversial results in patients with plantar fasciitis. The AIM of the present study was to investigate the effect of radial shock wave therapy in patients with chronic proximal plantar fasciitis. MATERIAL AND METHODS: Twenty-one patients were included in the study (mean age 51.29 +/- 2.02 yrs, mean duration of symptoms 10.14 +/- 1...
January 2013: Folia Medica
H van der Worp, J Zwerver, M Hamstra, I van den Akker-Scheek, R L Diercks
PURPOSE: The aim of the study was to compare the effectiveness of focused shockwave therapy (FSWT) and radial shockwave therapy (RSWT) for treating patellar tendinopathy. METHODS: Patients were randomized into two groups. One group received three sessions of FSWT, and the other group received three sessions of RSWT. Both groups also received an eccentric training programme. Follow-up measurements took place 1, 4, 7 and 14 weeks after the final shockwave treatment...
September 2014: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Elena M Ilieva, Roumen M Minchev, Nedyalka S Petrova
INTRODUCTION: Lateral epicondylitis, or "tennis elbow", is a relatively common disorder. Various therapeutic modalities have been tried in an attempt to manage the disorder but neither the conservative methods nor the surgical options have proved to be beneficial so far. During the past decade in the USA and European countries and the past several years in Bulgaria, the shock wave therapy (focused and radial) has been introduced as a method of choice in the treatment of chronic tendynopathies...
July 2012: Folia Medica
Henk van der Worp, Inge van den Akker-Scheek, Hans van Schie, Johannes Zwerver
PURPOSE: The general consensus that tendinopathy, at least in the chronic stage, is mainly a degenerative condition and inflammation plays a minor role has led to a shift from treatments that target inflammation towards treatment options that promote regeneration. One of these treatments is extracorporeal shockwave therapy (ESWT), a physical therapy modality that uses pressure waves to treat tendinopathy. This review was undertaken to give an overview of the literature concerning this treatment, and special attention is given to the differences between focused and radial ESWT...
June 2013: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
M Gleitz, K Hornig
The 70-year-old trigger point theory has experienced a growing scientific confirmation and clinical significance as a consequence of recent muscle pain research. The trigger point pain formation is caused by high levels of vasoneuroactive substances. Depending on intensity and duration of the muscle stimulus the central pain processing is modified and leads to characteristic referred pain patterns. The most effective conventional forms of treatment are aimed at a direct mechanical manipulation of the trigger point as are new forms of therapy with focused and radial shockwaves...
February 2012: Der Orthopäde
Henk van der Worp, Johannes Zwerver, Inge van den Akker-Scheek, Ron L Diercks
BACKGROUND: Patellar tendinopathy is a chronic overuse injury of the patellar tendon that is especially prevalent in people who are involved in jumping activities. Extracorporeal Shockwave Therapy is a relatively new treatment modality for tendinopathies. It seems to be a safe and promising part of the rehabilitation program for patellar tendinopathy. Extracorporeal Shockwave Therapy originally used focused shockwaves. Several years ago a new kind of shockwave therapy was introduced: radial shockwave therapy...
October 11, 2011: BMC Musculoskeletal Disorders
Kaia Engebretsen, Margreth Grotle, Erik Bautz-Holter, Ole Marius Ekeberg, Jens Ivar Brox
BACKGROUND: Shoulder pain is a common complaint in primary health care and has an unfavourable outcome in many patients. The objectives were to identify predictors for pain and disability (SPADI) and work status in patients with subacromial shoulder pain. METHODS: Secondary analyses of data from a randomized clinical controlled trial were performed. Outcome measures were the absolute values of the combined Shoulder Pain and Disability Index (SPADI) and work status 1 year after treatment with supervised exercises (SE) or radial extracorporeal shockwave therapy (rESWT)...
September 23, 2010: BMC Musculoskeletal Disorders
Stephen L Barrett, Matthew M Reese, John Tassone, Maria Buitrago
Medial calcaneal nerve entrapment is a well-recognized cause of heel pain. In addition, the development of an amputation neuroma of the medial calcaneal nerve from prior heel surgery via an open incision on the medial aspect of the heel is a serious common postoperative complication and can be extremely difficult to treat. This preliminary pilot study demonstrates that the use of low-energy extracorporeal shockwave is safe and efficacious in the treatment of this disorder without the morbidity associated with denervation surgery, which would be one of the most common methods to treat this complicated situation...
August 2008: Foot & Ankle Specialist
Kaia Engebretsen, Margreth Grotle, Erik Bautz-Holter, Leiv Sandvik, Niels G Juel, Ole Marius Ekeberg, Jens Ivar Brox
OBJECTIVE: To compare the effectiveness of radial extracorporeal shockwave treatment with that of supervised exercises in patients with shoulder pain. DESIGN: Single blind randomised study. SETTING: Outpatient clinic of physical medicine and rehabilitation department in Oslo, Norway. PARTICIPANTS: 104 patients with subacromial shoulder pain lasting at least three months. INTERVENTIONS: Radial extracorporeal shockwave treatment: one session weekly for four to six weeks...
September 15, 2009: BMJ: British Medical Journal
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