Effects Of Radial Shock Wave Therapy Research Articles

The Effect of Radial Shock Wave Therapy and Laser Therapy on Pain in Myalgia Pain Low Back at EMC Hospital, Cikarang in 2022

Low Back Pain (LBP) is a leading cause of disability worldwide, which places a significant economic burden on the healthcare system. Nonspecific low back pain Low back pain (LBP) is defined as low back pain that is not caused by a recognized and recognized specific pathology. Low back pain does not cause death, but causes individuals who experience it to become unproductive so that it will cause a very large economic burden for individuals, families, communities, and governments. Promising physiotherapy measures for the treatment of LBP myalgia are extracorporeal shock wave therapy and laser. The purpose of this study was to determine the effect of radial shock wave therapy and laser therapy on pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022. This research method was experimental with a quasi-experimental approach, namely research by conducting experiments to determine the symptoms or effects that arise. as a result of a certain treatment or experiment with a one group pretest posttest design, with the aim of knowing the effect of radial shockwave therapy and laser therapy on pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022. The number of samples from this study was 12 people. who is an employee of EMC Cikarang Hospital in 2022 with complaints of LBP myalgia. Respondents will be measured the value of pain using Verval Analogue Scale (VAS) before and after being given radial shockwave therapy and laser therapy. The test used to analyze the data is the Wilcoxon test. The results of data analysis using the Wilcoxon test obtained a significance value (p-value) of 0.001 which is smaller than 0.05 (p<0.05), which means that there is a difference in the value of pain before and after giving radial shock wave therapy and laser therapy to pain in patients. low back pain myalgia. The conclusion is that there is an effect of giving radial shock wave therapy and laser therapy to reducing pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022

Combined Effects of Shock Wave Therapy and Muscle Energy Technique on Active Trigger Points of the Upper Trapezius Muscle

Objective: We investigated the combined effect of Radial Shockwave Therapy (RSWT) and muscle energy technique (MET) on pain, range of motion (ROM), and neck function in people with active trigger points (ATrPs) of the upper trapezius muscle. Materials & Methods: Fifty-four participants with ATrPs of the upper trapezius muscle were randomly divided into three groups. Group A (n=18) received only MET, group B (n=18) received only RSWT, and group C (n=18) received both RSWT and RSWT. Pain intensity using the Visual Analog Scale (VAS), pressure pain threshold (PPT), neck function using the Neck Disability Index (NDI) questionnaire, and lateral-flexion range of movement (LF ROM) were measured before and after the intervention. The participants were treated for three sessions in one week with at least two days of rest between sessions. Results: All three intervention groups showed pain reduction (p<0.001), an increase in PPT (p<0.001), counter-lateral flexion (CLF) (p<0.001), and also improvement in neck function (p<0.001). The combined group showed a more obvious improvement than the other two groups in PPT (p<0.001). There was no difference between the three groups in terms of VAS and NDI scores and CLF (p>0.05). Conclusion: The results of this study showed that all three interventions used in the upper trapezius trigger points therapy were effective; however, the combined group showed a significant difference in PPT. Therefore, combined therapy is superior to MET and RSWT alone in improving pressure pain relief in individuals with upper trapezius trigger points.

Effect of Radial Shockwave Therapy on Spine Mobility

Background and Objective: low back pain has a huge impact on the patient's quality of life and imposes an economic burden on healthcare systems. New possibilities for low back pain treatment have opened up with the implementation of shockwave therapy. The aim of the study was to evaluate the effect of radial shockwave therapy on the lumbar spine mobility. Methods: a randomized controlled trial was conducted in 75 patients with chronic nonspecific low back pain complaints. Patients were randomized into two groups, depending on their treatment methods. Group I (n=36) received complex treatment with massage and exercise. Group II (n=39) received complex treatment with radial SWT, therapeutic exercise and massage. Flexion and lateroflexion of the lumbar spine were assessed during the study. Results: according to the data obtained, patients in both groups showed a positive trend by the end of the study in all measurements (p<0,05). Pairwise comparison of the results of groups I and II at each stage of the assessment revealed no statistically significant difference (p>0,05). Conclusion: shockwave therapy does not improve spine mobility in patients with chronic nonspecific low back pain. Keywords: low back pain, shockwave therapy, spine mobility

Clinical Assessment and Pedobarographic Analysis after Radial Shock Wave Therapy of Ankle Plantar Flexor Spasticity in Stroke

Objective: Radial shock wave therapy (RSWT) has increasingly been utilized in the treatment of spasticity recently. The purpose of the current study is to assess the effectiveness of RSWT in the treatment of ankle plantar flexor muscles spasticity of stroke patients by pedobarography and clinical evaluation.
 Materials and Methods: A total of 23 stroke patients were enrolled into the study. Patients received an initial sham treatment of RSWT, followed by three separate interventional sessions received one week apart. Treatment success was assessed using the Modified Ashworth Scale (MAS), ankle passive range of motion (pROM) measurement and pedobarography.
 Results and Discussion: No significant change was observed in clinical and pedobarographic values following sham RSWT. In the intervention group, however, MAS decreased from3.34±0.7 to 2.39±0.89 after a single RSWT session and to 2.04±0.92 first week and to 2.52±0.89 fourth week after three RSWT sessions. As a result of the study, heel peak pressure and total plantar contact area were improved. In particular, three RSWT sessions were more effective than single RSWT session.
 Conclusions: We observed a significant improvement in plantar flexor spasticity in stroke patients after both a single and three RSWT sessions and this improvement persisted during the four-week study period.
 Bangladesh Journal of Medical Science Vol.20(3) 2021 p.586-593

Effectiveness of Radial Shockwave Therapy in Calcific and Non-Calcific Tendinopathy of the Shoulder: a Systematic Review and Meta-Analysis

Effectiveness of Radial Shockwave Therapy in Calcific and Non-Calcific Tendinopathy of the Shoulder: a Systematic Review and Meta-Analysis

Comparison of radial shockwave and dry needling therapies in the treatment of myofascial pain syndrome

Background/Aims Myofascial pain syndrome is a frequent problem in the musculoskeletal system. As a method of treatment for myofascial pain syndrome, dry needling therapy is an effective and convenient treatment for patients because they do not need to be treated every day. However, as patients often have post-needle soreness or some patients are afraid of needles, there are limitations to this treatment. The purpose of this study is to compare the effectiveness of radial shockwave therapy with dry needling therapy to treat myofascial pain. Methods A total of 42 patients attending the rehabilitation department with at least one myofascial pain trigger point in their upper back muscles, were randomly assigned to receive radial shockwave therapy or dry needling therapy. Treatment was performed once a week for 3 weeks in both groups. Participants' pain pressure threshold, measured using an algometer, and pain levels, measured using a numeric pain scale, were assessed before the designated treatment was applied each week. Each patient also performed upper trapezius, rhomboid and infraspinatus muscle stretches twice a day throughout the study period. Results There was no difference in pain pressure threshold at the three trigger points before treatment with the different modalities commenced. At the end of the study, the radial shockwave therapy group had a significant improvement in trapezius pain pressure threshold, increasing from 11.7 at baseline to 14.8 at the end of study. There was no significant between-group difference in pain level (P=3.4 vs P=2.6) at the end of the study. Both treatments significantly reduced pain levels: from 7.2 to 3.4 in the radial shockwave group (P<0.001) and from 6.8 to 2.6 in the dry needling therapy group (P<0.001). Conclusions Dry needling and radial shock wave therapies are effective in reducing myofascial pain syndrome originating in the upper back muscles. Participants' pain pressure threshold increased after 3 weeks of treatment with both therapies. Radial shock therapy can be used as an alternative to dry needling in the treatment of myofascial pain syndrome in patients who have trouble attending daily physical therapy or in whom dry needling therapy is contraindicated.

Effects of Radial Shockwave Therapy and Orthotics Applied with Physical Training on Motor Function of Children with Spastic Diplegia: A Randomized Trial

Aims: To explore the effects of radial shockwave therapy (rSWT) combined with standard orthotic management (SOM) on spasticity, functional balance, and gait in children with spastic diplegia. Methods: Sixty children with diplegia were allocated to group I (rSWT, n = 20), group II (SOM, n = 20), or group III (rSWT + SOM, n = 20). All groups received a physical training program 3 times/week for 3 months. Assessments were completed before and immediately after the intervention and included the Hoffman reflex/Myogenic response ratio of the soleus muscle (H/M ratio), balance, and gait. Results: At a significance criterion adjusted to p ˂ .006, there were no between-group differences in balance or gait (p > .006). The rSWT + SOM group had a greater improvement of H/M ratio compared to rSWT alone (p = .001) but not to SOM alone (p = .04). Within-group analysis demonstrated significant improvement of all variables for rSWT + SOM (p ˂ .006). The H/M ratio and knee midstance angle exhibited clinically meaningful improvement for rSWT alone (p ˂ .006). No significant changes were observed in any variable for SOM alone (p > .006). Conclusions: Radial shockwave and orthotics together, or either of them along with physical training did not differ in improving balance or gait. Their combination was more effective than rSWT alone in reducing spasticity.

The TOPSHOCK study: Effectiveness of radial shockwave therapy compared to focused shockwave therapy for treating patellar tendinopathy - design of a randomised controlled trial

BackgroundPatellar 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. Studies that investigate the effectiveness of radial shockwave therapy as treatment for patellar tendinopathy are scarce. Therefore the aim of this study is to compare the effectiveness of focussed shockwave therapy and radial shockwave therapy as treatments for patellar tendinopathy.Methods/designThe TOPSHOCK study (Tendinopathy Of Patella SHOCKwave) is a two-armed randomised controlled trial in which the effectiveness of focussed shockwave therapy and radial shockwave therapy are directly compared. Outcome assessors and patients are blinded as to which treatment is given. Patients undergo three sessions of either focused shockwave therapy or radial shockwave therapy at 1-week intervals, both in combination with eccentric decline squat training. Follow-up measurements are scheduled just before treatments 2 and 3, and 1, 4, 7 and 12 weeks after the final treatment. The main outcome measure is the Dutch VISA-P questionnaire, which asks for pain, function and sports participation in subjects with patellar tendinopathy. Secondary outcome measures are pain determined with a VAS during ADL, sports and decline squats, rating of subjective improvement and overall satisfaction with the treatment. Patients will also record their sports activities, pain during and after these activities, and concurrent medical treatment on a weekly basis in a web-based diary. Results will be analysed according to the intention-to-treat principle.DiscussionThe TOPSHOCK study is the first randomised controlled trial that directly compares the effectiveness of focused shockwave therapy and radial shockwave therapy, both in combination with eccentric decline squat training, for treating patellar tendinopathy.Trial registrationTrial registration number NTR2774.

Effects of radial shockwave therapy on the limb function of dogs with hip osteoarthritis

The objective of this study was to evaluate the effects of extracorporeal radial shock wave therapy on the hindlimb function of dogs suffering from hip osteoarthritis. Twenty-four client-owned dogs with hip osteoarthritis were investigated; 18 of them received radial shockwave therapy and six were left untreated as controls. Force plate analysis on a treadmill was used to assess the dogs' hindlimb function before treatment and four weeks after the last treatment, and the treated dogs were re-evaluated three and six months after the treatment. The parameters chosen for evaluation were peak vertical force and vertical impulse, and the calculated symmetry indices. In the treated dogs, differences between the ground reaction forces exerted by the right and left hindlegs disappeared four weeks after the treatment, whereas in the control dogs only the peak vertical force distribution changed significantly. The significant improvement in the treated dogs was confirmed by changes in the symmetry indices. Significant improvements in vertical impulse and peak vertical force were observed three months after the treatment.