Shortwave Diathermy Research Articles

ANALISA TIMER ALAT SHORTHWAVE DIATHERMY MEREK BTL 6000

Shortwave Diathermy BTL 6000 is a therapy device that emits short waves that are used to warm up deep tissues and blood vessels. Shortwave Diathermy utilizes a certain frequency as a heat generator which is channeled into the patient's body tissues through electrodes and how does the time of therapy affect the heat of the body being treated. Research on Timer Analysis of the BTL 6000 Brand Shortwave Diathermy Tool was carried out using 3 time trials, then the timing was compared to the measuring instrument used, namely a stopwatch. The time settings used include 10 minutes, 20 minutes and 30 minutes. The BTL 6000 Brand Shortwave Diathermy Tool worked well, the device's Timer setting system worked well, and the stopwatch was used as a comparison tool for timer measurements. Timer setting with a time of 10 Minutes, there is a time difference of 12 seconds faster than the stopwatch, Frequency mode with output power of 50 Watt, frequency 300 Hz and Effect Power 6.0 Watt. , Continuous Mode with 20 Watt output power, and 20 Watt Effect Power, While on the timer setting with a time of 30 minutes, there is a difference in time of 9 seconds longer than the stopwatch, Continuous Mode with 20 Watt power output, and Effect Power 20 Watt, In this mode Continuous, the output of the tool has the same output, with output power = 20 Watts, medium effect Power = 20 Watts too.

Management of Conditions Associated With Aging and Older Adults Using Therapeutic Electromagnetic Energy

Objective: To assess the effectiveness of therapeutic electromagnetic energy in the management of conditions associated with an aging and older adult population. Methods: A systematic review of literature from 2008 to 2018 was completed in PubMed, CINAHL, and Science Direct. We also reviewed sources to identify additional relevant studies. Studies in this review were limited to randomized controlled trials that evaluated the effects of shortwave diathermy or pulsed electromagnetic energy units in treating conditions commonly experienced by adults older than 50 years. Study quality was determined using the Physiotherapy Evidence Database (PEDro) classification scale. Results: Fifteen randomized controlled trials met our search criteria. Multiple pathologies were evaluated with the studies examining treatment effects of knee osteoarthritis (n = 12), frozen shoulder (n = 1), postoperative rotator cuff repair (n = 1), and postmenopausal osteoporosis (n = 1). Of the 12 studies that examined knee osteoarthritis, 2 compared pulsed electromagnetic field to placebo or sham, 2 compared the addition of shortwave diathermy to strengthening activities alone, 3 evaluated shortwave diathermy dosage, 3 compared shortwave diathermy to other modalities, and 2 reviewed the benefits of adding pulsed electromagnetic field to other modalities and exercise. Due to the high degree of variability in protocols and outcome measures among studies, meta-analysis was not appropriate. Studies on knee osteoarthritis reported that the use of pulsed electromagnetic field and shortwave diathermy provides statistically significant improvement in pain and function compared with placebo, sham, or control, although there appears to be no benefit in using either form of electromagnetic radiation in addition to or in place of another modality. It also appears that dosage does not significantly change short-term outcomes. These findings are similar to those identified in other recently published systematic reviews that focused exclusively on knee osteoarthritis. Subjects with shoulder pathologies showed improvements in pain, mobility (range of motion), function, activities of daily living, and pain medication usage with pulsed electromagnetic field or shortwave diathermy. Changes in postmenopausal bone density were similar when pulsed electromagnetic field was compared with medication. Conclusion: Shortwave diathermy and pulsed electromagnetic frequency demonstrate similar clinical benefits as other modalities for improving pain, function, and quality of life in the short-term. Further research is needed to better evaluate the parameters of electromagnetic energy and effects for other conditions commonly affecting aging and older adults and at other treatment sites on the body.

PENATALAKSANAAN FISIOTERAPI KONDISI FROZEN SHOULDER e.c TENDINITIS MUSCLE ROTATOR CUFF DENGAN MODALITAS SHORT WAVE DIATHERMY, ACTIVE RESISTED EXERCISE DAN CODMAN PENDULAR EXERCISE

<p><strong>Background: </strong>Frozen shoulder is a pain in shoulders which conduces limitedness of shoulder joint motion. Tendinitis in M.Rotator Cuff, is an inflammation occured in muscle tendons fused in Rotator Cuff. Physiotherapy problematics of Frozen Shoulder are the existence of pain, the limitedness of joint motion, the decline of muscle strength, and the interference of functional activity. Physiotherapy examination includes examining pain with Verbal Descriptive Scale (VDS), examination of Limited Range Of Motion with Goneometer, examination of muscle strength with Manual Muscle Testing (MMT), and inspection of daily functional activities with the Shoulder Pain And Disability Index (SPADI) index. In this case, the chosen technology to resolve these problems are by using the modality of Short Wave Diathermy (SWD), Active Resisted Exercise and Codman Pendular Exercise.</p><p><strong>Objective: </strong>To know the effect of Physiotherapy Management Frozen Shoulder e.c Tendinitis Muscle Rotator Cuff conditions with Short Wave Diathermy (SWD), Active Resisted Exercise and Codman Pendular Exercise.</p><p><strong>Methods: </strong>This research was done in RSUD Kraton Pekalongan with analytic descriptive research design. Research subject in this Scientific Writing was a patient with Frozen Shoulder condition e.c. Tendinitis M.Rotator Cuff who was given physiotherapy interventions with the modality of Short Wave Diathermy (SWD), Active Resisted Exercise and Codman Pendular Exercise. Method of data collection and data analysis of this research were by using Autoanamnesis method. Research instruments consisted of the examination of pain, joint motion, muscle strength, and potentiality of functional activity.</p><p><strong>Result:</strong> After four times in therapy, the researcher got four result. They are there was a decline of force pain in T3 = 3 and motion pain in T2 = 2, there was an enhancement of joint motion in T3 and T4 in flexion movement, abduction, exorotation and endorotation of the left shoulder to active and passive movement, there was an enhancement of muscle strength in T3 = Muscle group exorotator and endorotator, and there was an enhancement of functional activity in T3.</p><p><strong>Conclution:</strong> a physiotherapy intervention with device modality and therapeutic exercise modality of can help reduce the problems arising on the conditions of Frozen Shoulder.</p><strong>Keywords :</strong> <em>Frozen Shoulder e.c Tendinitis M.Rotator Cuff, Short Wave Diathermy (SWD), Active </em><em>Resisted Exercise and Codman Pendular Exercise, Autoanamnesis Method, Indeks SPADI (Shoulder Pain And Disability Index)</em>

Comparative Study of Short Wave Diathermy and Therapeutic Exercise on Pain and Physical Functioning of Patients with Osteoarthritis Knee

Comparative Study of Short Wave Diathermy and Therapeutic Exercise on Pain and Physical Functioning of Patients with Osteoarthritis Knee

The Difference Between Old and New Intervention Effect to Decrease Pain on Frozen Shoulder

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Repeated exposure to heat stress induces mitochondrial adaptation in human skeletal muscle.

The heat stress response is associated with several beneficial adaptations that promote cell health and survival. Specifically, in vitro and animal investigations suggest that repeated exposures to a mild heat stress (~40°C) elicit positive mitochondrial adaptations in skeletal muscle comparable to those observed with exercise. To assess whether such adaptations translate to human skeletal muscle, we produced local, deep tissue heating of the vastus lateralis via pulsed shortwave diathermy in 20 men and women ( n = 10 men; n = 10 women). Diathermy increased muscle temperature by 3.9°C within 30 min of application. Immediately following a single 2-h heating session, we observed increased phosphorylation of AMP-activated protein kinase and ERK1/2 but not of p38 MAPK or JNK. Following repeated heat exposures (2 h daily for 6 consecutive days), we observed a significant cellular heat stress response, as heat shock protein 70 and 90 increased 45% and 38%, respectively. In addition, peroxisome proliferator-activated receptor gamma, coactivator-1 alpha and mitochondrial electron transport protein complexes I and V expression were increased after heating. These increases were accompanied by augmentation of maximal coupled and uncoupled respiratory capacity, measured via high-resolution respirometry. Our data provide the first evidence that mitochondrial adaptation can be elicited in human skeletal muscle in response to repeated exposures to mild heat stress. NEW & NOTEWORTHY Heat stress has been shown to elicit mitochondrial adaptations in cell culture and animal research. We used pulsed shortwave diathermy to produce deep tissue heating and explore whether beneficial mitochondrial adaptations would translate to human skeletal muscle in vivo. We report, for the first time, positive mitochondrial adaptations in human skeletal muscle following recurrent heat stress. The results of this study have clinical implications for many conditions characterized by diminished skeletal muscle mitochondrial function.

Effect of unloading traction in patients with knee osteoarthritis

Knee osteoarthritis (OA) is the most common form of disability in comparatively elderly patient. Different modalities in physiotherapy have been shown to help improve clinical symptoms and functions of knee OA, unloading knee traction is among those non-invasive therapies which can be applied as an adjunct to pharmacotherapy to treat osteoarthritis the patients with OA knee. To evaluate the effectiveness of unloading traction on patients with knee osteoarthritis. A randomized prospective study was carried out in the department of Physical medicine & rehabilitation, Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2010 to June 2010. Patients with OA knee by American College of Rheumatology Criteria were selected. Two intervention groups were compared. Group A (40 patients) in these group patients to be treated with NSAID + Short wave diathermy + activities of daily living. Patients of group B were given (40 patients) knee unloading traction along with above treatment. The change between six weeks post therapeutic and baseline Western Ontaro and Mc Master Universities (WOMAC) subscale and scores were calculated. Patients were followed up weekly for six weeks and in each visit, patients were assessed for pain, stiffness and physical function by WOMAC index. A total 80 patients with OA knee were included in this study. The mean age 49.72 ± 3.5 years. Male to female ratio 1.35:1. Comparison of mean pretreatment and 6th week posttreatment WOMAC physical function subscale score in group A (6.85 ± 0.92 vs. 2.15 ± 0.92) showed significant improvement and in group B (6.45 ± 1.13 vs. 1.15 ± 0.92) which also shows significant improvement more than group A. The result was compared and Student t -test was done to see the level of significance. Method was found significant after treatment ( P < 0.0001). Unloading knee traction in patients with OA knee is beneficial.

Acute Response to Skeletal Muscle Heating via Pulsed Short-wave Diathermy

Acute Response to Skeletal Muscle Heating via Pulsed Short-wave Diathermy

Effect of unloading traction in patients with knee osteoarthritis

Introduction/Background Knee osteoarthritis (OA) is the most common form of disability in comparatively elderly patient. Different modalities in physiotherapy have been shown to help improve clinical symptoms and functions of knee OA, unloading knee traction is among those non-invasive therapies which can be applied as an adjunct to pharmacotherapy to treat osteoarthritis the patients with OA knee. To evaluate the effectiveness of unloading traction on patients with knee osteoarthritis. Material and method A randomized prospective study was carried out in the department of Physical medicine & rehabilitation, Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2010 to June 2010. Patients with OA knee by American College of Rheumatology Criteria were selected. Two intervention groups were compared. Group A (40 patients) in these group patients to be treated with NSAID + Short wave diathermy + activities of daily living. Patients of group B were given (40 patients) knee unloading traction along with above treatment. The change between six weeks post therapeutic and baseline Western Ontaro and Mc Master Universities (WOMAC) subscale and scores were calculated. Patients were followed up weekly for six weeks and in each visit, patients were assessed for pain, stiffness and physical function by WOMAC index. Results A total 80 patients with OA knee were included in this study. The mean age 49.72 ± 3.5 years. Male to female ratio 1.35:1. Comparison of mean pretreatment and 6th week posttreatment WOMAC physical function subscale score in group A (6.85 ± 0.92 vs. 2.15 ± 0.92) showed significant improvement and in group B (6.45 ± 1.13 vs. 1.15 ± 0.92) which also shows significant improvement more than group A. The result was compared and Student t-test was done to see the level of significance. Method was found significant after treatment (P Conclusion Unloading knee traction in patients with OA knee is beneficial.

Therapeutic procedures in shoulder impingement syndrome (SIS) for professionally active people: randomized research

Objectives. Pain and limitation of motions in the glenohumeral joint are frequently the consequence of the shoulder impingement syndrome (SIS). Misdiagnosis or improper treatment of the illness may effect in a serious functional impairment of the upper limb. The treatment, dependent on the medical condition, involves: rest, NSAID therapy, physiotherapy as well as kinesitherapeutic procedures. The aim of the research was to conduct a detailed diagnosis of the shoulder impingement syndrome and the efficacy assessment of the matched rehabilitating procedures considering the symptoms.Material and methods. The research was conducted in 39 people aged 30 to 81 treated for SIS. 85% of the respondents were professionally active.In order to assess the efficacy of the therapy the following were carried out: the pain assessment test, functional tests (Neer’s, Ludington’s, Hawkins’, Apley’s, Job’s and the active painful arc test) as well as measurements of the active range of motion of the joint. The patients were subjected to two kinds of physiotherapy – ultrasound therapy (US) procedures and the short wave diathermy (SWD), both connected with procedures aiming at mobilization of the shoulder complex and off-load exercises. The outcome was submitted to statistic analysis. Results. The results obtained in both groups of patients were compared via the Mann-Whitney U test. No significant differences between the SWD and the US groups in the efficacy of the conducted procedures were observed. The data analysis within therapeutic groups revealed the existence of significant differences (p&lt;0,01) before and after the therapy, in the VAS and Laitinen scales as well as in the measurements of the range of motions. Conclusions. The outcome of both conducted therapies in both research groups included: decrease in pain, increase in the range of motions of the glenohumeral joint and improved function of the upper limb. Both procedures may be successfully employed in the treatment of SIS in professionally active people.

Effectiveness of Shortwave Diathermy for Subacromial Impingement Syndrome and Value of Night Pain for Patient Selection: A Double-Blinded, Randomized, Placebo-Controlled Trial.

The aim of this study was to investigate the effectiveness of short wave diathermy (SWD) in patients with subacromial impingement syndrome. In this double-blinded, randomized, placebo-controlled trial, 57 patients (aged 35-65 yrs) were classified into night pain positive (NP[+]) (n = 28) and night pain negative (NP[-]) (n = 29) groups. Both groups were randomly assigned to SWD (NP[+], n = 14; NP[-], n = 14) and sham (NP[+], n = 15; NP[-], n = 14) subgroups. Visual analog scale, Constant-Murley Scale (CS), and Shoulder Disability Questionnaire (SDQ) scores were used for evaluation. There was only a significant difference in pain with activity at 1-mo (mean difference [MD], -1.65; 95% confidence interval, -3.01 to -0.28]) and 2-mo evaluations (MD, -2.1; 95% confidence interval, -3.51 to -0.69) between SWD versus sham groups. In the NP(+) SWD group, the CS pain score was significantly higher than in the NP(+) sham group at all evaluations after treatment. At 1 mo, the NP(-) SWD group showed significantly better pain, strength, total CS, and SDQ scores than the NP(-) sham group. At 2 mos, the pain, range of motion, strength, and total CS and SDQ scores were better in the NP(-) SWD group than in the NP(-) sham group (P < 0.05). Short wave diathermy is more effective in subacromial impingement syndrome without NP.

The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low- and middle-income communities.

The purpose of this review was to develop recommendations for the management of spinal disorders in low-income communities, with a focus on non-invasive pharmacological and non-pharmacological therapies for non-specific low back and neck pain. We synthesized two evidence-based clinical practice guidelines for the management of low back and neck pain. Our recommendations considered benefits, harms, quality of evidence, and costs, with attention to feasibility in medically underserved areas and low- and middle-income countries. Clinicians should provide education and reassurance, advise patients to remain active, and provide information about self-care options. For acute low back and neck pain without serious pathology, primary conservative treatment options are exercise, manual therapy, superficial heat, and nonsteroidal anti-inflammatory drugs (NSAIDs). For patients with chronic low back and neck pain without serious pathology, primary treatment options are exercise, yoga, cognitive behavioral therapies, acupuncture, biofeedback, progressive relaxation, massage, manual therapy, interdisciplinary rehabilitation, NSAIDs, acetaminophen, and antidepressants. For patients with spinal pain with radiculopathy, clinicians may consider exercise, spinal manipulation, or NSAIDs; use of other interventions requires extrapolation from evidence regarding effectiveness for non-radicular spinal pain. Clinicians should not offer treatments that are not effective, including benzodiazepines, botulinum toxin injection, systemic corticosteroids, cervical collar, electrical muscle stimulation, short-wave diathermy, transcutaneous electrical nerve stimulation, and traction. Guidelines developed for high-income settings were adapted to inform a care pathway and model of care for medically underserved areas and low- and middle-income countries by considering factors such as costs and feasibility, in addition to benefits, harms, and the quality of underlying evidence. The selection of recommended conservative treatments must be finalized through discussion with the involved community and based on a biopsychosocial approach. Decision determinants for selecting recommended treatments include costs, availability of interventions, and cultural and patient preferences. These slides can be retrieved under Electronic Supplementary Material.

Thermal Therapy in Patients Suffering from Non-Specific Chronic Low Back Pain—A Systematic Review

Thermal therapy is frequently used as an adjunct to treatment in patients suffering from chronic low back pain. It is also an inherent part of patients’ self-administered pain treatment. This review aims to update the evidence for thermal therapy treatments in non-specific chronic low back pain patients and to rate the methodological quality of the corresponding clinical trials. Previous studies have reported contradictory evidence for the effectiveness of thermal therapy. An electronic search on MEDLINE (PubMed), PEDro, CENTRAL and CINHAL databases was conducted between May 2016 and February 2018. Clinical trials comparing local thermal therapy to conservative or no treatment were assessed for eligibility. Pain, physical function and global health were defined as outcome parameters. A total of n = 9 studies met the inclusion criteria. All of them applied an electrophysical agent as the thermal treatment: continuous ultrasound (n = 6), short-wave diathermy (n = 2), microwave diathermy (n = 1). Out of the n = 6 studies on ultrasound treatment, n = 2 reported significant within and between-group results for pain reduction after 4 to 6 weeks of treatment. Both short-wave diathermy studies demonstrated significant between-group results for pain reduction after 3 weeks of treatment. Contradictory results for all other observed outcome parameters were reported regardless of the intervention. Moreover, significant within-group results for the control groups questioned the effectiveness of the intervention treatments. Therefore, the effect of thermal therapy, (electrophysical agents), is not superior to any control treatment except for ultrasound treatment on short-term pain reduction.

Effectiveness of Shortwave Diathermy in Persons with Osteoarthritis of Knee Joint - an Experimental Study

Effectiveness of Shortwave Diathermy in Persons with Osteoarthritis of Knee Joint - an Experimental Study

Pulsed Shortwave Diathermy and Moist Heat Pack Application on Musculotendinous Stiffness and Hysteresis During Passive Ankle Motion

Pulsed Shortwave Diathermy and Moist Heat Pack Application on Musculotendinous Stiffness and Hysteresis During Passive Ankle Motion

Can Pulsed Shortwave Diathermy be Used Over Surgically-Implanted Metal?

Pulsed shortwave diathermy (PSWD) is an electrical-magnetic modality used for generating thermal effects in tissues. Contemporary practice recommendations indicate PSWD should not be used over tissues surrounding surgically-implanted metal. There is recent evidence to show PSWD is safe over metal implants except looped wires. This study investigated the thermal effects of PSWD over the upper humerus of a patient with a surgically-implanted rod in his humerus and found no posttreatment temperature differences between the rod and surrounding tissue. Based upon this exploratory Clinical CASE Report, PSWD does not heat up surgically-implanted metal when used at 100 watts total power.

Efeito agudo da crioterapia e diatermia na flexibilidade e força muscular de isquiotibiais

Objetivo: Verificar o efeito agudo da crioterapia e da diatermia por ondas curtas na flexibilidade e força muscular de isquiotibiais de adultas jovens.Materiais e Métodos: Quarenta e cinco voluntárias foram randomizadas em grupo controle, grupo crioterapia e grupo diatermia por ondas curtas. Os sujeitos foram submetidos a uma única aplicação de crioterapia ou diatermia por ondas curtas. Foram avaliadas, pré e pós intervenção, a flexibilidade através do banco de Wells e do ângulo de extensão ativa do joelho, e a força muscular através da dinamometria. As variáveis foram analisadas por meio do teste t de Student e ANOVA.Resultados: Verificou-se um aumento significativo da flexibilidade dos isquiotibiais, tanto através do banco de Wells (24,50±6,88 cm para 26,87±8,02 cm) (p=0,002), quanto na extensão ativa do joelho (162,60±7,76 graus para 165,53 ± 6,38 graus) (p=0,015) no grupo diatermia. O grupo crioterapia mostrou melhora da flexibilidade no banco de Wells (23,27±6,33 cm para 25,53±6,13 cm) (p=0,002). Não ocorreu aumento significativo da força muscular em nenhum dos grupos de intervenção. Não foi verificada diferença entre os grupos do estudo.Conclusão: Tanto a diatermia quanto a crioterapia melhoraram, de forma aguda, a flexibilidade dos isquiotibiais em mulheres adultas jovens e saudáveis. A termoterapia através da diatermia por ondas curtas mostrou-se mais efetiva nessa melhora. Ambos os recursos não alteraram a força muscular produzida pelos isquiotibiais.

A Case of Cervical Dystonia with Non Responsive To Usual Noninvasive Treatment

Cervical dystonia is a focal dystonia characterized by neck muscles contracting involuntarily-causing abnormal movement and awkward posture of the head and neck. A rare disorder can occur at any age even at infancy. Symptoms generally begin gradually and then reach a point where they don't get substantially worse. Asymmetry of the sternocleidomastoid (SCM) is often present in untreated patient. There is no cure for cervical dystonia. Injecting botulinum toxin into the affected muscles often reduces the signs and symptoms of cervical dystonia. In this case, it has been described a rare case of a forty seven year old male patient with a history of cervical dystonia presented with struggle with head position, resisting but never overcoming the tendency of his head to assume an unnatural position. The management including drugs like oral analgesic, muscle relaxant, anti-Parkinson drug &amp; even antipsychotic drug were used. Physiatric approach like different modalities of heat such as Short wave diathermy (SWD), Microwave diathermy (MWD) &amp; Ultra sound therapy (UST) were used. Brace like cervical collar and different type of exercise was also prescribed, even botulinum toxin injected into suspected muscles but all discussed above failed in this case.J Shaheed Suhrawardy Med Coll, June 2014, Vol.6(1); 44-46

Application of shortwave diathermy to lower limb increases arterial blood flow velocity and skin temperature in women: a randomized controlled trial

BackgroundShortwave diathermy (SWD) and microwave diathermy (MWD) are frequently used by physical therapists to treat musculoskeletal conditions. The therapeutic benefits are usually associated with an increase in tissue temperature; however, there is no consensus on the changes in blood flow. Objectives1) To evaluate the behavior of temperature and arterial blood flow after the application of SWD and MWD to the lower limb of healthy women aged 18–30 and 2) to assess whether changes in limb positioning can influence SWD response. MethodAmong the subjects analyzed, 40 women were eligible to participate in the trial and were randomly allocated to the SWD group or the MWD group. Each group received 20min of diathermy. After receiving the interventions, all patients crossed over to the other group, but the devices were detuned (sham). SWD was applied to the posterior compartment of the thigh and leg, with the knee in 0° and 90° of flexion, and the MWD applied to the posterior thigh. Skin temperature evaluation (digital infrared thermography) and assessment of blood flow velocity (Doppler ultrasound) were performed immediately before and 10 and 20min after the application. ResultsArterial blood flow increased after SWD diathermy (vs. Sham), but not after MWD diathermy. SWD promoted skin heating at the end of therapy in all areas analyzed, remaining above baseline even 20min after the end of the application. MWD diathermy promoted skin heating in the posterior thigh, reflecting a rise in the temperature of the popliteal fossa area that remained for 10min after the end of the application. ConclusionThe increase in arterial blood flow velocity depends on the size of the heating area, since it was only observed in the application of the SWD. However, after 20min of application, the position of the lower leg did not affect the heating.

Effect of Deep and Superficial Heating Combined with Self Static Calf Stretch Exercise among Adults with Heel Pain and Reduced Ankle Dorsiflexion-A Randomised Control Study

Background: The use of thermotherapy is been practised in the domain of physical therapy. Patients with heel pain which is caused by composite factors still prevalent so, usage of right modality for treating the pain, facilitating the muscle to stretch thereby increasing range of motion (ROM) for dorsiflexors is needed. This study was also done in perspective of reducing logistics and fiscal matters for both patients and therapists. Objective: To empirically prove whether short wave diathermy (SWD) or wax therapy increases dorsi flexion of the ankle joint and a significant reduce in heel pain. Methodology: A hundred samples whose ROM of dorsiflexion is less than or equal to 17 degrees was recruited for the study and divided into two equal groups randomly. Results: Effectiveness of Wax bath and SWD was tested separately and it gave a statistically significant improvement in ROM and decrease in pain. When the two interventions compared the group receiving SWD gained more ROM and self-perceived pain was less.