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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS
A Journal on Applied Physiology, Biomechanics, Preventive Medicine,
Sports Medicine and Traumatology, Sports Psychology
Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111
The Journal of Sports Medicine and Physical Fitness 2000 December;40(4):356-61
The application of shock-waves therapy in the treatment of resistant chronic painful shoulder. A clinical experience
Pigozzi F. 1, Giombini A. 1, Parisi A. 1, Casciello G. 2, Di Salvo V. 1, Santori N. 3, Mariani P. P. 1
1 University Institute of Motor Sciences, Rome, Italy;
2 Post-Graduate School in Sports Medicine, University of Rome “La Sapienza”, Rome, Italy;
3 Department of Orthopaedics, “Villa S. Pietro” Hospital, Rome, Italy
Background. To evaluate the efficacy of extracorporeal shock-waves therapy (ESWT) in patients with chronic painful shoulder.
Methods. Experimental design: a prospective design was used with a short term follow-up. Setting: data were collected at the Service of Physioterapy in Villa Stuart Clinic-Rome. Patients: 72 patients of both sexes with an average age of 38 years (range 18 to 69) affected by chronic painful shoulder, whose symptoms lasted more than 6 months. Interventions: all patients received on average, 2000 impulses of ESWT at level 5 energy (0.21 mJ/mm2) according to Dornier Epos equipment one session per week for 8 weeks. Measures: all cases underwent an instrumental examination with X-ray conventional imaging and clinical assessment of pain (visual analogue scale) and functional limitation of the shoulder, two weeks before the treatment and at one month follow-up.
Results. 53% of patient scored excellent results, 14% good, 13% fair and 20% poor. In the group of calcifying tendinitis we had a reduction in 37% and no changes in 63%.
Conclusions. Even with a limited number of cases our early results show the efficacy and safety of ESWT in the treatment of chronic painful shoulder resistant to other conservative approaches.