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The Journal of Sports Medicine and Physical Fitness 2000 December;40(4):356-61

Copyright © 2001 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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.

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