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Applying Focused and Radial Shock Wave for Calcific Tendinitis of the Shoulder : Randomized Controlled Study

  • Kim, Jonggun (Department of Physical Therapy, MyoungJang Oriental Hospital) ;
  • Oh, Changmin (Department of Physical Therapy, Guggadaepyo Hospital) ;
  • Yoo, John (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Yim, Jongeun (Department of Physical Therapy, Graduate School of Sahmyook University)
  • Received : 2022.09.22
  • Accepted : 2022.09.27
  • Published : 2022.09.30

Abstract

Objective: Extracorporeal shock wave therapy (ESWT) is a nonsurgical treatment alternative to surgery for various musculoskeletal diseases that have traditionally been difficult to treat conservatively, including calcific tendinitis, tennis elbow, and plantar fasciitis. This study evaluated the effect of focused and radial shock wave therapy for calcific tendinitis of the shoulder. Design: Randomized controlled study Methods: Forty participants with calcific tendinitis were randomized into focused shock wave therapy (FSWT, n=20) and radial shock wave therapy (RSWT, n=20) groups. Patients were examined before and one week after treatment. Pain intensity was subjectively assessed using the visual analogue scale and function was assessed using the Constant-Murley score (CMS) and range of motion (ROM). Results: The results showed a significant decrease in pain and significant increase in shoulder mobility and function in both groups. However, FSWT was significantly more effective than RSWT, based on CMS and ROM assessment. Conclusions: Although it is possible to raise the energy intensity of RSWT to increase the depth at which the energy becomes dispersed, higher energy intensity is associated with a greater risk of severe neurovascular damage, and that high-intensity stimulation can cause adverse effects such as pain and petechiae. Therefore, FSWT is considered to be a safe and effective method for treating tendinous lesions while minimizing adverse effects. In conclusion, both FSWT and RSWT can reduce pain and increase mobility and function. FSWT can be considered as an alternative for calcific tendinitis of the shoulder.

Keywords

Acknowledgement

This study was supported by Sahmyook University

References

  1. Bhatnagar A, Bhonsle S, Mehta S. Correlation between MRI and arthroscopy in diagnosis of shoulder pathology. Journal of clinical and diagnostic research: JCDR. 2016;10:RC18.
  2. Picavet H, Schouten J. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC 3-study. Pain. 2003;102:167-78. https://doi.org/10.1016/s0304-3959(02)00372-x
  3. Avancini-Dobrovic V, Frlan-Vrgoc L, Stamenkovic D, Pavlovic I, Schnurrer-Luke Vrbanic T. Radial extracorporeal shock wave therapy in the treatment of shoulder calcific tendinitis. Collegium antropologicum. 2011;35:221-5.
  4. Sansone VC, Meroni R, Boria P, Pisani S, Maiorano E. Are occupational repetitive movements of the upper arm associated with rotator cuff calcific tendinopathies? Rheumatology international. 2015;35:273-80. https://doi.org/10.1007/s00296-014-3086-z
  5. Green S, Buchbinder R, Glazier R, Forbes A. Interventions for shoulder pain (Cochrane Review). The Cochrane Library. 1999;1.
  6. Harniman E, Carette S, Kennedy C, Beaton D. Extracorporeal shock wave therapy for calcific and noncalcific tendonitis of the rotator cuff: a systematic review. Journal of Hand Therapy. 2004;17:132-51. https://doi.org/10.1197/j.jht.2004.02.003
  7. Chaussy C, Schmiedt E, Jocham D, Schuller J, Brandl H, Liedl B. Extracorporeal shock-wave lithotripsy (ESWL) for treatment of urolithiasis. Urology. 1984;23:59-66. https://doi.org/10.1016/0090-4295(84)90243-7
  8. Notarnicola A, Moretti B. The biological effects of extracorporeal shock wave therapy (eswt) on tendon tissue. Muscles, ligaments and tendons journal. 2012;2:33.
  9. Mittermayr R, Antonic V, Hartinger J, Kaufmann H, Redl H, Teot L, et al. Extracorporeal shock wave therapy (ESWT) for wound healing: technology, mechanisms, and clinical efficacy. Wound Repair and Regeneration. 2012;20:456-65.
  10. Kailash SS. Shock wave treatment in medicine. Journal of Biosciences. 2005;30:269-75. https://doi.org/10.1007/BF02703708
  11. Speed C. A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence. Br J Sports Med. 2014;48:1538-42. https://doi.org/10.1136/bjsports-2012-091961
  12. Haake M, Deike B, Thon A, Schmitt J. Exact focusing of extracorporeal shock wave therapy for calcifying tendinopathy. Clinical orthopaedics and related research. 2002;397:323-31. https://doi.org/10.1097/00003086-200204000-00037
  13. Hsu CJ, Wang DY, Tseng KF, Fong YC, Hsu HC, Jim YF. Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder. Journal of should- er and elbow surgery. 2008;17:55-9. https://doi.org/10.1016/j.jse.2007.03.023
  14. Lohrer H, Nauck T, Dorn-Lange NV, Scholl J, Vester JC. Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures. Foot & ankle international. 2010;31:1-9. https://doi.org/10.3113/FAI.2010.0001
  15. van der Worp H, van den Akker-Scheek I, Zwerver J. Diversiteit in extracorporele schokgolftherapie voor patellatendinopathie. Sport & Geneeskunde. 2011;44.
  16. Gallagher EJ, Bijur PE, Latimer C, Silver W. Reliability and validity of a visual analog scale for acute abdominal pain in the ED. The American journal of emergency medicine. 2002;20:287-90. https://doi.org/10.1053/ajem.2002.33778
  17. Wagner DR, Tatsugawa K, Parker D, Young TA. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High altitude medicine & biology. 2007;8:27-31. https://doi.org/10.1089/ham.2006.0814
  18. Hirschmann MT, Wind B, Amsler F, Gross T. Reliability of shoulder abduction strength measure for the Constant-Murley score. Clinical Orthopaedics and Related Research®. 2010;468:1565-71. https://doi.org/10.1007/s11999-009-1007-3
  19. Rocourt MH, Radlinger L, Kalberer F, Sanavi S, Schmid NS, Leunig M, et al. Evaluation of intratester and intertester reliability of the Constant-Murley shoulder assessment. Journal of shoulder and elbow surgery. 2008;17:364-9. https://doi.org/10.1016/j.jse.2007.06.024
  20. Surgeons AAoO, Heckman JD, Greene WD. The clinical measurement of joint motion: American Academy of Orthopaedic Surgeons; 1994.
  21. Brosseau L, Tousignant M, Budd J, Chartier N, Duciaume L, Plamondon S, et al. Intratester and intertester reliability and criterion validity of the parallelogram and universal goniometers for active knee flexion in healthy subjects. Physiotherapy Research International. 1997;2:150-66. https://doi.org/10.1002/pri.97
  22. Thielman G, Bonsall P. Rehabilitation of the upper extremity after stroke: a case series evaluating REO therapy and an auditory sensor feedback for trunk control. Stroke research and treatment. 2012;2012.
  23. Magosch P, Lichtenberg S, Habermeyer P, Ellenbogenchirurgie S-u. Radial shock wave therapy in calcifying tendinitis of the rotator cuff-a pro- spective study. Zeitschrift fur Orthopadie und ihre Grenzgebiete. 2003;141:629-36. https://doi.org/10.1055/s-2003-812407
  24. Eriks-Hoogland IE, de Groot S, Post MW, van der Woude LH. Passive shoulder range of motion impairment in spinal cord injury during and one year after rehabilitation. Journal of rehabilitation medicine. 2009;41:438-44. https://doi.org/10.2340/16501977-0355
  25. McClure PW, Flowers KR. Treatment of limited shoulder motion: a case study based on biomechanical considerations. Physical therapy. 1992;72:929-36. https://doi.org/10.1093/ptj/72.12.929
  26. Chen CY, Hu CC, Weng PW, Huang YM, Chiang CJ, Chen CH, et al. Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis. Journal of shoulder and elbow surgery. 2014;23:1843-51. https://doi.org/10.1016/j.jse.2014.08.010
  27. Hammer DS, Rupp S, Ensslin S, Kohn D, Seil R. Extracorporal shock wave therapy in patients with tennis elbow and painful heel. Archives of orthopaedic and trauma surgery. 2000;120:304-7. https://doi.org/10.1007/s004020050470