Radial shock-wave therapy for frozen shoulder patients with type 2 diabetes mellitus: a pilot trial comparing two different energy levels

Saldıran, Tülay Çevik; Yazgan, Pelin; Akgöl, Ahmet C; Mutluay, Fatma K

doi:10.23736/s1973-9087.22.07087-3

Cited by 6 publications

(5 citation statements)

References 43 publications

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“…In fact, there are many evaluating tools available to describe soft tissue tension or muscle tension with different theories, such as Myotonometr y[ 35 , 36 ], MyotonPR O[ 37 , 38 ], Shear Wave Elastograph y[ 39 , 40 ], and the STTAS in this study. All these tools can be used to evaluate and analyze the stiffness of soft tissue.…”

Section: Discussionmentioning

confidence: 99%

The immediate effect of cervical rotation-traction manipulation on cervical paravertebral soft tissue: a study using soft tissue tension cloud chart technology

Wang,

Jin,

Feng

et al. 2024

BMC Musculoskelet Disord

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Background To evaluate the reliability of the Soft Tissue Tension Cloud Chart (STTCC) technology, an original method combining multi-point Cervical Paravertebral Soft Tissue Test (CPSTT) with MATLAB software, we conducted a preliminary analysis on the immediate effects of Orthopaedic Manual Therapy (OMT) on cervical paravertebral soft tissue. Methods 30 patients with Cervical Spondylotic Radiculopathy (CSR) were included in this study. We analyzed the differences in CPSTT before and after treatment with Cervical Rotation-Traction Manipulation (CRTM), a representative OMT technique in Traditional Chinese Medicine, using the STTCC technology. Results The STTCC results demonstrated that post-treatment CPSTT levels in CSR patients were significantly lower than pre-treatment levels after application of CRTM, with a statistically significant difference (P < 0.001). Additionally, pre-treatment CPSTT levels on the symptomatic side (with radicular pain or numbness) were higher across the C5 to C7 vertebrae compared to the asymptomatic side (without symptoms) (P < 0.001). However, this difference disappeared after CRTM treatment (P = 0.231). Conclusions The STTCC technology represents a reliable method for analyzing the immediate effects of OMT. CSR patients display uneven distribution of CPSTT characterized by higher tension on the symptomatic side. CRTM not only reduces overall cervical soft tissue tension in CSR patients, but can also balance the asymmetrical tension between the symptomatic and asymptomatic sides. Trial registration This study was approved by the Chinese Clinical Trials Registry (Website: .https://www.chictr.org.cn.) on 20/04/2021 and the Registration Number is ChiCTR2100045648.

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Section: Discussionmentioning

confidence: 99%

The immediate effect of cervical rotation-traction manipulation on cervical paravertebral soft tissue: a study using soft tissue tension cloud chart technology

Wang,

Jin,

Feng

et al. 2024

BMC Musculoskelet Disord

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“…Despite the unpleasant but tolerable effects during administration, shockwave treatment results in pain reduction and functional improvement even if it is worth noting that the minimal clinical important difference was rarely exceeded and the certainty of evidence was very low [17]. Such strategies could be suggested as an alternative therapy to pharmacological treatment in patients (e.g., diabetic patients) for whom corticosteroid treatments are contraindicated [18][19][20].…”

Section: Physiotherapy and Electrophysical Agentsmentioning

confidence: 99%

A high level of scientific evidence is available to guide treatment of primary shoulder stiffness: The SIAGASCOT consensus

Cucchi,

Di Giacomo,

Compagnoni

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeShoulder stiffness (SS) is a condition characterised by active and passive restricted glenohumeral range of motion, which can occur spontaneously in an idiopathic manner or be associated with a known underlying aetiology. Several treatment options are available and currently no consensus has been obtained on which treatment algorithm represents the best choice for the patient. Herein we present the results of a national consensus on the treatment of primary SS.MethodsThe project followed the modified Delphi consensus process, involving a steering, a rating and a peer‐review group. Sixteen questions were generated and subsequently answered by the steering group after a thorough literature search. A rating group composed by professionals specialised in the diagnosis and treatment of shoulder pathologies rated the question–answer sets according to the scientific evidence and their clinical experience.ResultsRecommendations were rated with an average of 8.4 points out of maximum 9 points. None of the 16 answers received a rating of less than 8 and all the answers were considered as appropriate. The majority of responses were assessed as Grade A, signifying a substantial availability of scientific evidence to guide treatment and support recommendations encompassing diagnostics, physiotherapy, electrophysical agents, oral and injective medical therapies, as well as surgical interventions for primary SS.ConclusionsA consensus regarding the conservative and surgical treatment of primary SS could be achieved at a national level. This consensus sets basis for evidence‐based clinical practice in the management of primary SS and can serve as a model for similar initiatives and adaptable guidelines in other European countries and potentially on a global scale.Level of Evidence: Level I.

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“…In fact, there are many evaluating tools available to describe soft tissue tension or muscle tension with different theories, such as Myotonometry [35,36] , MyotonPRO [37,38] , Shear Wave Elastography [39,40] , and the STTAS in this study. All these tools can be used to evaluate and analyze the stiffness of soft tissue.…”

Section: Application Prospect Of Sttcc Technologymentioning

confidence: 99%

The Immediate Effect of Orthopaedic Manual Therapy on Cervical Paravertebral Soft Tissue: A Study Using Soft Tissue Tension Cloud Chart Technology

Jin

Feng

et al. 2023

Preprint

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Background: To evaluate the reliability the Soft Tissue Tension Cloud Chart(STTCC) technology, an original method combining multi-point Cervical Paravertebral Soft Tissue Test(CPSTT) with MATLAB software, and preliminary analyze immediate effect of Orthopaedic Manual Therapy(OMT) on Cervical Paravertebral Soft Tissue. Methods: 30 patients with Cervical Spondylotic Radiculopathy(CSR) are included in this study to analyze the difference between before and after the treatment of Cervical Rotation-Traction Manipulation(CRTM), the representative of OMT in Traditional Chinese Medicine by STTCC technology. Results: The STTCC results show that the CPSTT after CRTM in CSR patients is significantly lower than before CRTM, with a statistically significant difference(P<0.001). Meanwhile, the CPSTT of the ill side(with radicular pain or numbness) is higher than that of the healthy side(without symptoms) from the fifth to seventh cervical segment before CRTM(P<0.001), while this difference disappears after CRTM(P=0.231). Conclusions: STTCC technology is a reliable method to analyze the immediate effect of OMT. CSR patients have the characteristics of an uneven distribution of CPSTT; CRTM not only has the effect of reducing the cervical soft tissue tension of CSR patients but also can balance their uneven distribution between the ill side and the healthy side. Trial registration: This study was approved by the Chinese Clinical Trials Registry(Website: .https://www.chictr.org.cn.)on 20/04/2021 and the Registration Number is ChiCTR2100045648.

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Radial shock-wave therapy for frozen shoulder patients with type 2 diabetes mellitus: a pilot trial comparing two different energy levels

Cited by 6 publications

References 43 publications

The immediate effect of cervical rotation-traction manipulation on cervical paravertebral soft tissue: a study using soft tissue tension cloud chart technology

The immediate effect of cervical rotation-traction manipulation on cervical paravertebral soft tissue: a study using soft tissue tension cloud chart technology

A high level of scientific evidence is available to guide treatment of primary shoulder stiffness: The SIAGASCOT consensus

The Immediate Effect of Orthopaedic Manual Therapy on Cervical Paravertebral Soft Tissue: A Study Using Soft Tissue Tension Cloud Chart Technology

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