The effects of extracorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis

Lee, Ji‐Hyun; Lee, Sang-Yong; Choi, Seok-Joo; Choi, Yoon-Hee; Lee, Kwansub

doi:10.1589/jpts.29.536

Cited by 31 publications

(21 citation statements)

References 18 publications

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“…[23]. The present study also showed statistically significant decrease in the pain intensity level and improvement in PPT of the trigger points in both groups but more improvement in shock wave therapy group, This result may be because the explanation of Ji-Hyun Lee et al(2017) that shock waves are a sort of sound waves that can be transmitted through soft tissues without loss of energy, and their fine and repetitive stimulations are effective for reducing pain. In addition, stimulations caused by shock waves form new muscular fibers by facilitating the secretion of substances that generate blood vessels around an affected region.…”

Section: Discussionsupporting

confidence: 68%

“…These new muscular fibers increase blood flow around a lesion and induce the reformation of blood vessels, which eventually stimulates and reactivates the healing process of the tendons and the tissues around them, thereby stabilizing the tissues. The secretion of substances induces lymphangiogenesis through upregulation of expression of vascular endothelial growth factor and basic fibroblast growth factor [24]. Plaisier PW et al(1994) provided other hypothesized mechanisms of action include the physical alteration of small axons, thereby inhibiting pain impulse conduction; chemical alteration of pain receptor neurotransmitter, thereby preventing pain perception; and hyperstimulation activation of the gate control mechanism, thereby affecting analgesia [25].…”

Section: Discussionmentioning

confidence: 99%

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Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Lasheen¹,

Mohamed²

2017

IJPR

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Background: Myofascial trigger points(MTrPs) are perceived by numerous clinicians to be one of the most prevalent cause of pain and dysfunction in musculoskeletal system. Purpose: of this study was to examine the effect of shock wave therapy versus low level laser (LLLT) in treatment of myofascial trigger points (MTrPs) of rotator cuff muscle dysfunction. Materials and Methods: Thirty patients from both genders were randomly distributed into two groups (fifteen patients for each group). They were all diagnosed as unilateral shoulder pain and suffering from myofascial trigger points in rotator cuff muscle. The first group(A) with a mean age of 34.67(± 5.95) years subjected to LLLT( Gallium-Arsenide I.R laser of 904 nm wave length with 3J / point for 90 sec pulse) in addition to ischaemic pressure for 12 sessions, 3 session a week. While the second group(B) with a mean age of 34.07 (± 4.51) got shock wave treatment (6000shocks, 2000 shock/ session, 4 session separated by one week, energy flux density 0.38 mJ/ mm2, 1.6 barand10HZ) in addition to ischemic pressure for 12 sessions, 3 sessions a week. Pre and post treatment evaluations were recorded with respect to measuring pain intensity level, pressure pain threshold of myofascial trigger points and range of motion (ROM) of shoulder flexion and abduction.Results: Patients of both groups showed statistical significant improvement in all the measured variables. Between groups difference the shock wave group (B) showed a statistical significant improvement in decreasing pain intensity level, increasing pressure pain threshold and improving shoulder range of motion than LLLT group (A) (p value<0.05). Conclusion:Both shock wave and LLLT had a significant effect on decreasing shoulder pain intensity level, increasing pressure pain threshold and increasing in shoulder flexion and abduction (ROM). However, the shockwave therapy was more effective than LLLT in treatment of myofascial trigger points of rotator cuff muscle dysfunction.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Lasheen¹,

Mohamed²

2017

IJPR

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“…The sample size ranged from 18 to 160. All experimental groups received ESWT, while control groups received different treatments including placebo [22,23,25,26,28,30,34,48,49,51,52], medication [31,32,43,44,50], intra-articular injections [21,26,27,29,35,36,39,40], traditional Chinese medicine [38,41,42,45,2 BioMed Research International 46], ultrasound [22,24,47], surgery [33], and kinesiotherapy (KIN) [37].…”

Section: Statisticalmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy for the Treatment of Osteoarthritis: A Systematic Review and Meta-Analysis

Chen

Liu

et al. 2020

BioMed Research International

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Background. Osteoarthritis is the most common musculoskeletal disease. Extracorporeal shockwave therapy had shown an effect on osteoarthritis in both some animal experiments and clinical studies, but there was no systematic review to confirm the value of shockwave therapy in the treatment of all types of osteoarthritis and compare it with other traditional therapies (especially traditional Chinese medicine). Method. PubMed, Medline, the Cochrane Central Register of Controlled Trials, Web of Science, Chinese National Knowledge Infrastructure, WANFANG database, and VIP database were searched up to December 10, 2019, to identify randomized controlled trials comparing shockwave therapy and other treatments for osteoarthritis. Visual analogue scale and the Western Ontario and McMaster Universities Osteoarthritis Index were extracted and analyzed by RevMan and STATA software as outcomes of pain reduction and functional improvement. Adverse reactions were recorded to evaluate the safety of shockwave therapy. Results. Shockwave therapy had significant improvement in both pain reduction and functional improvement compared with placebo, corticosteroid, hyaluronic acid, medication, and ultrasound (P < 0:05). In functional improvement, shockwave therapy showed statistical improvement compared with kinesiotherapy and moxibustion (P < 0:05) but not with acupotomy surgery (P = 0:24). A significant difference between shockwave therapy and platelet-rich plasma was observed in pain reduction (P < 0:05) but not in functional improvement (P = 0:89). Meanwhile, a statistical difference was found between shockwave therapy and fumigation in functional improvement (P < 0:05) but not in pain reduction (P = 0:26). Additionally, there was no statistically significant difference between shockwave therapy and manipulation in both pain reduction (P = 0:21) and functional improvement (P = 0:45). No serious adverse reaction occurred in all of studies. Conclusions. Extracorporeal shockwave therapy could be recommended in the treatment of osteoarthritis as a noninvasive therapy with safety and effectiveness, but the grade of recommendations needs to be discussed in a further study.

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“…According to the recommendation of WHO, the patients with BMI ≥25 Kg/m 2 were defined as overweight, and the patients with BMI ≥30 Kg/m 2 were defined as obese [4]. ere are many conservative treatments for OA, such as drug therapy, intra-articular injection of HA and PRP [5], physical therapy [6], and ozone therapy [7]. All kinds of treatments aim at relieving knee pain and improving joint mobility [8].…”

Section: Introductionmentioning

confidence: 99%

How to Choose Platelet-Rich Plasma or Hyaluronic Acid for the Treatment of Knee Osteoarthritis in Overweight or Obese Patients: A Meta-Analysis

Luo

Xiong

Sun

et al. 2020

Pain Research and Management

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Objective. The purpose of this meta-analysis was to determine whether platelet-rich plasma (PRP) was better than hyaluronic acid (HA) for the treatment of knee osteoarthritis (OA) in overweight or obese patients. Design. Two reviewers independently used the keywords combined with free words to search English-based electronic databases according to Cochrane Collaboration guidelines, such as PubMed, Embase, ScienceDirect, and Cochrane library. The pooled data were analyzed using RevMan 5.3. Results. Ten randomized controlled trials (RCTs) with 1096 patients were included. During the first two months of follow-up, there was no significant difference between the two groups. At the 3rd, 6th, and 12th months of follow-up, the pooled analysis showed that PRP was better than HA for the treatment of knee OA in overweight or obese patients. There were significant differences between the two groups at Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score (3 months: MD = −1.35, [95% CI: −2.19 to −0.50], P=0.002, I2 = 0%; 6 months: MD = −7.62, [95% CI: −13.51 to −1.72], P=0.01, I2 = 88%; 12 months: MD = −12.11, [95% CI: −20.21 to −4.01], P=0.003, I2 = 94%). Conclusions. For overweight or obese patients with knee OA, intra-articular injection of PRP in a short time was not necessarily superior to HA, but long-term use was better than HA in pain and functional relief.

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The effects of extracorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis

Cited by 31 publications

References 18 publications

Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Extracorporeal Shock Wave Therapy for the Treatment of Osteoarthritis: A Systematic Review and Meta-Analysis

How to Choose Platelet-Rich Plasma or Hyaluronic Acid for the Treatment of Knee Osteoarthritis in Overweight or Obese Patients: A Meta-Analysis

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