Tratamento fisioterapêutico para epicondilite lateral: uma revisão sistemática

Almeida, Matheus Oliveira de; Saragiotto, Bruno Tirotti; Yamato, Tiê Parma; Pereira, Raphael Lobão; Lópes, Alexandre Días

doi:10.1590/s0103-51502013000400020

Cited by 1 publication

(1 citation statement)

References 37 publications

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“…From another perspective, Almeida et al 13 assessed in his research the effectiveness of physical therapy treatments in the treatment of lateral epicondylitis. In his survey, despite the limitations of the articles, it was emphasized that the best treatment option is the combination of therapeutic modalities and the isolated use of ESWT was not successful in treating this pathology.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of extracorphorus shock wave therapy in musculoskeletal pathologies

Bageto¹,

Moreira²

2020

IPMRJ

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have great penetrating power in the tissues (10 cm) and impact force (0.28-0.6 mj/mm 2), providing mechanical and biological effects, such as stimulation of tissue neovascularization and destruction of fibrosis. Radials are pneumatic waves produced by air compressions, which are transmitted radially with shorter penetration (3 cm), less impact (0.02-0.08 mJ / mm2) and limited biological effect. They are effective in more superficial musculoskeletal conditions. Nevertheless, they cause disintegration of calcifications and fibrosis and increase local blood circulation. 4 Contraindications to ESWT are: pregnancy, infection in the area to be treated, neoplasms, children under 18 years of age, epiphysis in adolescents, ribs, bones vertebral and skull disorders, coagulation disorders and use of anticoagulant medication. 5 Its side effects are repeatedly transient and are associated with the energy density of the wave, which usually occur when it is higher. Nausea / dizziness, migraines, pain during treatment, petechiae and redness of the skin can be mentioned. Other side effects include error in the direction of the waves, which can result in nerve or vascular damage. 6 Studies have been developed with the purpose of investigating the action of ESWT in different human tissues, verifying the intensity, depth, interval between applications, side effects and effectiveness. Treatment is indicated for patients with chronic pain for at least three months and who have not obtained results with other conservative treatments, such as physical therapy, medications, infiltrations and orthoses. The procedure is not adopted in cases of acute pathologies, and its protocol may vary according to the type of wave, and the focal ones, as they are more intense and deeper than the radias, require fewer sessions. 2 This study aims to investigate the effectiveness of ESWT in diseases of the musculoskeletal system, thus being able to assist professionals in the field of orthopedics to understand the effects of this technique and its use in treatments where there has been no success with conservative methods.

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Section: Introductionmentioning

confidence: 99%