Efeito de ondas de choque na placa de crescimento de coelhos

Giusti, Guilherme; Penteado, Fernando Travaglini; Santos, João Baptista Gomes dos; Alves, Maria Tereza de Seixas; Faloppa, Flávio

doi:10.1590/s1413-78522005000100008

Cited by 5 publications

(3 citation statements)

References 34 publications

(64 reference statements)

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“…The application of shockwaves to the proximal tibial growth plate of immature rats resulted in focal growth plate dysplasia [28]. Further studies were not able to show any effect of shockwaves on growth plates in rabbits [29][30][31]. Since mostly young and growing dogs of large and giant breeds are affected by hygromas one should always consider the possible effect of shockwaves to the growth plates in the area before treatment.…”

Section: Discussionmentioning

confidence: 99%

Novel approach for the treatment of canine elbow hygroma with extracorporeal shockwaves

Verhoeven,

Huels,

Harms

2023

Tierarztl Prax Ausg K Kleintiere Heimtiere

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A hygroma is a fluid filled cavity, which appears due to repetitive traumata over bony prominences. For canine elbow hygroma there is no satisfactory treatment option available. Small hygromas should not be treated at all. Larger hygromas that restrict the dog in daily life, are infected, painful, or ulcerated should be treated surgically with drainage or total excision. Surgical treatment of hygromas results in long rehabilitation times and is associated with a high complication rate. Extracorporeal shockwave therapy (ESWT) is widely used in human and veterinary rehabilitation medicine since several years. Even the mechanisms of action are not fully understood it has a wide range of indications. ESWT provides anti-inflammatory effects, promotes microcirculation, and is used for pain relief. In this case series of 4 consecutive cases in 3 dogs we treated hygromas with extracorporeal shockwaves each for 3 to 6 times usually on a weekly basis. All hygromas regressed completely and no complications were noted. Overall ESWT seems to provide a safe, easy-to-use, as well as cost-effective alternative treatment option for canine elbow hygroma.

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Section: Discussionmentioning

confidence: 99%

Novel approach for the treatment of canine elbow hygroma with extracorporeal shockwaves

Verhoeven,

Huels,

Harms

2023

Tierarztl Prax Ausg K Kleintiere Heimtiere

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“… 7–9 Over the past 30 years, extracorporeal shock waves have been safely and efficiently used in the treatment of various pathological conditions. 10 11 Extracorporeal shock wave lithotripsy (ESWL), for example, is a well-established treatment for urological pathologies. More recently, low 12–14 and high 14 15 energy shock wave therapies are being used in the treatment of pseudoarthrosis 16 17 and several types of tendinopathy with prominent results.…”

Section: Introductionmentioning

confidence: 99%

Shock wave therapy associated with eccentric strengthening versus isolated eccentric strengthening for Achilles insertional tendinopathy treatment: a double-blinded randomised clinical trial protocol

et al. 2017

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BackgroundThere is no consensus regarding the treatment of Achilles insertional tendinopathies. Eccentric training remains the main choice in the conservative treatment of this illness; however, the good results in the management of non-insertional Achilles tendinopathy were not replicated in the insertional condition. Low energy shock wave therapy has been described as an alternative to these patients, but has yet to be empirically tested.HypothesisShock wave therapy, adjunctive to the eccentric strengthening protocol, will improve measures of pain and function.DesignDouble blind, placebo-controlled, parallel groups, randomised clinical trial.Materials and methods93 patients with a diagnosis of chronic insertional tendinopathy, referred from primary or secondary healthcare services, will be assessed and enrolled in this study. They will be divided into two groups (randomised by sequentially numbered identical envelopes, which will be administered serially to participants), one containing the combination of low energy shock wave and eccentric exercises, as treatment and the other comprehending the exercises and the placebo treatment (an apparatus placed in the therapeutic head). The assessments will occur in 2, 4, 6, 12 and 24 weeks. Patients will be evaluated primarily by the Victorian Institute of Sport Assessment-Achilles questionnaire and secondarily by the visual analogue scale, Algometry, the American Orthopedic Foot and Ankle Society scale, the Foot and Ankle Outcome Score and the 12-item Short Form Health Survey. We will use comparison of two proportions via relative frequency analysis, the Pearson Correlation the χ2 test and the analysis of variance for statistical analyses.DiscussionThis study intends to demonstrate if the association of the eccentric exercise programme with the shock wave therapy can produce good results regarding the treatment of the Achilles insertional tendinopathy. In an attempt to prevent the high costs and complications associated with the surgical intervention, we will try to prove this combination as a viable therapeutic option in the conservative management of this prevalent condition. The strengths of the study are the design and the novelty of the combination of methods. The main limitation is the short follow-up course.Ethics and disseminationThe study is registered in the Clinical Trials database (protocol number: 8094833648737701) and was approved by the University Ethics Committee (number: 1373481).Trial registration number8094833648737701 (NCT02757664); Pre-results.

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“…Extracorporeal shockwave therapy (SWT) has been used for more than 30 years, proving to be a safe and efficient way to treat kidney stones. 7,8 Both low-energy [9][10][11] and high-energy 9,12 shockwaves are being used to treat several other conditions like pseudoarthrosis 13,14 and other kinds of tendinopathy with interesting results. [15][16][17][18] Within this context and based on recent evidence, SWT has been proposed as a viable and promising option to be used when classic nonsurgical treatment fails, but prior to surgery referral.…”

mentioning

confidence: 99%

Shockwave Therapy Associated With Eccentric Strengthening for Achilles Insertional Tendinopathy: A Prospective Study

Mansur

Baumfeld

Villalon

et al. 2019

Foot & Ankle Specialist

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Background. The usual initial treatment for insertional Achilles tendinopathy is nonsurgical. Yet there is no standard conservative treatment for Achilles insertional tendinopathy. Shockwave therapy (SWT) has become a reliable option for the management of this illness over the past years. The aim of this study is to report the effectiveness of low-energy SWT associated with an eccentric strengthening protocol in 19 consecutive patients. Methods. This is a prospective study with 19 patients aged between 26 and 72 years diagnosed with insertional Achilles tendinopathy. The protocol consisted of SWT associated with eccentric exercises for 12 weeks. All patients were evaluated on the first day and after 24 weeks (final follow-up) with the Victorian Institute of Sports Assessment–Achilles (VISA-A) score, visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire, and by algometry. At the last follow-up, patients were also assessed for adherence to the protocol, complications and final outcome (in their perception as success or fail). Results and Conclusion. Fifteen (79%) patients were fully adherent to the Alfredson protocol, and 13 (68%) patients considered the treatment protocol successful. At the last evaluation, patients demanded higher pressure on calcaneus to trigger pain (algometry 1), reported less pain when the algometer was applied with 3 kg (algometry 2), had less global pain (VAS), and had higher AOFAS and VISA-A scores. This study evidences that eccentric loading associated with SWT can dramatically improve patients’ symptoms. We can conclude that eccentric loading associated with SWT is an effective treatment for Achilles insertional tendinopathy. Levels of Evidence: Therapeutic, Level III: Prospective cohort

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Efeito de ondas de choque na placa de crescimento de coelhos

Cited by 5 publications

References 34 publications

Novel approach for the treatment of canine elbow hygroma with extracorporeal shockwaves

Novel approach for the treatment of canine elbow hygroma with extracorporeal shockwaves

Shock wave therapy associated with eccentric strengthening versus isolated eccentric strengthening for Achilles insertional tendinopathy treatment: a double-blinded randomised clinical trial protocol

Shockwave Therapy Associated With Eccentric Strengthening for Achilles Insertional Tendinopathy: A Prospective Study

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