Do Capacitively Coupled Electric Fields Accelerate Tibial Stress Fracture Healing?

Abstract

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Update on stress fractures in female athletes: epidemiology, treatment, and prevention

“…A timeline of 12 (±7) weeks has been suggested as a sufficient period of healing for a tibial stress fractures [22], but this large variance of timeline renders it impractical for clinical management. The correlation of MRI grading of stress fractures and RTST was first reported by Arendt and colleagues [23].…”

Pubic Ramus Stress Fracture: Case Report

“…Elektromanyetik alan tedavisinin akut tibial stres kırığının iyileşmesini hızlandırdığı gösterilmiştir. Öte yandan posteromedial tibia stres kırığı olan 44 hastada yapılan randomize kontrollü çalışmada ise etkin olmadığı gösterilmiştir (16). Yeni yapılan retrospektif çalışmada metatars ve tibia stres kırığı olan erkek futbol oyuncularına vücut dışından uygulanan şok dalga tedavisi uygulanmış ve stres kırığının iyileşmesini hızlandırdığı iddia edilmiştir.…”

Stress Fracture / Stress Reaction of the Lower Leg and Foot

“…They claimed that 22 of 25 stress fractures were healed and two more showed improvement. However, a recent randomized controlled trial was unable to detect an effect of capacitively coupled electric field stimulation applied for 15 hours per day on the healing of 44 postero-medial tibial stress fractures (Beck et al 2008). Nevertheless, the authors commented that greater device use and less weightbearing loading did enhance the effectiveness of the active device.…”

“…In the majority of symptomatic cases, pain presents during one-leg hopping (Beck et al 2008;Swenson et al 1997) or running (Brukner 2000), most probably due to the relatively high-impact loads this places upon the bones of the lower leg. Early in the pathology continuum -mild to moderate stress reactions -pain may occur only during activity.…”