Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis

Chen, Chih-Yu; Hu, Chia Chian; Weng, Pei Wei; Huang, Yi; Chiang, Chang Jung; Chen, Chia Hsien; Tsuang, Yang Hwei; Yang, Rong; Sun, Jui Sheng; Cheng, Cheng‐Kung

doi:10.1016/j.jse.2014.08.010

Cited by 52 publications

(50 citation statements)

References 31 publications

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“…The results of shock wave in our study can be attributed to the concept that explained by the work of Chen C et al (2014) whom determine that pain arising from tendinopathy is due to hypovascular change with a degenerative process with or without trauma. Shockwave relieves the pain of tendinopathy at the tendonbone junction by inducing neo -vascularization and improving tissue regeneration [22].…”

Section: Discussionsupporting

confidence: 65%

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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: 65%

“…Shockwave relieves the pain of tendinopathy at the tendonbone junction by inducing neo -vascularization and improving tissue regeneration [22]. [23].…”

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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“…A high-quality trial compared ESWT with oral prednisone and found that although both groups improved significantly, ESWT was significantly superior at 4, 6, and 12 weeks post-intervention. 70 An acceptable-quality trial compared 3 types of acupuncture approaches: electroacupuncture, warming needles, and filiform needles. Pain was the only measurement, assessed immediately post-treatment, and was improved in all 3 groups.…”

Section: Adhesive Capsulitismentioning

confidence: 99%

“…Three of the 4 reported that there were no side effects or complications in any treatment group, which included nerve block injections and PT, 73 PT and whole-body cryotherapy, 74 and PT and arthroscopic capsular release. 77 Chen et al 70 reported that 9 patients in the ESWT group had transient swelling and redness after treatment, and 2 had petechial bleeding at the treatment site.…”

Section: Rcts Of Treatments For Acmentioning

confidence: 99%

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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“…Isolated loss of external rotation of the shoulder with the arm resting at the side is a rare clinical finding in patients presenting with a shoulder problem. Most patients with shoulder stiffness are usually manifested with a loss of motion involving foreward elevation or abduction that often results from primary or secondary adhesive capsulitis [5] . In response, we report the case of a hemangioma that arose from the subscauplaris muscle and presenting with isolated loss of external rotation of the shoulder.…”

Section: Introductionmentioning

confidence: 99%

Intramuscular Hemangioma of the Subscapularis Muscle Presenting with Isolated Loss of External Rotation of the Shoulder

Lin

Hong

Jou

et al. 2016

International Journal of Orthopaedics

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Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis

Cited by 52 publications

References 31 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

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Intramuscular Hemangioma of the Subscapularis Muscle Presenting with Isolated Loss of External Rotation of the Shoulder

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