Radial extracorporeal shock wave therapy for heterotopic ossification

Ryu, Byung-Ju; Ha, Kang-Wook; Lee, Jin Young; Kim, Sunghwan; Kwak, Ho-Jun; Seol, Pyong-Hwa

doi:10.1589/jpts.28.701

Cited by 7 publications

(5 citation statements)

References 8 publications

(13 reference statements)

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“…ESWT is widely applied to patients with various musculoskeletal diseases 11 ) , and Lee and Han 12 ) reported that it is an effective treatment for reducing patients’ pain and improving their function. Wang et al 13 ) reported extracorporeal shock waves were effective in preventing and treating knee arthritis in rats with knee arthritis.…”

Section: Discussionmentioning

confidence: 99%

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

Lee

Choi

et al. 2017

J Phys Ther Sci

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[Purpose] The purpose of this study was to identify the effects of extracorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis. [Subjects and Methods] Twenty patients with degenerative knee arthritis were divided into a conservative physical therapy group (n=10) and an extracorporeal shock wave therapy group (n=10). Both groups received general conservative physical therapy, and the extracorporeal shock wave therapy was additionally treated with extracorporeal shock wave therapy after receiving conservative physical therapy. Both groups were treated three times a week over a four-week period. The visual analogue scale was used to evaluate pain in the knee joints of the subjects, and the Korean Western Ontario and McMaster Universities Osteoarthritis Index was used to evaluate the function of the subjects. [Results] The comparison of the visual analogue scale and Korean Western Ontario and McMaster Universities Osteoarthritis Index scores within each group before and after the treatment showed statistically significant declines in scores in both the conservative physical therapy group and extracorporeal shock wave therapy group. A group comparison after the treatment showed statistically significant differences in these scores in the extracorporeal shock wave therapy group and the conservative physical therapy group. [Conclusion] extracorporeal shock wave therapy may be a useful nonsurgical intervention for reducing the pain of patients with degenerative knee arthritis and improving these patients’ function.

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Section: Discussionmentioning

confidence: 99%

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

Lee

Choi

et al. 2017

J Phys Ther Sci

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“…The applied ESWT protocol also varied greatly, with 3000 to 4000 shocks applied at frequencies ranging from 3 to 12 Hz and intensities distributed from 1 to 5 bars. [5,[8][9][10][11][17][18][19] In this case, the setting of the ESWT was established by referring to the frequency and intensity in the study of the ESWT protocol in the previous study by Li et al, in which there was an actual change in the size of HO on radiological findings. In the study of Li et al, 4000 shocks were applied to the unilateral hip with HO at 8 Hz and energy of 1 bar.…”

Section: Mechanisms Of Eswt For the Treatment Of Ho: Previous Studies...mentioning

confidence: 99%

“…[7] Few studies have applied ESWT for the treatment of HO, and the results have indicated that ESWT was effective in reducing patients' pain or improving ROM and quality of life. [5,[8][9][10][11] However, almost none of the studies reported degradation in the size of HO on images obtained before and after ESWT application. Here, we present a case of a 36-yearold male patient with pontine hemorrhage who had severe neurogenic HO on both hip joints.…”

Section: Introductionmentioning

confidence: 99%

The effect of extracorporeal shock wave therapy on large neurogenic heterotopic ossification in a patient with pontine hemorrhage: A case report and literature review

et al. 2022

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Rationale: Heterotopic ossification (HO), an ectopic bone formation in soft tissue around the joint, is a complication observed in stroke patients. HO around the hip joint causes a reduction in the functional ability of patients by generating pain and limiting range of motion (ROM). In addition, it results in impaired mobility, ultimately affecting quality of life and increasing the mortality of patients. Extracorporeal shock wave therapy (ESWT) has demonstrated efficacy in treating soft tissue inflammation and has been used to reduce patients' pain in HO. However, almost none of the studies reported degradation in the size of HO on images obtained before and after ESWT application.Patient concerns and Diagnosis: We report a case of a 36-year-old man who developed HO around both hip joints 3 months after bilateral pontine hemorrhage.Interventions: Seven months after HO development, ESWT was administered to the area of HO every other day for a total of 10 sessions.Outcomes: Immediately following treatment, the ROM of both hip joints increased. Thus the patient was able to maintain a sitting posture without having to be bound to the wheelchair. In addition, the tolerable sitting time before groaning increased from less than ten minutes to almost 60 minutes by the end of all ESWT sessions. Unlike other previous reports, a diminished HO size was confirmed by comparing plain X-rays and bone scans obtained before and after treatment sessions.Lessons: In this case, we report an objective size reduction in HO in radiologic findings after applying ESWT to both hips. ESWT is a safe, easy-to-apply, and noninvasive modality. We would like to emphasize the use of ESWT as a treatment option for HO to decrease the extent of HO, as well as to improve pain, spasticity and function in patients with stroke.

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“…It leads to the loss of flexibility and difficulties with the activities of daily living (ADLs) due to chronic inflammation accompanied by intra-articular fibrosis 2 ) . While the methods for treating adhesive capsulitis include thermotherapy, cryotherapy, electrotherapy, exercise therapy, and manual therapy 3 ) , extracorporeal shock wave therapy (ESWT) has recently drawn great attention as a non-surgical treatment method 4 ) . This therapy assists revascularization through the application of extracorporeal shock waves to the lesion, and reduces pain and improves function in the shoulder by stimulating or reactivating the healing process of connective tissues, including tendons and bones 5 ) .…”

Section: Introductionmentioning

confidence: 99%

The effects of extracorporeal shock wave therapy on pain and range of motion in patients with adhesive capsulitis

Lee

et al. 2017

J Phys Ther Sci

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[Purpose] This study examined the effects of extracorporeal shock wave therapy on pain and range of motion in patients with adhesive capsulitis. [Subjects and Methods] Thirty patients with adhesive capsulitis were divided into an experimental group (n=15) that would be treated with extracorporeal shock wave therapy and a control group (n=15) that would be treated only with conservative physical therapy. Both groups were treated three times a week over a four-week period. [Results] An intra-group comparison before and after the treatment showed that both groups experienced a decline in pain and an increase in their range of motion that were statistically significant. An inter-group comparison after the treatment showed that the experimental group had a lower level of pain and a higher range of motion than the control group that were statistically significant. [Conclusion] Extracorporeal shock wave therapy may be an effective intervention for reducing pain and improving the range of motion in patients with adhesive capsulitis.

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Radial extracorporeal shock wave therapy for heterotopic ossification

Cited by 7 publications

References 8 publications

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

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

The effect of extracorporeal shock wave therapy on large neurogenic heterotopic ossification in a patient with pontine hemorrhage: A case report and literature review

The effects of extracorporeal shock wave therapy on pain and range of motion in patients with adhesive capsulitis

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