Physical therapy · 2006
Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study.
Сравнительное исследованиеОценочное исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Cacchio Angelo, Paoloni Marco, Barile Antonio, Don Romildo, de Paulis Fosco, Calvisi Vittorio, Ranavolo Alberto, Frascarelli Massimo, Santilli Valter, Spacca Giorgio
Аннотация
BACKGROUND AND PURPOSE: Radial shock-wave therapy (RSWT) is a pneumatically generated, low- to medium-energy type of shock-wave therapy. This single-blind, randomized, "less active similar therapy"-controlled study was performed to evaluate the effectiveness of RSWT for the management of calcific tendinitis of the shoulder.
SUBJECTS: Ninety patients with radiographically verified calcific tendinitis of the shoulder were tested.
METHODS: Subjects were randomly assigned to either a treatment group (n=45) or a control group (n=45). Pain and functional level were evaluated before and after treatment and at a 6-month follow-up. Radiographic modifications in calcifications were evaluated before and after treatment.
RESULTS: The treatment group displayed improvement in all of the parameters analyzed after treatment and at the 6-month follow-up. Calcifications disappeared completely in 86.6% of the subjects in the treatment group and partially in 13.4% of subjects; only 8.8% of the subjects in the control group displayed partially reduced calcifications, and none displayed a total disappearance.
DISCUSSION AND CONCLUSION: The results suggest that the use of RSWT for the management of calcific tendinitis of the shoulder is safe and effective, leading to a significant reduction in pain and improvement of shoulder function after 4 weeks, without adverse effects.
SUBJECTS: Ninety patients with radiographically verified calcific tendinitis of the shoulder were tested.
METHODS: Subjects were randomly assigned to either a treatment group (n=45) or a control group (n=45). Pain and functional level were evaluated before and after treatment and at a 6-month follow-up. Radiographic modifications in calcifications were evaluated before and after treatment.
RESULTS: The treatment group displayed improvement in all of the parameters analyzed after treatment and at the 6-month follow-up. Calcifications disappeared completely in 86.6% of the subjects in the treatment group and partially in 13.4% of subjects; only 8.8% of the subjects in the control group displayed partially reduced calcifications, and none displayed a total disappearance.
DISCUSSION AND CONCLUSION: The results suggest that the use of RSWT for the management of calcific tendinitis of the shoulder is safe and effective, leading to a significant reduction in pain and improvement of shoulder function after 4 weeks, without adverse effects.