Izvorni znanstveni članak
The analgesic effectiveness of radial shock wave therapy in extra-articular rheumatism
Stjepan Klisović
; Medicinski fakultet Sveučilišta; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom KBC Split u Splitu
Jure Aljinović
; Medicinski fakultet Sveučilišta; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom KBC Split u Splitu
Ana Poljičanin
; Medicinski fakultet Sveučilišta; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom KBC Split u Splitu
Boris Bećir
; Medicinski fakultet Sveučilišta; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom KBC Split u Splitu
Ela Škorić
; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom KBC Split
Dinko Pivalica
; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom KBC Split
Tonko Vlak
; Medicinski fakultet Sveučilišta; Zavod za fizikalnu medicinu i rehabilitaciju s reumatologijom KBC Split u Splitu
Sažetak
Objective: The aim of this study was to evaluate the effect of radial shock wave therapy (SWT = Shock Wave Therapy) on reduction of pain, the leading symptom of the disease, in patients with extra-articular rheumatism. Patients and methods: The study followed the therapeutic effect of SWT (model BTL-6000, 4bar, 15Hz) as a monotherapeutic form of treatment in a group of 49 patients with extra-articular rheumatism divided into five regional sub-groups: shoulder (n = 24), elbow (n = 3), hip and thigh (n = 5), knee (n = 1) and feet (n = 19). Of the total number of patients, 15 did not meet the criteria for inclusion in the analysis of the data after completion of the monitoring. Patients had an average age of 46.5 years (range 16-76). Before and after therapy patients subjectively assessed the feeling of pain on the visual analogue scale (VAS).
Results: The study showed statistically significant efficiency of SWT on pain reduction in extra-articular rheumatism. Statistical significance was determined by T-test. The average reduction of pain on the VAS scale was, by clinical entities: painful shoulder syndrome (n = 16) reduction in VAS pain from 6.8 (±1.5) to 4.5 (± 2.7) with an average difference -2.3 (±2.8) and P < 0.01. Feet (n = 8): VAS pain reduction from 6.0 (±2.1) to 2.6 (±2.3) with an average difference -3.4 (±2.4) and P < 0.01. Heel spur (n = 10): VAS pain reduction from 6.7 (±1.8) to 2.4 (±1.8) with average difference -4.3 (±1.2) and P < 0.0001. Due to the small number of patients, the effect is not analyzed for the region of the elbow, hip and upper leg and knee. There was no side effect of this treatment.
Conclusion: SW monotherapy showed statistically significant efficacy in the treatment of pain in all monitored extra-articular diseases, and because of its effectiveness can be recommended as a method of choice for the treatment for all investigated areas.
Ključne riječi
extra-articular rheumatism; shock wave therapy; pain; monotherapy
Hrčak ID:
235407
URI
Datum izdavanja:
17.4.2019.
Posjeta: 968 *