Radial shock wave therapy with “Intelect PRW Lite” for calcifying tendinopathy of the shoulder, comparative effectiveness with conventional physical therapy and follow up data
 
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1
Physical and Rehabilitation Medicine, Private Medical practice Plovdiv, Bulgaria
 
2
Medical Biophysics, Scientific Research Center of Medical Biophysics (SRCMB), Sofia 1111, Bulgaria, Bulgaria
 
3
Physical and Rehabilitation Medicine, Medical Cente Medicus, Bulgaria
 
4
Department of PM&R, Specialised Rehabilitation hospital, Banya, Bulgaria, Bulgaria
 
These authors had equal contribution to this work
 
 
Submission date: 2024-03-17
 
 
Final revision date: 2024-10-08
 
 
Acceptance date: 2024-11-04
 
 
Publication date: 2025-01-30
 
 
Corresponding author
Radostina Hristova Simeonova   

Physical and Rehabilitation Medicine, Private Medical practice Plovdiv, Trakia, bl181, D, 4023, Plovdiv, Bulgaria
 
 
Wiadomości Lekarskie 2024;77(12):2451-2456
 
KEYWORDS
TOPICS
other
 
ABSTRACT
Aim:
The effectiveness of radial shock wave therapy for treating chronic calcifying tendinopathy of the shoulder is still controversial concerning the doses, methods and follow up. The purpose of the study is to reveal the criteria for effective treatment of this pathology and to compare it with the conventional physical factors.

Material and methods:
The research has been taken on 60 people, A control group (CG), including 30 people, treated with basic therapy and experimental group (EG). including 30 people, treated with the same basic therapy and RSWT once per week for seven consecutive weeks. The effect of the treatment was shown by: sonographic examination before and after treatment, physical tests for motor skills in shoulder region, scale of pain and the range of motion (ROM).

Results:
The results have high statistical significance (p<0,001) for both groups. The comparision between EG and CG (p<0,001) proves that usage of RSWT reduces the pain quicker and restores mobility in the shoulder region in a shorter period than conventional physical therapy and only in the EG there is reduction in the parameters of the calcifications and total disappearance in the follow up.

Conclusions:
The results have high statistical significance (p<0,001) for both groups. The statistical difference between EG and CG (p<0,001) proves that usage of RSWT reduces the pain quicker and restores mobility in the shoulder region in a shorter period than conventional physical therapy and only the patients in the EG have reduction in the parameters of the calcifications and total disappearance in the follow up.
REFERENCES (13)
1.
Maffulli G, Hemmings S, Maffulli N. Assessment of the Effectiveness of Extracorporeal Shock Wave Therapy (ESWT) For Soft Tissue Injuries (ASSERT): An Online Database Protocol. Transl Med UniSa. 2014 Apr 8;10:46-51. PMID: 25147767; PMCID: PMC4140430.
 
2.
Fu SC, Rolf C, Cheuk YC, Lui PP, Chan KM. Deciphering the pathogenesis of tendinopathy: a three-stages process. Sports Med Arthrosc Rehabil Ther Technol. 2010 Dec 13;2:30. doi: 10.1186/1758-2555-2-30. PMID: 21144004; PMCID: PMC3006368.
 
3.
Merolla G, Singh S, Paladini P, Porcellini G. Calcific tendinitis of the rotator cuff: state of the art in diagnosis and treatment. J Orthop Traumatol. 2016 Mar;17(1):7-14. doi: 10.1007/s10195-015-0367-6. Epub 2015 Jul 12. PMID: 26163832; PMCID:.
 
4.
Verstraelen FU, In den Kleef NJ, Jansen L, Morrenhof JW. High-energy versus low-energy extracorporeal shock wave therapy for calcifying tendinitis of the shoulder: which is superior? A meta-analysis. Clin Orthop Relat Res. 2014 Sep;472(9):2816-25. doi: 10.1007/s11999-014-3680-0. Epub 2014 May 29. PMID: 24872197; PMCID: PMC4117900.
 
5.
Wu KT, Chou WY, Wang CJ, Chen CY, Ko JY, Chen PC, Cheng JH, Yang YJ. Efficacy of Extracorporeal Shockwave Therapy on Calcified and Noncalcified Shoulder Tendinosis: A Propensity Score Matched Analysis. Biomed Res Int. 2019 Mar 14;2019:2958251. doi: 10.1155/2019/2958251. PMID: 31001553; PMCID: PMC6437753.
 
6.
Harvie P, Pollard TC, Carr AJ. Calcific tendinitis: natural history and association with endocrine disorders. J Shoulder Elbow Surg. 2007 Mar-Apr;16(2):169-73. doi: 10.1016/j.jse.2006.06.007. Epub 2006 Dec 22. PMID: 17188907.
 
7.
Caballero I, Dueñas L, Balasch-Bernat M, Fernández-Matías R, Bresó-Parra L, Gallego-Terres C, Aroca Navarro JE, Navarro-Bosch M, Lewis J, Lluch Girbés E. Effectiveness of non-surgical management in rotator cuff calcific tendinopathy (the effect trial): protocol for a randomised clinical trial. BMJ Open. 2024 Jan 4;14(1):e074949. doi: 10.1136/bmjopen-2023-074949. PMID: 38176875; PMCID: PMC10773347.
 
8.
Darrieutort-Laffite C, Blanchard F, Le Goff B. Calcific tendonitis of the rotator cuff: From formation to resorption. Joint Bone Spine. 2018 Dec;85(6):687-692. doi: 10.1016/j.jbspin.2017.10.004. Epub 2017 Nov 28. PMID: 29195923.
 
9.
Blankstein A, Cohen I, Heim M, Diamant L, Salai M, Chechick A, Ganel A. Ultrasonography as a diagnostic modality in Osgood-Schlatter disease. A clinical study and review of the literature. Arch Orthop Trauma Surg. 2001 Oct;121(9):536-9. doi: 10.1007/s004020100285. PMID: 11599758.
 
10.
Petranova T, Vlad V, Porta F, Radunovic G, Micu MC, Nestorova R, Iagnocco A. Ultrasound of the shoulder. Med Ultrason. 2012 Jun;14(2):133-40. PMID: 22675714.
 
11.
Delle Sedie A, Riente L, Iagnocco A, Filippucci E, Meenagh G, Grassi W, Valesini G, Bombardieri S. Ultrasound imaging for the rheumatologist X. Ultrasound imaging in crystal-related arthropathies. Clin Exp Rheumatol. 2007 Jul-Aug;25(4):513-7. PMID: 17888204.
 
12.
Burne G, Mansfield M, Gaida JE, Lewis JS. Is there an association between metabolic syndrome and rotator cuff-related shoulder pain? A systematic review. BMJ Open Sport Exerc Med. 2019 Dec 6;5(1):e000544. doi: 10.1136/bmjsem-2019-000544. PMID: 31921436; PMCID: PMC6937110.
 
13.
B. Koleva, Ivet, et al. ‘Physical Analgesia: Methods, Mechanisms and Algorithms for Post-Operative Pain’. Topics in Postoperative Pain, IntechOpen, 8 Nov. 2023. Crossref, doi:10.5772/intechopen.111590.
 
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ISSN:0043-5147
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