Tag: terapia falą uderzeniową

Effect of shock wave and core stability exercises on the treatment of postpartum sacroiliac joint pain: A randomized controlled trial

Shreen R Aboelmagd, Nermeen M Noaman, Mohamed A Awad, Hossam H Salem, Mohamed A Raafat, Nehad A. Abo-zaid

 

Shreen R Aboelmagd, Nermeen M Noaman, Mohamed A Awad, Hossam H Salem, Mohamed A Raafat, Nehad A. Abo-zaid – Effect of shock wave and core stability exercises on the treatment of postpartum sacroiliac joint pain: A randomized controlled trial — a comparative analysis with conventional therapies –  Fizjoterapia Polska 2025; 25(1); 376-382

DOI: https://doi.org/10.56984/8ZG007DWZOG

Abstract
Background. Postpartum sacroiliac joint pain (SIJP) significantly affects women’s quality of life. While core stability exercises (CSEs) are commonly prescribed, the addition of extracorporeal shock wave therapy (ESWT) may enhance treatment outcomes. Therefore, this study aimed to determine the effect of adding ESWT to CSEs on the treatment of postpartum SIJP.
Methods. Forty postpartum women diagnosed with SIJP were randomly assigned to two equal groups. The control group (A) received CSEs three times per week for six weeks. The study group (B) received ESWT once per week combined with the same CSEs for six weeks. Pre- and post-treatment assessments included measuring pain intensity using the visual analogue scale (VAS), pain sensitivity via the pain pressure threshold (PPT) using pressure algometry, and functional disability using the Arabic version of the Oswestry Disability Index (ODI).
Results. Within-group comparisons showed statistically significant improvements post-treatment versus pre-treatment in all outcome variables (VAS, PPT, and ODI) (p < 0.05). Between-group comparisons revealed that the study group (B) demonstrated significantly greater improvements in VAS, PPT, and ODI compared to the control group (A) post-treatment (p < 0.0001).
Conclusion. Adding ESWT to CSEs is more effective in improving pain intensity, sensitivity to pain, and functional disability in postpartum women with SIJP than CSEs alone.
Trial registration. ClinicalTrials.gov, retrospectively registered ID number NCT06124365
Key words
postpartum sacroiliac pain, extracorporeal shock wave therapy, core stability exercises
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Effect of extracorporeal shock wave therapy on intercostobrachial neuralgia post mastectomy: A randomized controlled trial

Rehab Mohamed Ismail, Mohamed Mahmoud Abd El Khalek Khalaf, Hossam Abd El Kader El Fol, Noha M. Kamel

Rehab Mohamed Ismail, Mohamed Mahmoud Abd El Khalek Khalaf, Hossam Abd El Kader El Fol, Noha M. Kamel – Effect of extracorporeal shock wave therapy on intercostobrachial neuralgia post mastectomy: A randomized controlled trial –  Fizjoterapia Polska 2025; 25(1); 282-288

DOI: https://doi.org/10.56984/8ZG007DPNQ0

Abstract
Background. Intercostobrachial neuralgia is a neuropathic and chronic pain condition that may develop as a consequence of surgical treatment for breast cancer. It adversely affects physical functioning and the patient’s quality of life. However, treating neuropathic pain with extracorporeal shock wave therapy (ESWT) helps minimize these problems.
Purpose. This study aims to investigate the effect of ESWT in cases diagnosed with intercostobrachial neuralgia after mastectomy.
Subjects and methods. A prospective, single-blind, randomized controlled trial registered with the clinical trials registry (NCT06452615) included 52 female patients aged 40 to 65 years suffering from intercostobrachial neuralgia post-modified radical mastectomy. Patients were randomly assigned to the study group (ESWT group), which received two sessions of ESWT per week in addition to routine medical treatment, and the control group, which received only routine medical treatment. The treatment lasted for eight weeks. The visual analog scale (VAS), Douleur Neuropathique 4 questionnaire (DN4), and goniometer were used to measure pain intensity, neuropathic pain (primary outcome), and shoulder range of motion (ROM) (secondary outcome) at baseline (pre-treatment), and at the 4th and 8th weeks post-treatment in both groups.
Results. Both groups demonstrated a substantial reduction in VAS and DN4 scores, while flexion and abduction ROM showed significant improvement (p < 0.001) at post-I and II stages compared to pre-treatment. The between-group comparison revealed that VAS and DN4 scores were significantly reduced (p < 0.05), whereas flexion and abduction ROM were significantly improved (p < 0.01) in the ESWT group compared to the control group at post-I and II treatments.
Conclusion. ESWT can effectively improve intercostobrachial neuralgia post mastectomy.
Key words
extracorporeal shock wave therapy, intercostobrachial neuralgia, mastectomy
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The impact of radial extracorporeal shock wave therapy on the plantar flexor muscle in children with spasticity

Randa Mahmoud Abdelfattah, Amira Mohamed El-Tohamy, Momen ELsaied Elsagher, Marwa Hanafy Abo Omirah, Ahmed S. Awad

Randa Mahmoud Abdelfattah, Amira Mohamed El-Tohamy, Momen ELsaied Elsagher, Marwa Hanafy Abo Omirah, Ahmed S. Awad – The impact of radial extracorporeal shock wave therapy on the plantar flexor muscle in children with spasticity –  Fizjoterapia Polska 2024; 24(5); 166-173

DOI: https://doi.org/10.56984/8ZG020CDFQT

Abstract Purpose. The purpose of this research was to evaluate the impact of radial extracorporeal shock wave therapy on the spasticity of the plantar flexor muscles, as well as the range of motion (ROM) of the ankle joint and the functional abilities of children affected by spasticity. Spasticity has an important impact on the physiological impairment of children diagnosed with cerebral palsy (CP). Extracorporeal shock wave therapy has been proposed as an alternative therapy for the reduction of spasticity in pediatric patients with CP. Methods. Twenty-seven children diagnosed with spastic CP, both hemiplegic and diplegic, aged 4 to 6 years, were included in the study. Their grading level of spasticity as stated by the Modified Ashworth Scale ranged from 1 to 3. Assessment before and after treatment involved the use of spastic, gross motor function measure (GMFM), and a digital goniometer. Results. A noteworthy enhancement in all parameters (p < 0.05) was noted, with the most substantial improvement seen in active dorsiflexion, H/M ratio, and GMFM both before and after undergoing shock wave therapy (SWT). Conclusion. SWT has been shown to be beneficial in the management of hypertonic muscles, which can assist children in gaining greater autonomy and engaging in daily tasks.
Key words shock wave therapy, spasticity, ankle range of motion, H/M ratio
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High intensity laser therapy versus radial shock wave therapy in treatment of shoulder impingement syndrome

Hend Mohamed Mahmoud, Mohammed Shawki Abdelsalam, Khaled E Ayad, Mona S Faggal

Hend Mohamed Mahmoud, Mohammed Shawki Abdelsalam, Khaled E Ayad, Mona S Faggal – High intensity laser therapy versus radial shock wave therapy in treatment of shoulder impingement syndrome. Fizjoterapia Polska 2023; 23(5); 245-252

DOI: https://doi.org/10.56984/8ZG20B475

Abstract
Background. Shoulder pain is very common problem in medical practice, ranked third after lower back and neck issues. Shoulder impingement syndrome is thought to be the most common reason for shoulder pain. It accounts for around 44% to 65% of all shoulder problems. Purpose. to compare between the effects of High Intensity Laser Therapy versus Radial Shock Wave Therapy in treatment of shoulder impingement syndrome. Methods. 45 patients were randomly enrolled into three equal groups. Group A (n = 15) received HILT plus conventional physical therapy program, Group B (n = 15) received RSWT plus the same conventional physical therapy program, and Group C (n = 15) received a conventional physical therapy program. The assessment were conducted pre and post treatment using the Visual Analogue Scale, Shoulder pain and disability index and electro goniometer to active shoulder flexion and abduction range of motion. Results. MANOVA test demonstrated a significant (P < 0.05) decrease in VAS and SPADI and a significant (P < 0.05) increase in shoulder flexion and abduction ROM in the three groups. VAS, SPADI, shoulder flexion, abduction ROM revealed that there was more improvement in-group A (P < 0.05). Conclusion: HILT showed a superior effect compared with RSWT on pain, function and shoulder flexion and abduction ROM in treatment of SIS.

Keywords
high-intensity laser therapy, radial shockwave therapy, shoulder impingement syndrome

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Impact of Hand-Arm Bimanual Intensive Therapy Versus Shock Wave Therapy on Hand Function and Grip Strength in Children with Hemiplegic Cerebral Palsy

Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada

Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada – Impact of Hand-Arm Bimanual Intensive Therapy Versus Shock Wave Therapy on Hand Function and Grip Strength in Children with Hemiplegic Cerebral Palsy. Fizjoterapia Polska 2020; 20(1); 92-98

Abstract
Background and purpose. Children with hemiplegic cerebral palsy have impairments in fine motor skills above and beyond their unilateral impairments. The current study was conducted to compare the effect of hand-arm bimanual intensive therapy (HABIT) versus shock wave therapy on the affected upper extremity in children with hemiplegic cerebral palsy. Materials and methods. Thirty hemiplegic children ranged in age from 4 to 8 years with hand spasticity ranged between 1 and 1+ grades according to the Modified Ashworth Scale participated in this study. They were assigned randomly into two equal study groups. Group A received a designed physical therapy program and shock wave therapy one session 2000 shock, while the group B received the same physical therapy program in addition to bimanual arm therapy. Both groups received treatment sessions three times per week for three successive moths. Each child in the two groups was evaluated before and after the suggested treatment duration for detecting the level of hand performance using the Peabody Developmental Test of Motor Proficiency while, hand grip strength by a hand held dynamometer and active abduction and external rotation range of motion were measured by a standard universal goniometer. Results. The results revealed non-significant differences when comparing the pre-treatment mean values of all measuring variables for the two groups (p > 0.05), while significant improvement was observed in the two groups when comparing their pre and post treatment mean values. Also, significant differences were observed when comparing the post treatment results of the two groups in favor of the group B (p < 0.05). Conclusion. The results suggested that, hand-arm bimanual intensive therapy appears to have a positive impact on hand function in children with hemiplegic cerebral palsy.

Key words:
Cerebral palsy, Hemiplegic, Hand-arm bimanual intensive therapy, shock wave therapy

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