The effects of extracorporeal shock wave therapy on pain, disability, and depression of chronic low back pain patients

Hyeonjee Han, Daehee Lee, Sangyong Lee, Chunbae Jeon, Taehoon Kim, Hyeonjee Han, Daehee Lee, Sangyong Lee, Chunbae Jeon, Taehoon Kim

Abstract

[Purpose] The purpose of this study was to examine the effects of extracorporeal shock wave therapy on pain, disability, and depression of chronic low back pain patients. [Subjects] In this study, 30 chronic low back pain patients were divided into an extracorporeal shock wave therapy group (ESWTG, n=15) and a conservative physical therapy group (CPTG, n=15). [Methods] The ESWTG received extracorporeal shock wave therapy and the CPTG received general conservative physical therapy two times per week for six weeks. Pain was measured using a visual analog scale (VAS), the degree of disability of the patients was assessed using the Oswestry Disability Index (ODI), and their degree of depression was measured using the Beck depression index (BDI). [Results] In intra-group comparisons, ESWTG and CPTG showed significant decreases in VAS, ODI, and BDI scores. Intergroup comparisons revealed that these decreases in VAS, ODI, and BDI scores were significantly larger in ESWTG than in CPTG. [Conclusion] Extracorporeal shock wave therapy is an effective intervention for the treatment of pain, disability, and depression in chronic low back pain patients.

Keywords: Depression; Extracorporeal shock wave therapy; Pain.

References

    1. Kim SB: Effect of manual adjustment and gym-ball exercise on sEMG, cobb’s angle, VAS, Flexibility, and strength in elderly women with low back pain symptom. Kyung-hee University, Dissertation of master’s degree, 2012.
    1. Jung EH: The effects of traditional physical therapy on pain reduction and depression level of patients with chronic low back pain. Dankook University, Dissertation of master’s degree, 2000.
    1. Na JY: The effectiveness of Extracorporeal shock wave therapy on chronic low back pain. Chosun University, Dissertation of master’s degree, 2011.
    1. Kudo P, Dainty K, Clarfield M, et al. : Randomized, placebo-controlled, double-blind clinical trial evaluating the treatment of plantar fasciitis with an extracoporeal shockwave therapy (ESWT) device: a North American confirmatory study. J Orthop Res, 2006, 24: 115–123.
    1. Lee SB, Kwon DJ, Song YJ,, et al. : Shockwave therapy for tennis elbow. J Korea Ortho Assoc, 2004, 39: 142–145.
    1. Svernlöv B, Adolfsson L: Non-operative treatment regime including eccentric training for lateral humeral epicondylalgia. Scand J Med Sci Sports, 2001, 11: 328–334.
    1. Beck AT, Ward CH, Mendelson M, et al. : An inventory for measuring depression. Arch Gen Psychiatry, 1961, 4: 561–571.
    1. Rompe JD, Hope C, Küllmer K, et al. : Analgesic effect of extracorporeal shock-wave therapy on chronic tennis elbow. J Bone Joint Surg Br, 1996, 78: 233–237.
    1. Cho NJ, Park JS, Cho WS: Effect of wrist extensor strength and pain on extracorporeal shock wave therapy of the lateral epicondylitis. J Korean Academy Clin Electrophysiology, 2008, 6: 57–68.
    1. Lee S, Lee D, Park J: Effects of extracorporeal shockwave therapy on patients with chronic low back pain and their dynamic balance ability. J Phys Ther Sci, 2014, 26: 7–10.
    1. Hammer DS, Rupp S, Ensslin S, et al. : Extracorporal shock wave therapy in patients with tennis elbow and painful heel. Arch Orthop Trauma Surg, 2000, 120: 304–307.
    1. Holmes S: Research. Pursuit of happiness. Nurs Mirror, 1985, 161: 43–45.
    1. Jacob RG, Turner SM, Szekely BS, et al. : Predicting outcome of relaxation therapy in headaches: the role of “depression”. Behav Ther, 1983, 14: 457–465.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe