The effects of extracorporeal shock wave therapy on frozen shoulder patients' pain and functions

Chan Park, Sangyong Lee, Chae-Woo Yi, Kwansub Lee, Chan Park, Sangyong Lee, Chae-Woo Yi, Kwansub Lee

Abstract

[Purpose] The present study was conducted to examine the effects of extracorporeal shock wave therapy on frozen shoulder patients' pain and functions. [Subjects] In the present study, 30 frozen shoulder patients were divided into two groups: an extracorporeal shock wave therapy group of 15 patients and a conservative physical therapy group of 15 patients. [Methods] Two times per week for six weeks, the extracorporeal shock wave therapy group underwent extracorporeal shock wave therapy, and the conservative physical therapy group underwent general physical therapy. Visual analog scales were used to measure frozen shoulder patients' pain, and patient-specific functional scales were used to evaluate the degree of functional disorders. [Results] In intra-group comparisons, the two groups showed significant decreases in terms of visual analog scales and patient-specific functional scales, although the extracorporeal shock wave therapy group showed significantly lower scores than the conservative physical therapy group. [Conclusion] Extracorporeal shock wave therapy is considered an effective intervention for improving frozen shoulder patients' pain and functions.

Keywords: Extracorporeal shock wave therapy; Function; Pain.

References

    1. Loew M, Heichel TO, Lehner B: Intraarticular lesions in primary frozen shoulder after manipulation under general anesthesia. J Shoulder Elbow Surg, 2005, 14: 16–21.
    1. Costic RS, Jari R, Rodosky MW, et al. : Joint compression alters the kinematics and loading patterns of the intact and capsule-transected AC joint. J Orthop Res, 2003, 21: 379–385.
    1. Baslund B, Thomsen BS, Jensen EM: Frozen shoulder: current concepts. Scand J Rheumatol, 1990, 19: 321–325.
    1. Lee SB, Kwon DJ, Song YJ, et al. Shockwave therapy for tennis elbow. The Journal of the Korean Orthopaedic Association, 39: 142–145.
    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. Stratford P, Gill C, Westaway M, et al. : Assessing disability and change on individual patients: a report of a patient specific measure. Physiotherapy Canada, 1995, 258–263.
    1. Do Moon G, Lim JY, Kim Y, et al. : Comparison of Maitland and Kaltenborn mobilization techniques for improving shoulder pain and range of motion in frozen shoulders. J Phys Ther Sci, 2015, 27: 1391–1395.
    1. Park SW, Lee HS, Kim JH: The effectiveness of intensive mobilization techniques combined with capsular distension for adhesive capsulitis of the shoulder. J Phys Ther Sci, 2014, 26: 1767–1770.
    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. Journal of the Korean Academy of Clinical Electrophysiology, 2008, 6: 57–68.
    1. Na JY: The effectiveness of Extracorporeal shock wave therapy on chronic low back pain. Chosun University, Dissertation of master’s degree, 2011.
    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. Loew M, Daecke W, Kusnierczak D, et al. : Shock-wave therapy is effective for chronic calcifying tendinitis of the shoulder. J Bone Joint Surg Br, 1999, 81: 863–867.
    1. Seidl M, Steinbach P, Wörle K, et al. : Induction of stress fibres and intercellular gaps in human vascular endothelium by shock-waves. Ultrasonics, 1994, 32: 397–400.

Source: PubMed

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