EnglishRadial Shockwave Therapy (RSWT) for the Treatment of Ankle Injuries
N. G. Malliaropoulos MD, MSc in Sports Medicine, PhD, F FIMS
A. I. Akritidou PT, MSc in Exercise & Health
D.Christodoulou PT
Thessaloniki Sports injuries clinic.
Aim: Extra corporal shockwave therapy(ESWT) has been applied for insertion tendinopathies since 10 years.. The aim of the study is to evaluate the efficacy of ballistic ESWT in the treatment of ankle injuries.
Method: During the period 09/2003-05/2005, 24 patients suffering from ankle injuries were presented to our Sports Injury Clinic All these ankle injures was presented to us 4 week to 6 months post injury. Their major complain was pain during daily activities and Sports participation. From those 24 athletes, 10 were sub acute (4 to 7 weeks), and the rest 14 were chronic (more than 7 weeks). The protocol that we followed was:
Thorough clinical examination, X-rays, Range of motion measurements of the injured side, compared to the healthy side, Visual Analogue Scale (VAS), their ability to participation in their sport. The RSWT was applied as a treatment, and all the injuries. The sub acutes, were treated with 3 sessions with an energy flux density corresponding from 1,5 - 2 bars working pressure, working frequency 6Hz and 2000 impulses each, one session per week, While the injuries that were in a chronic stage, were treated with 4 sessions. Follow up was done at 4, 5, 8, 12 weeks and 6, 12 months
Results: All the patients returned to their pre-injury participation in training activities, with equal range of motion in both sides, and without pain during daily activities.
Conclusion: Our encouraging preliminary results of this prospective pilot study on RSWT for sub acute and chronic ankle injuries, seems to be a safe, non invasive and effective therapy, compared to other therapies. Further research using controlled and randomized studies is needed
Keyword: LATERAL Ankle Injuries, Shockwave therapy
Πρόσφατες Ανακοινώσεις
Παρασκευή, 03 Φεβ 2012
ECOSEP SPORTS REHAB COURSE 12-13 MAY 2012 - 11-12 MAY 2013
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Η θεραπεία laser αποτελεί μια ακίνδυνη και χωρίς πόνο θεραπευτική μέθοδο με την οποία μπορούμε να αντιμετωπίσουμε όχι μόνο τον απλό καθημερινό πόνο αλλά και τα πολύ σοβαρά προβλήματα του ασθενούς σε αρθρώσεις, μύες, τένοντες κ.λ.α. παθήσεις.
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Ten year follow-up study comparing conservative versus operative treatment
Verhaar Br. J. Sports Med. 2009;43;347-351
ABSTRACT
Objective: To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.Design: We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with
patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.Participants: In total 50 patients were pair-matched.Results: We found no statistical difference between the patients treated conservatively or operatively with respectto osteoarthritis or meniscal lesions of the knee, as wellas activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.conclusion: We conclude that the instability repair using a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.
D E Meuffels, M M Favejee, M M Vissers, M P Heijboer, M Reijman and J A N
ACL injuries. Diagnosis, treatment and rehabilitation
The ability to recognize the ACL deficient knee is lacking, even among orthopaedic surgeons. The history of an acute ACL tear is remarkably constant, because the injury is often non contact, and patients usually report a twist on the flexed knee, turning to the same side as the injured knee, although hyperextension or direct injury is the cause in some sports. Patients often remember a loud pop, but, because there are no nociceptors in the ACL, pain is not an immediate feature in the isolated lesion. Players may attempt to continue to play, but they usually stop because the knee feels insecure. Pain ensues in association with a hemarthrosis: 70% of acute hemarthroses of the knee are associated with a tear of the ACL. The diagnosis must be confirmed before treatment is offered.
