Abo Al-Khair 2021 | Shoulder tendinop. | RSW/FSW
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Abo Al-Khair MA, El Khouly RM, Khodair SA, Al Sattar Elsergany MA, Hussein MI, Eldin Mowafy ME. Focused, radial and combined shock wave therapy in treatment of calcific shoulder tendinopathy. Phys Sportsmed. 2021 Nov;49(4):480-487.
Randomised comparative study 45 subjects were randomised to receive 4 weekly sessions • FSW, 1500 shocks, 0.3 mJ/mm², 4 Hz (group I) • RSW, 2000 shocks, 2.5 bar, 10 Hz (group II) • Combined RSW + FSW (group III) Results • Significant improvement in shoulder pain, active ROM and shoulder function (shoulder disability questionnaire SDQ) at 1 week after the end of treatment and after 3 months follow up in all groups. • There was a significant sonographic reduction in calcification size in all groups. • At the end of the study, the best improvement as regards a decrease of calcification size was obtained in group III when compared with group I and group II.
Key message Both FSW and RSW can provide improvements in reducing calcification in the rotator cuff. Combining FSW and RSW has been shown to provide even better results
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