Walewicz 2020 | Low Back Pain| RSW
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Walewicz K, Taradaj J, Dobrzyński M, Sopel M, Kowal M, Ptaszkowski K, Dymarek R. Effect of Radial Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Efficiency, and Postural Control Parameters in Patients with Chronic Low Back Pain: A Randomized Clinical Trial. J Clin Med. 2020 Feb 19;9(2):568.
Randomised placebo-controlled trial 40 patients with discopathy of the L5 – S1 spine segment (MRI diagnosed) with chronic pain lasting more than 3 months • Group A: PT incl core stability ex + RSW, 10 sessions (2x/wk, 2000 pulses, 2.5 bars, 5 Hz, D-Actor D20 transmitter) • Group B: PT incl core stability ex + sham RSW, 10 sessions (2x/wk) Outcomes: Pain (Laitinen scale), Function, ROM, postural sway Results: • Both groups showed improvement of outcomes. • The improvements were more pronounced in the RSW group • In the RSW group the improvements increased over time with signif difference to the placebo group at long term follow-up
Key message rESWT added to conventional PT and core stability exercises provides significant improvement of pain, ROM, function and postural sway, especially at long term (3m) follow-up compared to placebo treatment.
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