Gomez Garcia 2017 | MTSS | FSW
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Gomez Garcia S, Ramon Rona S, Gomez Tinoco MC, Benet Rodriguez M, Chaustre Ruiz DM, Cardenas Letrado FP, Lopez-Illescas Ruiz Á, Alarcon Garcia JM. Shockwave treatment for medial tibial stress syndrome in military cadets: A single-blind randomized controlled trial. Int J Surg. 2017 Oct;46:102-109.
Single-blind randomised controlled study. 42 militarycadets with chronic MTSS were randomly assigned to • one session of focused electromagnetic ESWT (1500 pulses at 0.20 mJ/mm2) plus a specific exercise programme, or • the exercise programme alone. Results ESWT patients were able to run longer. Mean running test duration after 4 weeks was 17 min 33 s compared to 4 min 48 s in the exercise-only group (p = 0.000). Mean VAS after running was 2.17 in the ESWT group versus 4.26 in the exercise-only group (p = 0.001). The ESWT group had a significantly higher RM score, with excellent or good results for 82.6% of patients vs. 36.8% in the exercise-only group (p = 0.002). No significant adverse effects of ESWT were observed
Key message A single application of FSW treatment in combination with a specific exercise programme produced a success rate of 82.6% at 4 weeks, and produced significantly better results than exercise only.
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