Study design & methods
Randomised placebo controlled trial. Subjects: • 40 patients with discopathy of the L5–S1 spine segment (MRI diagnosed) with chronic pain lasting more than 3 months. Methods: Patients were randomised to receive real or sham rESWT • rESWT group received 10 sessions (2x/week) of 2000 pulses, 2.5 bars, 5 Hz, 7 min (D-Actor D20 transmitter) • Sham group received 10 sham treatment sessions Both groups received conventional physiotherapy, including core stability exercises. Outcomes: • Pain: Laitinen Pain Scale (LPS, 0-16 points) • Function: Roland-Morris Questionnaire (RMQ) • ROM: Original Schober Test (OST) • Stabilometric platform for the assessment of postural sway, including total sway path (TSP) Subjects were assessed before and after the rESWT and at 1- and 3-month follow-up • Both groups showed improvement of all parameters. • In the rESWT group the improvement was more pronounced than in the control group. • In the rESWT group, the improvements increased over time - at the 3m follow- up there was a significant difference bewteen rESWT group and contyrol group. The rESWT had a significant effect on the reduction of pain and the improvement of functional condition compared to a conventional physiotherapy program. Also, rESWT with core stability exercises led to significant improvements in postural sway compared with conventional physiotherapy in patients with LBP.
Results
Conclusion
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 sham placebo treatment.
Pubmed
https://pubmed.ncbi.nlm.nih.gov/32092987/
12
Made with FlippingBook - PDF hosting