Focused Shockwave Treatment for Greater Trochanteric Pain Syndrome: A Multicenter, Randomized, Controlled Clinical Trial

The Journal of Bone and Joint Surgery. American Volume
Silvia RamonMaria-Chiara Vulpiani

Abstract

Greater trochanteric pain syndrome (GTPS) is a condition of lateral hip pain. Its physiopathology remains unknown, and there is no consensus on optimal management. The aim of this study was to assess the effectiveness of electromagnetic-focused extracorporeal shockwave treatment (F-ESWT) in patients with GTPS. This multicenter clinical trial included 103 patients with chronic GTPS randomly assigned to the treatment group, consisting of electromagnetic F-ESWT and a specific exercise protocol, or the control group, receiving sham F-ESWT and the same exercise protocol. Both groups were treated with 3 weekly sessions; the F-ESWT group received an energy flux density of 0.20 mJ/mm, whereas the control group received 0.01 mJ/mm. Patients were assessed at baseline and 1, 2, 3, and 6 months after treatment. A visual analogue scale (VAS) score for pain at 2 months was the primary outcome. The Harris hip score (HHS), Lower Extremity Functional Scale (LEFS), EuroQoL-5 Dimensions Questionnaire (EQ-5D), and Roles and Maudsley score were used as secondary outcomes. Complications were recorded. The mean VAS score decreased from 6.3 at baseline in both groups to 2.0 in the F-ESWT group versus 4.7 in the control group at 2 months; the 2-month s...Continue Reading

References

May 17, 2003·The American Journal of Sports Medicine·Ching-Jen WangJun-Wen Wang
May 24, 2003·European Radiology·DavidS A ConnellElton Edwards
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·P Justin TortolaniLouis G Quartararo
Dec 2, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mathias Haefeli, Achim Elfering
Apr 9, 2008·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Fernando SilvaRamon A Arroyo
Apr 18, 2009·Anesthesia and Analgesia·Bryan S Williams, Steven P Cohen
May 15, 2009·The American Journal of Sports Medicine·John P FuriaNicola Maffulli
May 15, 2009·The American Journal of Sports Medicine·Jan D RompeNicola Maffulli
Nov 17, 2009·Journal of Clinical Epidemiology·Angelo CacchioValter Santilli
May 11, 2011·Annals of Family Medicine·Aaltien BrinksSita M A Bierma-Zeinstra
Aug 5, 2011·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·David P LustenbergerThomas J Ellis
Sep 12, 2012·Current Sports Medicine Reports·Garry Wai Keung Ho, Thomas Michael Howard
Sep 18, 2012·British Journal of Sports Medicine·Angela M FearonPaul N Smith
Oct 24, 2013·AJR. American Journal of Roentgenology·Suzanne S LongLevon N Nazarian
May 3, 2014·Physical Medicine and Rehabilitation Clinics of North America·Michael Mallow, Levon N Nazarian
May 13, 2014·The American Journal of Sports Medicine·Sethu Mani-BabuChristian Barton
May 15, 2015·Sports Medicine·Alison GrimaldiBill Vicenzino
Sep 19, 2015·The Journal of Orthopaedic and Sports Physical Therapy·Alison Grimaldi, Angela Fearon
Jul 14, 2016·Archives of Orthopaedic and Trauma Surgery·James DrummondPhong Tran
Nov 12, 2016·British Journal of Sports Medicine·Paul A BarrattAnnalisa Newson
Jul 30, 2017·International Orthopaedics·Eve Robertson-WatersAshley W Blom
Aug 30, 2017·Scandinavian Journal of Pain·Gillian Z HellerRoberta Chow
Feb 7, 2018·The Journal of Bone and Joint Surgery. American Volume·Daniel MoyaJai-Hong Cheng
May 19, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Julia M ReillyAdam S Tenforde
Dec 7, 2018·World Journal of Methodology·Dimitrios Stasinopoulos

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.