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2018, Number 2

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Rev Cub de Med Fis y Rehab 2018; 10 (2)

Treatment of achilles tendinosis with piezoelectric shock waves

Labrada RYH, Monleón LL, Vaamonde LL, Arribas MPD, Garvín OL

Language: Spanish
References: 22
Page: 1-10
PDF size: 143.66 Kb.


ABSTRACT

Objective: Evaluate the results of the treatment with piezoelectric shock waves with ultrasound control in Achilles tendinosis at 3 and 6 months.
Methods: A quasi-experimental study was conducted of 36 patients with Achilles tendinosis from June 2015 to March 2017. Injury and depth of focus were identified with the use of a piezoelectric generator and ultrasound scanning. Three treatment sessions were performed: one weekly and reviews at 3 and 6 months. The main variables analyzed were pain as measured with the Visual Analog Scale (VAS) before and after each session and at 3 and 6 months, and degree of satisfaction as assessed by the Roles and Maudsley Scale at the end of treatment and at 3 and 6 months.
Results: 2 000 pulses/session were applied with a mean energy density of 0.37 mJ/mm 2, a median frequency of 8 Hz and a median depth of focus of 10 mm. VAS improvement was statistically significant as of the first session and at 3 and 6 months (p < 0.05). VAS improvement ≥ 20 mm was observed in 84.6% of the patients at 3 months and in 80.7% at 6 months. A statistically significant relationship was found between VAS improvement and patient satisfaction at 3 and 6 months (p < 0.05).
Conclusions: Shock-wave therapy proved effective for the treatment of achilles tendinosis.


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