OBJECTIVES: To evaluate the therapeutic effect of extracorporeal shock wave therapy (ESWT) in shoulders with chronic @entity730 , to compare the functional outcomes of ESWT and transcutaneous electric nerve stimulation (TENS) therapy, and to investigate which types of @entity460 deposit effectively respond to ESWT. DESIGN: Randomized controlled trial. SETTING: Outpatient clinics of the departments of physical medicine and rehabilitation and of orthopedics and traumatology of a veterans hospital in Taiwan. @entity1 : Sixty @entity1 with continuous shoulder @entity158 for 6 months or more and with radiographically and sonographically verified @entity730 . @entity1 were randomly allocated to receive ESWT (33 shoulders) or TENS treatment (30 shoulders). INTERVENTIONS: ESWT was performed with 2000 shock waves at 2Hz and energy level between.26 and.32mJ/mm(2) per session. Treatment was given in 2 sessions, 14 days apart. TENS therapy was given 3 times a week for 4 weeks. MAIN OUTCOME MEASURES: Mean Constant score, visual analog scale (VAS), manual muscle test, and changes of sonographic size and shape of @entity460 deposits were calculated for 4 time points: at baseline, 2 weeks, 4 weeks, 12 weeks posttherapy. RESULTS: In both groups, Constant score and VAS improved significantly at 2-, 4-, and 12-week follow-ups (P<.05), and the size of @entity460 deposits decreased significantly at the 4- and 12-week follow-ups. Moreover, the arc-shaped calcific plaques of the rotator cuff were markedly meliorated with ESWT. CONCLUSIONS: ESWT is more effective in the treatment of chronic @entity730 of the shoulder than is TENS therapy, especially for arc-type calcific plaque.

Extracorporeal shock wave therapy for chronic XXXX of the shoulders: a functional and sonographic study.

@entity730 :: ('MESH:D002114', 'Disease') :: ['calcific tendinitis'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PARTICIPANTS'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium']
@entity730 :: (MESH:D002114,Disease) :: ['calcific tendinitis']
