Title: Effect of Shock Wave in Treatment of Sciatic Neuralgia
Authors: H S Abd El-Salam, W T Mansour, G S El-Morsi, HAA Shaker
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.39
Abstract
Sciatica is a relatively common condition with a lifetime incidence varying from 13% to 40%. The corresponding annual incidence of an episode of sciatica ranges from 1% to 5%.
Objective: of this study was to to determine the effect of shock wave in treatment of sciatic neuralgia in Egypt
Methods: Thirty male and female patients suffering from sciatic neuralgia were assigned randomly into two equal groups. Study group (GA) (n=15) and control group (GB) (n=15). The group (A) received shock wave and therapeutic exercise, the patients in group (B) received therapeutic exercise only. Parameter of pain assessment through visual analogue scale and balance stability through biodex stability system were measured before and after four weeks of treatment for both groups.
Design: prospective Two groups pre-post design
Results: post treatment results showed there was significant decrease in pain and significant improve in balance overall stability index, medio /lateral stability and antro-post stability in the study group. There was no significant improvement in pain and stability index in the control group.
Conclusion: I t can be concluded that shock wave is effective as a method of treatment of sciatic neuralgia.
Keywords: Sciatic neuralgia, Pain, Balance, Shockwave.
References
1. Frymoyer JW,Back pain and sciatica .J. NEJ,318:291-300,1988.
2. Miranda H, Viikari-Juntera E, Martikainen R, Takala E, Riihimaki H, Individual factors, occupational loading, and physical exercise as predictors of sciatic pain.J. Spine, there.9: 27-1102,2002.
3. Wang CJ. An overview of shock wave therapy in musculoskeletal disorders, j. Chang Gung Med.ther.26:220-232, 2003.
4. Wang CJ. Extracorporeal shockwave therapy in musculoskeletal disorders, j. J Orthop Surg Res .ther.7:11, 2012.
5. Ogden JA, Toth-Kischkat A, Schultheiss R, Principles of shock wave therapy.J. Clin Orthop Relat Res.there. 387:8-17,2001.
6. Ueberle F, Extracorporeal Shock Waves in Orthopaedics .J. ORS.there pp59–87, 1998
7. Van Tulder MW, Koes B, Seitsalo S, Malmivaara A, Outcome of invasive treatment modalities on back pain and sciatica: an evidence-based review. J. Spine, there. 15: 82-92, 2006.
8. Schlaudraff KU, Kiessling MC, Császár NBM, Schmitz C, Predictability of the individual clinical outcome of extractorporeal shock wave therapy for cellulite.J.PLOS One.t here. 7: 171–183, 2014.
9. Sangyong Lee, PhD, PT, Daehee Lee, PhD, PT, and Jungseo Park, PhD, PT, Effects of Extracorporeal Shockwave Therapy on Patients with Chronic Low Back Pain and Their Dynamic Balance Ability.J. PhysTher Sci. Jan; 26(1): 7–10, 2014.
10. Chan Park, MS, PT, Sangyong Lee, PhD, PT, Chae-Woo Yi, MSc, PT, and Kwansub Lee, PhD, The effects of extracorporeal shock wave therapy on frozen shoulder patients’ pain and functions.J. Phys Ther Sci ; 27(12): 3659–3661.2015.
11. Hammer DS, Rupp S, Ensslin S, Kohn D, Seil R, Extracorporal shock wave therapy in patients with tennis elbow and painful heel.J.Arch Orthop Trauma Surg.there. 120(5-6):304-7, 2000.
12. Speed CA, Nichols D, Richards C, Humphreys H, Wies JT, Burnet S, Hazleman BL, Extracorporeal shock wave therapy for lateral epicondylitis-a double blind randomised controlled trial. J Orthop Res.there. 22(5):895–898, 2002.