Immediate effect of extracorporeal shockwave therapy in patients with chronic non-specific low back pain: A randomised placebo-controlled triple-blind trial.
Clin Rehabil
; 38(8): 1080-1090, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38710199
ABSTRACT
OBJECTIVE:
To compare the immediate effects of shockwave therapy using two different tips in patients with chronic non-specific low back pain.DESIGN:
Randomised placebo-controlled study with three intervention groups.SETTING:
The patients recruited for this study were sent for physiotherapy treatment at primary care between May and July 2022.PARTICIPANTS:
Eighty-one patients with chronic non-specific low back pain aged 18-80 years with pain for ≥3 months and pain intensity ≥3 were randomly recruited for the study. INTERVENTION The patients received a single intervention of radial shockwave therapy with 2000 discharges at 100 mJ energy and 5 Hz frequency using concave or convex tips or placebo treatment. MAINMEASURES:
The primary outcome was pain intensity immediately post-intervention. The secondary outcomes were pressure pain threshold, temporal summation of pain, and functional performance. Data were collected at baseline and post-intervention.RESULTS:
The post-intervention pain intensity in the concave tip group is an average of two points lower (95% CI = -3.6, -0.4; p < 0.01) than that in the placebo group. The post-intervention pressure pain threshold for the concave tip group was an average of 62.8 kPa higher (95% CI = 0.4, 125.1; p < 0.05) than for the convex tip group and 76.4 kPa higher (95% CI = 14, 138.7; p < 0.01) than in the placebo group.CONCLUSION:
The concave tip shockwave therapy is effective in reducing pain and local hyperalgesia in patients with chronic non-specific low back pain.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain Measurement
/
Low Back Pain
/
Chronic Pain
/
Extracorporeal Shockwave Therapy
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Clin Rehabil
Journal subject:
REABILITACAO
Year:
2024
Type:
Article
Affiliation country:
Brazil