Extracorporeal Shock Wave Therapy (ESWT) as a treatment for recurrent Neurogenic Heterotopic Ossification (NHO).
Brain Inj
; 27(2): 242-7, 2013.
Article
en En
| MEDLINE
| ID: mdl-23384220
ABSTRACT
PRIMARY OBJECTIVE:
To describe the effects of extracorporeal shock wave therapy (ESWT) on neurogenic heterotopic ossification (NHO). RESEARCHDESIGN:
A single case study was considered the most appropriate methodology in this situation. METHODS AND PROCEDURES The subject was a 43 year old female 10 years post-traumatic brain injury with recurring NHO around the hip joint. Baseline assessments of pain using a 10-point VAS, range of motion of the hip using a goniometer and walking ability (number of steps over a standard distance) were conducted. Four applications of ESWT using a Minispec™ Extracorporeal Shock Wave Lithotripsy machine (Medispec Int. USA) administered over 6 weeks to the anterolateral aspect of the right hip. Follow-up assessments were conducted weekly over the period of intervention and then monthly for 5 months. MAIN OUTCOMES ANDRESULTS:
Immediately following treatment, pain was reduced to 0 on the VAS scale; hip range of motion increased and the number of steps over a standard distance reduced, indicating increased step length. At 5-month follow-up, without further ESWT intervention, these results were maintained.CONCLUSION:
This case study suggests that ESWT may be a non-invasive, low risk intervention for the management of NHO.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Osificación Heterotópica
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Ondas de Choque de Alta Energía
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Manejo del Dolor
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Articulación de la Cadera
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
Idioma:
En
Año:
2013
Tipo del documento:
Article