Maffulli G, Hemmings S, Maffulli N
Curis Consulting Ltd, Fergusson House, 124-128 City Road, London. EC1V 2NJ United Kingdom.
Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Mile End Hospital, London, E1 4DG United Kingdom.
Transl Med UniSa. 2014 Apr 8;10:46-51. eCollection 2014 Sep.
Soft tissue injuries and tendinopathies account for large numbers of chronic musculoskeletal disorders. Extracorporeal shockwave therapy (ESWT) is popular, and effective in the management of chronic tendon conditions in the elbow, shoulder, and pain at and around the heel.
METHODS/DESIGN: Ethical approval was granted from the South East London Research Ethics Committee to implement a database for the Assessment of Effectiveness of Extracorporeal Shock Wave Therapy for Soft Tissue Injuries (ASSERT) to prospectively collect information on the effectiveness of ESWT across the UK. All participants will give informed consent. All clinicians follow a standardised method of administration of the ESWT. The primary outcome measures are validated outcome measures specific to the condition being treated. A Visual Analogue Score for pain and the EuroQol will be completed alongside the condition specific outcome tool at baseline, 3, 6, 12 and 24 months post treatment.
The development of the ASSERT database will enable the evaluation of the effectiveness of ESWT for patients suffering from chronic conditions (plantar fasciopathy, tennis elbow, Achilles tendinopathy, greater trochanter pain syndrome and patellar tendinopathy). The results will aid the clinicians in the decision making process when managing these patients.
软组织损伤和肌腱病占大量慢性肌肉骨骼疾病。体外冲击波疗法(ESWT)很受欢迎,并且在治疗肘部、肩部的慢性肌腱疾病以及足跟及其周围疼痛方面有效。
方法/设计:获得伦敦东南部研究伦理委员会的伦理批准,以实施体外冲击波疗法治疗软组织损伤有效性评估数据库(ASSERT),前瞻性收集全英国范围内ESWT有效性的信息。所有参与者将给予知情同意。所有临床医生遵循ESWT的标准化给药方法。主要结局指标是针对所治疗疾病的经过验证的结局指标。在基线、治疗后3个月、6个月、12个月和24个月时,将使用疼痛视觉模拟评分法和欧洲五维度健康量表,同时完成针对特定疾病的结局工具。
ASSERT数据库的建立将能够评估ESWT对患有慢性疾病(足底筋膜炎、网球肘、跟腱病、大转子疼痛综合征和髌腱病)患者的有效性。结果将有助于临床医生在管理这些患者时的决策过程。