Ryu Byung-Ju, Ha Kang-Wook, Lee Jin-Young, Kim Sung-Hwan, Kwak Ho-Jun, Seol Pyong-Hwa
Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, Republic of Korea.
Department of Physical Medicine and Rehabilitation, National Traffic Injury Rehabilitation Hospital, Republic of Korea.
J Phys Ther Sci. 2016 Jan;28(2):701-4. doi: 10.1589/jpts.28.701. Epub 2016 Feb 29.
[Purpose] To report the effects of radial extracorporeal shock wave therapy (RSWT) on heterotopic ossification (HO). [Subjects and Methods] Two cases of neurogenic HO in the upper extremity were administered RSWT using the MASTER PLUS(®) MP 2000 (Storz, Tägerwilen, Switzerland) and ultrasonographic guidance. The RSWT protocol consisted of 3,000 pulses at a frequency of 12 Hz during each treatment. The intensity level ranged from 2-5 bars, and it was administered 5 times a week for 4 weeks, a total of 20 treatments. [Results] RSWT improved pain, range of motion, and hand function in 2 patients with neurogenic HO in the upper extremity. [Conclusion] Further studies are needed to support these results and to understand the mechanism and to devise the protocol of RSWT for neurogenic HO.
[目的] 报告桡侧体外冲击波疗法（RSWT）对异位骨化（HO）的疗效。[对象与方法] 对2例上肢神经源性HO患者，使用MASTER PLUS(®) MP 2000（瑞士斯托尔茨公司，泰格维伦）并在超声引导下进行RSWT治疗。RSWT方案为每次治疗12赫兹频率下3000次脉冲。强度水平为2 - 5巴，每周治疗5次，共4周，总计20次治疗。[结果] RSWT改善了2例上肢神经源性HO患者的疼痛、活动范围和手部功能。[结论] 需要进一步研究以支持这些结果，并了解其机制，制定针对神经源性HO的RSWT方案。
