Tache-Codreanu Diana-Lidia, David Iuliana, Tache-Codreanu Ana-Maria, Sporea Corina, Burcea Claudia-Camelia, Blendea Dan Corneliu, Morcov Maria-Veronica, Cioca Ioana Elena
Medical Rehabilitation Department, Colentina Clinical Hospital, Stefan cel Mare Street No. 19-21, 020125 Bucharest, Romania.
Faculty of Midwifery and Nursing, University of Medicine and Pharmacy "Carol Davila", 37 Dionisie Lupu Street, 020021 Bucharest, Romania.
Life (Basel). 2025 Jun 6;15(6):922. doi: 10.3390/life15060922.
Radial extracorporeal shockwave therapy (rESWT) is used in the rehabilitation of patients with shoulder periarthritis (SP) to promote tendon regeneration. This quasi-experimental non-randomized comparative study included 36 cases of SP, divided into two groups, and aimed to comparatively investigate the analgesic and functional effects of two different rESWT protocols. In Group One, the protocol involved an energy level of 210 J/session, a frequency of 10 Hz, and 2500 impulses per session. In Group Two, the protocol used an energy level of 190 J/session, a frequency of 10-15 Hz, and 2000 impulses per session. Treatments were administered over three sessions in Group One and five sessions in Group Two, with one-week intervals between sessions. Both rESWT protocols were combined with a physical therapy program consisting of ten daily sessions of analgesic physiotherapy and kinesiotherapy. Before and after the rehabilitation program, patients were assessed for pain intensity using the visual analog scale (VAS) and shoulder function using range of motion (ROM) measurements (via goniometry) and the Shoulder Pain and Disability Index (SPADI). Significantly better outcomes were observed in Group One ( < 0.001), particularly in terms of pain reduction and improvements in shoulder functionality, especially external rotation. These results support the effectiveness of the rESWT protocol used in Group One, which combined lower energy and frequency levels with a higher number of impulses over fewer sessions.
桡侧体外冲击波疗法（rESWT）用于肩周炎（SP）患者的康复治疗，以促进肌腱再生。这项半实验性非随机对照研究纳入了36例SP患者，分为两组，旨在比较两种不同rESWT方案的镇痛和功能效果。第一组方案为能量水平210 J/次，频率10 Hz，每次2500次脉冲。第二组方案为能量水平190 J/次，频率10 - 15 Hz，每次2000次脉冲。第一组进行3次治疗，第二组进行5次治疗，每次治疗间隔1周。两种rESWT方案均结合了一个物理治疗项目，该项目包括每天10次的镇痛物理治疗和运动疗法。在康复项目前后，使用视觉模拟量表（VAS）评估患者的疼痛强度，并通过活动范围（ROM）测量（通过量角器）和肩痛与功能障碍指数（SPADI）评估肩部功能。第一组观察到显著更好的结果（<0.001），特别是在疼痛减轻和肩部功能改善方面，尤其是外旋功能。这些结果支持了第一组使用的rESWT方案的有效性，该方案在较少的治疗次数中结合了较低的能量和频率水平以及较多的脉冲数。
