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Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head
OBJECTIVE: To evaluate the effectiveness of lower energy flux density (EFD) extracorporeal shock wave therapy (ESWT) in the early stage of avascular necrosis (AVN) of the femoral head. METHODS: Nineteen patients and 30 hips were enrolled. All subjects received 4 weekly sessions of ESWT, at different...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Academy of Rehabilitation Medicine
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5108714/ https://www.ncbi.nlm.nih.gov/pubmed/27847717 http://dx.doi.org/10.5535/arm.2016.40.5.871 |
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author | Han, Yong Lee, June-Kyung Lee, Bong-Yeon Kee, Hoi-Sung Jung, Kwang-Ik Yoon, Seo-Ra |
author_facet | Han, Yong Lee, June-Kyung Lee, Bong-Yeon Kee, Hoi-Sung Jung, Kwang-Ik Yoon, Seo-Ra |
author_sort | Han, Yong |
collection | PubMed |
description | OBJECTIVE: To evaluate the effectiveness of lower energy flux density (EFD) extracorporeal shock wave therapy (ESWT) in the early stage of avascular necrosis (AVN) of the femoral head. METHODS: Nineteen patients and 30 hips were enrolled. All subjects received 4 weekly sessions of ESWT, at different energy levels; group A (n=15; 1,000 shocks/session, EFD per shock 0.12 mJ/mm(2)) and group B (n=15; 1,000 shocks/session, EFD per shock 0.32 mJ/mm(2)). We measured pain by using the visual analog scale (VAS), and disability by using the Harris hip score, Hip dysfunction and Osteoarthritis Outcome Score (HOOS), and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). To determine the effect of the lower EFD ESWT, we assessed the VAS, Harris hip score, HOOS, WOMAC of the subjects before and at 1, 3, and 6 months. RESULTS: In both groups, the VAS, Harris hip score, HOOS, and WOMAC scores improved over time (p<0.05). CONCLUSION: Lower EFD ESWT may be an effective method to improve the function and to relieve pain in the early stage of AVN. |
format | Online Article Text |
id | pubmed-5108714 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-51087142016-11-15 Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head Han, Yong Lee, June-Kyung Lee, Bong-Yeon Kee, Hoi-Sung Jung, Kwang-Ik Yoon, Seo-Ra Ann Rehabil Med Original Article OBJECTIVE: To evaluate the effectiveness of lower energy flux density (EFD) extracorporeal shock wave therapy (ESWT) in the early stage of avascular necrosis (AVN) of the femoral head. METHODS: Nineteen patients and 30 hips were enrolled. All subjects received 4 weekly sessions of ESWT, at different energy levels; group A (n=15; 1,000 shocks/session, EFD per shock 0.12 mJ/mm(2)) and group B (n=15; 1,000 shocks/session, EFD per shock 0.32 mJ/mm(2)). We measured pain by using the visual analog scale (VAS), and disability by using the Harris hip score, Hip dysfunction and Osteoarthritis Outcome Score (HOOS), and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). To determine the effect of the lower EFD ESWT, we assessed the VAS, Harris hip score, HOOS, WOMAC of the subjects before and at 1, 3, and 6 months. RESULTS: In both groups, the VAS, Harris hip score, HOOS, and WOMAC scores improved over time (p<0.05). CONCLUSION: Lower EFD ESWT may be an effective method to improve the function and to relieve pain in the early stage of AVN. Korean Academy of Rehabilitation Medicine 2016-10 2016-10-31 /pmc/articles/PMC5108714/ /pubmed/27847717 http://dx.doi.org/10.5535/arm.2016.40.5.871 Text en Copyright © 2016 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Han, Yong Lee, June-Kyung Lee, Bong-Yeon Kee, Hoi-Sung Jung, Kwang-Ik Yoon, Seo-Ra Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head |
title | Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head |
title_full | Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head |
title_fullStr | Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head |
title_full_unstemmed | Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head |
title_short | Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head |
title_sort | effectiveness of lower energy density extracorporeal shock wave therapy in the early stage of avascular necrosis of the femoral head |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5108714/ https://www.ncbi.nlm.nih.gov/pubmed/27847717 http://dx.doi.org/10.5535/arm.2016.40.5.871 |
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