Detailed Search Results
| Author/Association: | Back CGN, Peron R, Lopes CVR, de Souza JVE, Liebano RE |
| Title: | Immediate effect of extracorporeal shockwave therapy in patients with chronic non-specific low back pain: a randomised placebo-controlled triple-blind trial [with consumer summary] |
| Source: | Clinical Rehabilitation 2024 Aug;38(8):1080-1090 |
| Method: | clinical trial |
| Method Score: | This trial has not yet been rated. |
| Consumer Summary: | CLINICAL MESSAGES: Focal and radial shockwave therapies are used in the treatment of chronic non-specific low back pain. Radial equipment with a change in the applicator tip make it possible to focus the shock wave. Focused radial shock waves can be integrated into the multidimensional treatment of chronic non-specific low back pain for pain reduction. |
| Abstract: | OBJECTIVE: To compare the immediate effects of shockwave therapy using two different tips in patients with chronic non-specific low back pain. DESIGN: Randomised placebo-controlled study with three intervention groups. SETTING: The patients recruited for this study were sent for physiotherapy treatment at primary care between May and July 2022. PARTICIPANTS: Eighty-one patients with chronic non-specific low back pain aged 18 to 80 years with pain for >= 3 months and pain intensity >= 3 were randomly recruited for the study. INTERVENTION: The patients received a single intervention of radial shockwave therapy with 2000 discharges at 100 mJ energy and 5 Hz frequency using concave or convex tips or placebo treatment. MAIN MEASURES: The primary outcome was pain intensity immediately post-intervention. The secondary outcomes were pressure pain threshold, temporal summation of pain, and functional performance. Data were collected at baseline and post-intervention. RESULTS: The post-intervention pain intensity in the concave tip group is an average of two points lower (95% CI -3.6 to -0.4; p < 0.01) than that in the placebo group. The post-intervention pressure pain threshold for the concave tip group was an average of 62.8 kPa higher (95% CI 0.4 to 125.1; p < 0.05) than for the convex tip group and 76.4 kPa higher (95% CI 14 to 138.7; p < 0.01) than in the placebo group. CONCLUSION: The concave tip shockwave therapy is effective in reducing pain and local hyperalgesia in patients with chronic non-specific low back pain. Full text (sometimes free) may be available at these link(s):  help |
