Ismst 2007 Bursite Quadril

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DRACSOUZA

Health & Medicine Technology

Shockwave Therapy for Trochanteric Bursitis Ana Cláudia Souza Flavia Arkader Paulo Rockett Paulo Santos

Some cases of bursitis happened with tendinosis of the gluteus tendon calcifications and

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What is the mechanism of shockwave therapy in Hip Bursitis?

Microbiological Theory eNOS PHISYCAL ENERGY Biological Response VEGF PCNA Neo vascular Improved blood supply Bone repair tendon repair Tissue regeneration BMP-2

International Society for Musculoskeletal Shockwave Therapy - ISMST NEWSLETTER

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Conditions for ESWT of Soft Tissue pathologies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Roles and Maudsley score Grade 1 E xcellent no pain, full movement and activity Grade 2 Good occasional pain, full movement and activity Grade 3 A cceptable some discomfort after prolonged activity Grade 4 Poor pain limiting activity

Protocol Application One application Local Anaesthesia 1200 impulses Energy flux 0.130 to 0.144 mJ/mm² Reapplication after 3 months of follow-up

56 Trochanteric Bursitis No significant adverse affect was observed Treatments Cases 45 days 90 days 180 days 1 52 68% 76% 83% 2 4 63% 73% 88% 3 0

Final Results – 180 days Roles and Maudsley score 50 / 89% 49 = No corticosteroide Injection 7 = Corticosteroide Injection

Final Results – 180 days Roles and Maudsley score 6 cases=poor or acceptable

Previous Corticosteroid Injection Excellent / Good Poor / Acceptable 6 ,[object Object]

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