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Rehabilitation Practice and Science

Translated Title

體外震波治療於梨狀肌症候群之成效

Abstract

The study was designed to evaluate the therapeutic effect of extracorporeal shockwave therapy (ESWT) on the rehabilitation of patients with piriformis syndrome. Thirty-six patients diagnosed with unilateral piriformis syndrome were included and allocated randomly into three groups, Groups A-C, with twelve patients in each group. Patients in Groups A-C all received conventional physical modalities programs, including hot packs and interferential current therapy, three times weekly for six weeks. Patients in Group B received an extra twenty minutes of stretching exercise therapy after physical modalities therapy, and Group C received the same therapy as in Group B and extra shockwave therapy weekly for six weeks. The outcome measurements included the changes in the hip range of motion (ROM), visual analogue scale (VAS), Timed Up and Go test (TUG) and latency of H reflex. Each assessment was performed before and after the treatment, and follow-up three months later. The results showed that patients in both Group B and Group C yielded more improvement than did patients in Group A. Besides, Group C presented more significant improvement (p＜0.05) after treatment and at follow-up. Extra stretching exercise therapy had positive effects on pain reduction and functional improvement. Furthermore, extracorporeal shockwave therapy might provide additional benefit in managing the piriformis syndrome. In conclusion, conventional physical modalities therapy combined with stretching exercise therapy and ESWT will result in greater therapeutic effects.

Language

English

First Page

37

Last Page

45

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