Extracorporeal shock wave therapy to treat neurogenic heterotopic ossification in a patient with spinal cord injury: A case report
| Autor: | Hee Sup Chung, Won Jae Lee, Kyung Hee Do, Hyun Min Jeon, Seoyon Yang, Dae Hyun Kim, You Gyoung Yi |
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| Rok vydání: | 2019 |
| Předmět: |
Extracorporeal Shockwave Therapy
Male 030506 rehabilitation medicine.medical_specialty Extracorporeal shock wave therapy business.industry Ossification Heterotopic Pain Case Reports Middle Aged medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Neurogenic heterotopic ossification medicine Humans Heterotopic ossification Neurology (clinical) 0305 other medical science business Spinal cord injury Spinal Cord Injuries 030217 neurology & neurosurgery Ultrasonography |
| Zdroj: | J Spinal Cord Med |
| ISSN: | 2045-7723 1079-0268 |
| DOI: | 10.1080/10790268.2019.1632597 |
| Popis: | Objective: To evaluate the efficacy and safety of treatment for neurogenic heterotopic ossification (NHO) using extracorporeal shock wave therapy (ESWT) in persons with spinal cord injury (SCI). Design: Single case report. Setting: Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center. Participants: A 55-year-old male with cervical SCI, who developed painful NHO around the right hip joint. Interventions: Ultrasound-guided ESWT that used 4,000 shocks at the rate of 3 Hz and the energy flux density between 0.056 and 0.068 mJ/mm(2) was applied to the NHO region a total of 7 times, weekly. Outcome Measures: We assessed the treatment outcomes using a visual analog scale (VAS) score, wheelchair sitting time and size of NHO. Result: After 7 weeks of ESWT treatment, his pain reduced from a VAS score of 7–8 to 3 and his wheelchair sitting time increased. However, there was no significant change of size of NHO. Conclusion: The application of ESWT could be a possible alternative to other treatments for NHO in persons with SCI. Clinical Trial Registry Number: 2019-03-003. |
| Databáze: | OpenAIRE |
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