Shock-wave therapy in scapularhumeral periarthritis

The aim of the present study was to determine the effectiveness of extracorporeal shock wave therapy in treating shoulder-scapular periarthritis. Material and methods. Survey and treatment of 30 patients of 45-67 years old with the diagnosis: shoulder periarthritis (7 women and 23 men). Age of the disease ranged from 1 month to 5 years. All patients were conducted x-ray examination of the cervical spine and the shoulder joint (radiography and/or MRI). To determine the pain activity the Visual analogue scale was used, Dowborn's test, test WAM. Results. The characteristic feature of the shoulder periarthritis is positive Dowborn's symptom: when rotating the shoulder inside (internal rotation) and the side of her moves up to 450-900 there was a pain in the shoulder joint (100% of patients). Conclusion. The appointment of a medical course of ESWT enhances functionality and adaptive responses in patients with shoulder-dorsal periartritom, and may be the method of choice of tactics therapy treatment of patients of this profile. The shock wave therapy is delayed effect. All patients received the ESWT, observed devolution of pain, to a minimum of 6 months to recommend re courses of therapy with a frequency of no more than 2 times a year.