Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural Fibrosis
Objective To investigate the effectiveness of radial extracorporeal shock wave therapy (rESWT) on pain, lumbar range of motion (ROM) and F-wave minimal latency and F-chronodispersion in patients with post laminectomy epidural fibrosis. Methods Sixty patients complaining of low back pain and sciatica...
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| Language: | English |
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Korean Academy of Rehabilitation Medicine
2025-04-01
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| Series: | Annals of Rehabilitation Medicine |
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| Online Access: | http://e-arm.org/upload/pdf/arm-240118.pdf |
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| author | Usama M. Rashad Marwa Hany Abousenna Amr K. Elsamman Nagwa Ibrahim Rehab |
| author_facet | Usama M. Rashad Marwa Hany Abousenna Amr K. Elsamman Nagwa Ibrahim Rehab |
| author_sort | Usama M. Rashad |
| collection | DOAJ |
| description | Objective To investigate the effectiveness of radial extracorporeal shock wave therapy (rESWT) on pain, lumbar range of motion (ROM) and F-wave minimal latency and F-chronodispersion in patients with post laminectomy epidural fibrosis. Methods Sixty patients complaining of low back pain and sciatica secondary to lumbar post laminectomy epidural fibrosis were allocated to one of the two equal groups (study and control groups). Pain intensity, lumbar ROM, and F-wave latency and F-chronodispersion were assessed pre- and posttreatment using visual analogue scale (VAS), Back ROM II device, and Neuro-MEP-Micro electromyography device, respectively. Results Posttreatment mean values showed statistically significant decrease in VAS mean scores in both groups, with more significant decrease posttreatment in favor of the study group. There was statistically significant increase in all lumbar ROM mean scores and statistically significant decrease in F-minimal latency and F-chronodispersion for both peroneal and tibial nerves in the study group only posttreatment. Also, the results showed that significant positive moderate correlation between VAS scores and F-chronodispersion for peroneal nerve, strong negative correlation between right side bending scores and F-wave minimal latency for peroneal nerve and moderate negative correlation between left side bending scores and F-wave minimal latency for peroneal nerve after treatment. Conclusion It was concluded that rESWT is a new and convenient modality, that would be beneficial if added to the conventional physical therapy protocols in managing patients with lumbar post-laminectomy epidural fibrosis. |
| format | Article |
| id | doaj-art-00c1c7f1fb9a4cd98d75dbfd43725432 |
| institution | OA Journals |
| issn | 2234-0653 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj-art-00c1c7f1fb9a4cd98d75dbfd437254322025-08-20T02:28:11ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532025-04-01492819010.5535/arm.2401184400Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural FibrosisUsama M. Rashad0Marwa Hany Abousenna1Amr K. Elsamman2Nagwa Ibrahim Rehab3 Physical Therapy Department for Neurology, Faculty of Physical Therapy, Heliopolis University, Cairo, Egypt Physical Therapy Department for Neurology, Faculty of Physical Therapy, Heliopolis University, Cairo, Egypt Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt Physical Therapy Department for Neurology, Faculty of Physical Therapy, Cairo University, Cairo, EgyptObjective To investigate the effectiveness of radial extracorporeal shock wave therapy (rESWT) on pain, lumbar range of motion (ROM) and F-wave minimal latency and F-chronodispersion in patients with post laminectomy epidural fibrosis. Methods Sixty patients complaining of low back pain and sciatica secondary to lumbar post laminectomy epidural fibrosis were allocated to one of the two equal groups (study and control groups). Pain intensity, lumbar ROM, and F-wave latency and F-chronodispersion were assessed pre- and posttreatment using visual analogue scale (VAS), Back ROM II device, and Neuro-MEP-Micro electromyography device, respectively. Results Posttreatment mean values showed statistically significant decrease in VAS mean scores in both groups, with more significant decrease posttreatment in favor of the study group. There was statistically significant increase in all lumbar ROM mean scores and statistically significant decrease in F-minimal latency and F-chronodispersion for both peroneal and tibial nerves in the study group only posttreatment. Also, the results showed that significant positive moderate correlation between VAS scores and F-chronodispersion for peroneal nerve, strong negative correlation between right side bending scores and F-wave minimal latency for peroneal nerve and moderate negative correlation between left side bending scores and F-wave minimal latency for peroneal nerve after treatment. Conclusion It was concluded that rESWT is a new and convenient modality, that would be beneficial if added to the conventional physical therapy protocols in managing patients with lumbar post-laminectomy epidural fibrosis.http://e-arm.org/upload/pdf/arm-240118.pdfextracorporeal shock wave therapylaminectomyback painrange of motion |
| spellingShingle | Usama M. Rashad Marwa Hany Abousenna Amr K. Elsamman Nagwa Ibrahim Rehab Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural Fibrosis Annals of Rehabilitation Medicine extracorporeal shock wave therapy laminectomy back pain range of motion |
| title | Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural Fibrosis |
| title_full | Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural Fibrosis |
| title_fullStr | Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural Fibrosis |
| title_full_unstemmed | Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural Fibrosis |
| title_short | Effect of Extracorporeal Shock Wave Therapy on Post-Laminectomy Lumbar Epidural Fibrosis |
| title_sort | effect of extracorporeal shock wave therapy on post laminectomy lumbar epidural fibrosis |
| topic | extracorporeal shock wave therapy laminectomy back pain range of motion |
| url | http://e-arm.org/upload/pdf/arm-240118.pdf |
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