Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study
Objective The purpose of this study was to describe the results of two treatment regimens for medial tibial stress syndrome (MTSS); a graded running programme and the same running programme with additional shockwave therapy (extracorporeal shockwave therapy; ESWT). Design A prospective observational...
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| Veröffentlicht in: | British journal of sports medicine 2012-03, Vol.46 (4), p.253-257 |
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| container_title | British journal of sports medicine |
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| creator | Moen, M H Rayer, S Schipper, M Schmikli, S Weir, A Tol, J L Backx, F J G |
| description | Objective The purpose of this study was to describe the results of two treatment regimens for medial tibial stress syndrome (MTSS); a graded running programme and the same running programme with additional shockwave therapy (extracorporeal shockwave therapy; ESWT). Design A prospective observational controlled trial. Setting Two different sports medicine departments. Participants 42 athletes with MTSS were included. Intervention Patients from one hospital were treated with a graded running programme, while patients from the other hospital were treated with the same graded running programme and focused ESWT (five sessions in 9 weeks). Main Outcome Measures Time to full recovery (the endpoint was being able to run 18 min consecutively without pain at a fixed intensity). Results The time to full recovery was significantly faster in the ESWT group compared with the patients who only performed a graded running programme, respectively 59.7±25.8 and 91.6±43.0 days (p=0.008). Conclusions This prospective observational study showed that MTSS patients may benefit from ESWT in addition to a graded running programme. ESWT as an additional treatment warrants further investigation in a prospective controlled trial with the addition of randomisation and double blinding. |
| doi_str_mv | 10.1136/bjsm.2010.081992 |
| format | Article |
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Design A prospective observational controlled trial. Setting Two different sports medicine departments. Participants 42 athletes with MTSS were included. Intervention Patients from one hospital were treated with a graded running programme, while patients from the other hospital were treated with the same graded running programme and focused ESWT (five sessions in 9 weeks). Main Outcome Measures Time to full recovery (the endpoint was being able to run 18 min consecutively without pain at a fixed intensity). Results The time to full recovery was significantly faster in the ESWT group compared with the patients who only performed a graded running programme, respectively 59.7±25.8 and 91.6±43.0 days (p=0.008). Conclusions This prospective observational study showed that MTSS patients may benefit from ESWT in addition to a graded running programme. ESWT as an additional treatment warrants further investigation in a prospective controlled trial with the addition of randomisation and double blinding.</description><identifier>ISSN: 0306-3674</identifier><identifier>EISSN: 1473-0480</identifier><identifier>DOI: 10.1136/bjsm.2010.081992</identifier><identifier>PMID: 21393260</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</publisher><subject>Adolescent ; Adult ; Analysis of Variance ; Athletes ; Body mass index ; Bone density ; Exercise Test - methods ; Exercise Therapy - methods ; Female ; Fitness equipment ; High-Energy Shock Waves ; Humans ; Knee ; Male ; Medial Tibial Stress Syndrome - therapy ; Orthopedics ; Pain ; Prospective Studies ; Recovery of Function ; Running ; Running - physiology ; Sports medicine ; Studies ; Young Adult</subject><ispartof>British journal of sports medicine, 2012-03, Vol.46 (4), p.253-257</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2012 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright BMJ Publishing Group Mar 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b459t-7e632c0f66b62f68b7ee6375d622093607c6771ce3a80d692e6b0c1bed20a0463</citedby><cites>FETCH-LOGICAL-b459t-7e632c0f66b62f68b7ee6375d622093607c6771ce3a80d692e6b0c1bed20a0463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjsm.bmj.com/content/46/4/253.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjsm.bmj.com/content/46/4/253.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21393260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moen, M H</creatorcontrib><creatorcontrib>Rayer, S</creatorcontrib><creatorcontrib>Schipper, M</creatorcontrib><creatorcontrib>Schmikli, S</creatorcontrib><creatorcontrib>Weir, A</creatorcontrib><creatorcontrib>Tol, J L</creatorcontrib><creatorcontrib>Backx, F J G</creatorcontrib><title>Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study</title><title>British journal of sports medicine</title><addtitle>Br J Sports Med</addtitle><description>Objective The purpose of this study was to describe the results of two treatment regimens for medial tibial stress syndrome (MTSS); a graded running programme and the same running programme with additional shockwave therapy (extracorporeal shockwave therapy; ESWT). Design A prospective observational controlled trial. Setting Two different sports medicine departments. Participants 42 athletes with MTSS were included. Intervention Patients from one hospital were treated with a graded running programme, while patients from the other hospital were treated with the same graded running programme and focused ESWT (five sessions in 9 weeks). Main Outcome Measures Time to full recovery (the endpoint was being able to run 18 min consecutively without pain at a fixed intensity). Results The time to full recovery was significantly faster in the ESWT group compared with the patients who only performed a graded running programme, respectively 59.7±25.8 and 91.6±43.0 days (p=0.008). Conclusions This prospective observational study showed that MTSS patients may benefit from ESWT in addition to a graded running programme. ESWT as an additional treatment warrants further investigation in a prospective controlled trial with the addition of randomisation and double blinding.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Athletes</subject><subject>Body mass index</subject><subject>Bone density</subject><subject>Exercise Test - methods</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Fitness equipment</subject><subject>High-Energy Shock Waves</subject><subject>Humans</subject><subject>Knee</subject><subject>Male</subject><subject>Medial Tibial Stress Syndrome - therapy</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Running</subject><subject>Running - physiology</subject><subject>Sports medicine</subject><subject>Studies</subject><subject>Young Adult</subject><issn>0306-3674</issn><issn>1473-0480</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1v1DAQxS1ERbeFOycUwYEDShnbyTgWJ1g-WmkFSAVUcbGcZKJmm4_Fdgr73-MobQ9IqKeRPb_3xp7H2FMOJ5xLfF1ufX8iIB6h4FqLB2zFMyVTyAp4yFYgAVOJKjtkR95vAbjIoXjEDgWXWgqEFbPnl2N19dteUxIc2dDTEJJmdElPdWu7JLTlXHxsep_4_VC7saekHRIbLjsK5N8kNtm50e-oCm20qcYhuLHrqI6qqd4_ZgeN7Tw9uanH7PvHD9_Wp-nmy6ez9dtNWma5DqkilKKCBrFE0WBRKoo3Kq9RCNASQVWoFK9I2gJq1IKwhIqXVAuwkKE8Zi8X3_iYXxP5YPrWV9R1dqBx8kbnGWaC6-x-Ukid5wWoSD7_h9yOkxviNyKEvJCg8wi9-B_ElYpmWBQzBQtVxV15R43Zuba3bm84mDlMM4dp5jDNEmaUPLsxnsoYx53gNr0IpAvQ-kB_7vrWXRlUcXfm84-1ERebr-9-nr83F5F_tfBlv71__F9O1bbC</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>Moen, M H</creator><creator>Rayer, S</creator><creator>Schipper, M</creator><creator>Schmikli, S</creator><creator>Weir, A</creator><creator>Tol, J L</creator><creator>Backx, F J G</creator><general>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120301</creationdate><title>Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study</title><author>Moen, M H ; Rayer, S ; Schipper, M ; Schmikli, S ; Weir, A ; Tol, J L ; Backx, F J G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b459t-7e632c0f66b62f68b7ee6375d622093607c6771ce3a80d692e6b0c1bed20a0463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Athletes</topic><topic>Body mass index</topic><topic>Bone density</topic><topic>Exercise Test - methods</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Fitness equipment</topic><topic>High-Energy Shock Waves</topic><topic>Humans</topic><topic>Knee</topic><topic>Male</topic><topic>Medial Tibial Stress Syndrome - therapy</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Running</topic><topic>Running - physiology</topic><topic>Sports medicine</topic><topic>Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moen, M H</creatorcontrib><creatorcontrib>Rayer, S</creatorcontrib><creatorcontrib>Schipper, M</creatorcontrib><creatorcontrib>Schmikli, S</creatorcontrib><creatorcontrib>Weir, A</creatorcontrib><creatorcontrib>Tol, J L</creatorcontrib><creatorcontrib>Backx, F J G</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moen, M H</au><au>Rayer, S</au><au>Schipper, M</au><au>Schmikli, S</au><au>Weir, A</au><au>Tol, J L</au><au>Backx, F J G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study</atitle><jtitle>British journal of sports medicine</jtitle><addtitle>Br J Sports Med</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>46</volume><issue>4</issue><spage>253</spage><epage>257</epage><pages>253-257</pages><issn>0306-3674</issn><eissn>1473-0480</eissn><abstract>Objective The purpose of this study was to describe the results of two treatment regimens for medial tibial stress syndrome (MTSS); a graded running programme and the same running programme with additional shockwave therapy (extracorporeal shockwave therapy; ESWT). Design A prospective observational controlled trial. Setting Two different sports medicine departments. Participants 42 athletes with MTSS were included. Intervention Patients from one hospital were treated with a graded running programme, while patients from the other hospital were treated with the same graded running programme and focused ESWT (five sessions in 9 weeks). Main Outcome Measures Time to full recovery (the endpoint was being able to run 18 min consecutively without pain at a fixed intensity). Results The time to full recovery was significantly faster in the ESWT group compared with the patients who only performed a graded running programme, respectively 59.7±25.8 and 91.6±43.0 days (p=0.008). Conclusions This prospective observational study showed that MTSS patients may benefit from ESWT in addition to a graded running programme. ESWT as an additional treatment warrants further investigation in a prospective controlled trial with the addition of randomisation and double blinding.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</pub><pmid>21393260</pmid><doi>10.1136/bjsm.2010.081992</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Analysis of Variance Athletes Body mass index Bone density Exercise Test - methods Exercise Therapy - methods Female Fitness equipment High-Energy Shock Waves Humans Knee Male Medial Tibial Stress Syndrome - therapy Orthopedics Pain Prospective Studies Recovery of Function Running Running - physiology Sports medicine Studies Young Adult |
| title | Shockwave treatment for medial tibial stress syndrome in athletes; a prospective controlled study |
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