Abstract:
PRIMARY OBJECTIVE:To describe the effects of extracorporeal shock wave therapy (ESWT) on neurogenic heterotopic ossification (NHO). RESEARCH DESIGN:A single case study was considered the most appropriate methodology in this situation. METHODS AND PROCEDURES:The subject was a 43 year old female 10 years post-traumatic brain injury with recurring NHO around the hip joint. Baseline assessments of pain using a 10-point VAS, range of motion of the hip using a goniometer and walking ability (number of steps over a standard distance) were conducted. Four applications of ESWT using a Minispec™ Extracorporeal Shock Wave Lithotripsy machine (Medispec Int. USA) administered over 6 weeks to the anterolateral aspect of the right hip. Follow-up assessments were conducted weekly over the period of intervention and then monthly for 5 months. MAIN OUTCOMES AND RESULTS:Immediately following treatment, pain was reduced to 0 on the VAS scale; hip range of motion increased and the number of steps over a standard distance reduced, indicating increased step length. At 5-month follow-up, without further ESWT intervention, these results were maintained. CONCLUSION:This case study suggests that ESWT may be a non-invasive, low risk intervention for the management of NHO.
journal_name
Brain Injjournal_title
Brain injuryauthors
Reznik JE,Gordon SJ,Barker RN,Keren O,Arama Y,Galea MPdoi
10.3109/02699052.2012.729293subject
Has Abstractpub_date
2013-01-01 00:00:00pages
242-7issue
2eissn
0269-9052issn
1362-301Xjournal_volume
27pub_type
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