Extracorporeal Shock Wave Therapy (ESWT) as a treatment for recurrent Neurogenic Heterotopic Ossification (NHO).

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 Inj

journal_title

Brain injury

authors

Reznik JE,Gordon SJ,Barker RN,Keren O,Arama Y,Galea MP

doi

10.3109/02699052.2012.729293

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

242-7

issue

2

eissn

0269-9052

issn

1362-301X

journal_volume

27

pub_type

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