Document Detail

High- versus low-energy extracorporeal shock wave therapy of rotator cuff tendinopathy: a prospective, randomised, controlled study.
MedLine Citation:
PMID:  19774810     Owner:  NLM     Status:  MEDLINE    
A prospective, controlled, randomised trial was performed to compare the effect of high-energy extracorporeal shock wave therapy (ESWT) versus low-energy ESWT in treatment of rotator cuff tendinopathy. Forty adult patients were included in the study. Patients in the intervention group received 6000 impulses of high-energy (ED+ 0.78 mJ/mm2) in 3 sessions under local anaesthesia. Patients in the control group received 6000 impulses of a low-energy ESWT (ED+ 0.33 mJ/mm2) under local anaesthesia. Follow-up examinations were performed 12 weeks and one year after treatment by an independent observer. An increase in function and a reduction of pain were found in both groups (p < 0.001). Although the improvement in Constant score was greater in the high-energy group compared to the low-energy group, statistical analyses showed no significant difference between the groups with respect to all parameters studied (Constant score/pain/subjective improvement) after 12 weeks and one year follow-up. No statistically significant differences were found between the results of high-energy and low-energy ESWT of rotator cuff tendinopathy.
Markus Dietmar Schofer; Frank Hinrichs; Christian Dominik Peterlein; Melanie Arendt; Jan Schmitt
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  75     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-09-24     Completed Date:  2009-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  452-8     Citation Subset:  IM    
Department of Orthopaedics, University Hospital Marburg, Germany.
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MeSH Terms
High-Energy Shock Waves / therapeutic use
Middle Aged
Pain Measurement
Prospective Studies
Radiation, Nonionizing*
Rotator Cuff / injuries*,  pathology,  radiation effects
Single-Blind Method
Tendinopathy / therapy*
Treatment Outcome

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