Comparative Effects of Radial and Focused Extracorporeal Shock Wave Therapies in Coccydynia


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ŞAH V., ELASAN S., KAPLAN Ş.

International Congress on Biological and Health Sciences (ICBH), 24-27 February 2022, Ankara, Türkiye, 24 - 27 Şubat 2022, ss.169

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Ankara
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.169
  • Van Yüzüncü Yıl Üniversitesi Adresli: Evet

Özet

We conducted this study to compare the effects of radial and focused extracorporeal shock wave therapies (ESWT) in coccydynia.

Sixty patients with coccydynia were equally randomised into three groups according to different wave types of ESWT: Focused, Radial, and Sham. A total of 4 sessions of ESWT at 1-week intervals were applied to the sacrococcygeal area. All patients were evaluated at baseline (week 0) and after the treatment (weeks 4, 8, and 12) with Visual Analog Scale (VAS) and Oswestry Disability Index (ODI).

There was no significant change in VAS and ODI scores at any control week in the Sham ESWT group compared to baseline (p>0.05). Compared with baseline (week 0) the VAS scores of weeks 4 were reduced only in Radial ESWT group (p<0.05). Compared with baseline the VAS and ODI scores of weeks 8 and week 16 were significantly reduced in both Focused and Radial ESWT groups (for all, p<0.05). Radial group was significantly superior than Focused group based on the comparisons between the groups at week 4 in the VAS values, and at week 16 in the ODI scores (for all, p<0.05).

We found that both Radial ESWT and Focused ESWT were effective in treating coccydynia compared to Sham ESWT. However, it can be predicted that radial ESWT might be more effective in the treatment of coccydynia.

Keywords: coccydynia, shock wave, randomised sham-controlled trial.