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2022, vol. 73, br. 1, str. 7-11
Primena mehaničkog udarnog talasa u lečenju kalcifikovanih tendinopatija
aUniverzitet u Beogradu, Medicinski fakultet + Visoka sportska i zdravstvena škola, Beograd
bUniverzitet u Beogradu, Medicinski fakultet + Univerzitet u Beogradu, Medicinski fakultet, Institut za fiziologiju

e-adresaivana177@hotmail.com
Ključne reči: tendinopatija; kalcifikat; mehanički udarni talas; plantarni fascitis; teniski lakat
Sažetak
Tetive povezuju mišiće s kostima. Građene su od kolagena i elastina, snažne su i čvrste i nemaju mogućnost kontrakcije. Njihova čvrstina nam pomaže pri kretanju. Oporavak povreda tetiva je dugotrajan i može trajati i više od šest meseci. Ako pri povredi tetive dođe do izliva krvi, tokom vremena na mestu povrede nastaje kalcifikat i tada nastaje kalcifikantna tendinopatija. Samo postojanje kalcifikata je indikacija za lečenje mehaničkim udarnim talasom (engl. Shock wave). Mehanički udarni talas deluje fokusirano ili radijalno. Razlika između fokusiranih i radijalnih talasa je, pre svega, u njihovoj fizičkoj osnovi. U odnosu na radijalne udarne talase, fokusirani udarni talasi se razlikuju u pogledu terapijske dubine prodiranja u tkivo. Osnovni biološki efekat mehaničkog udarnog talasa je stimulativni. Energija mehaničkog udarnog talasa deluje na ćelijskom nivou tako što u tkivu stimuliše smanjenje inflamacije i bola. Korišćenjem mehaničkog udarnog talasa u terapiji kalcifikovanih tendinopatija dobijen je siguran metod za razbijanje kalcifikata. Mehanički udarni talas se može primeniti na različite načine korišćenjem: različite frekvencije, različitog broja udaraca, kao i različite jačine udaraca prilikom terapije. Izbor parametara za aplikaciju zavisi od toga da li se radi o kalcifikovanoj ili nekalcifikovanoj tendinopatiji. Indikacije za primenu mehaničkog udarnog talasa su: bolno rame, petni trn, plantarni fascitis, teniski lakat, tendinopatija Ahilove tetive, skakačko koleno, tendinitis patele, mialgija, miogeloze i sindrom prenaprezanja mišično-tetivnog sistema. Kontraindikacije za primenu mehaničkog udarnog talsa su: postojanje proteza kolena i kuka, kao i različitog ortopetskog materijala, pejsmejker, i pristustvo hroničnih oboljenja kao što su multipla skleroza, amiotrofična lateralna skleroza ili tumori. Primena mehaničkog udarnog talasa je nova, neinvazivna metoda, jednostavna za primenu, uvek smanjuje bol i praktično je bez neželjenih efekata tokom primene. Ova metoda ima posebnu ulogu u lečenju hroničnih upala bolesnih tetiva, sa kalcifikacijama ili bez njih. Jedina nedoumica u primeni mehaničkog udarnog talasa može biti u broju aplikacija i vremenskoj pauzi između primene dva uzastopna mehanička udarna talasa.
Reference
Al-Abbad, H., Simon, J.V. (2013) The Effectiveness of Extracorporeal Shock Wave Therapy Chronic Achiles Tendinopathy: A Systemic Review. Foot Ankle Int, 34(1): 33-41
Arirachakaran, A., Boonard, M., Yamaphai, S., Prommahachai, A., Kesprayura, S., Kongtharvonskul, J. (2017) Extracorporeal Shock Wave Therapy, Ultrasound-Guided Percutaneous Lavage, Corticosteroid Injection and Combined Treatment for the Treatment of Rotator Cuff Calcific Tendinopathy: A Network Meta-Analysis of RCTs. Eur J Orthop Surg Traumatol, 27(3): 381-390
Burton, I. (2021) Autoregulated Heavy Slow Resistance Training Combined with Radial Shockwave Therapy for Plantar Heel Pain: Protocol for a Mixed Methods Pilot Randomised Controlled Trial. Musculoscelet Care, 19(3): 319-330
Çelik, A., Altan, L., Ökmen, B.M. (2020) The Effects of Extracorporeal Shock Wave Therapy on Pain, Disability and Life Quality of Chronic Low Back Pain Patients. Altern Ther Health Med, 26(2): 54-60
Cheng, J.H., Wang, C.J. (2015) Biological Mechanism of Shockwave in Bone. Int J Surg, 24(Pt B): 143-146
Chung, B., Wiley, J. (2002) Extracorporeal Shockwave Therapy: A Review. Sports Med, 32(13): 851-865
Crema, M.D., Guermazi, A., Tol, J.L., Niu, J., Hamilton, B., Roemer, F.W. (2016) Acute Hamstring Injury in Football Players: Association Between Anatomical Location and Extent of Injury: A Large Single-Center MRI Report. J Sci Med Sport, 19(4): 317-322
Crupnik, J., Silveti, S., Wajnstein, N., Rolon, A., Vollhardt, A., Stiller, P., et al. (2019) Is Radial Extracorporeal Shock Wave Therapy Combined with a Specific Rehabilitation Program (r ESWT + RP) More Effective Than Sham -r ESWT + RP for Acute Hamstring Muscle Complex Injury Type 3b in Athletes?: Study Protocol for a Prospective, Randomiz. J Orthop Surg Res, 14(1): 234-234
Császár, N.B.M., Angstman, N.B., Milz, S., Sprecher, C.M., Kobel, P., Farhat, M. (2015) Radial Shock Wave Devices Generate Cavitation. PLoS One, 10(10): e0140541
Dedes, V., Stergioulas, A., Kipreos, G., Dede, A., Mitseas, A.A., Panoutsopoulos, G. (2018) Effectiveness and Safety of Shockwave Therapy in Tendinopathies. Mater Sociomed, 30(2): 141-146
Defoort, S., de Smet, L., Brys, P., Peers, K., Degreef, I. (2021) Lateral Elbow Tendinopathy: Surgery Versus Extracorporeal Shock Wave Therapy. Hand Surg Rehabil, 40(3): 263-267
Duymaz, T., Singel, D. (2019) Comparison of Radial Extracorporeal Shock Wave Therapy and Traditional Physiotherapy in Rotator Cuff Calcific Tendinitis Treatment. Arch Rheumatol, 34(3): 281-287
Foldager, C.B., Kearney, C., Spector, M. (2012) Clinical Application of Extracorporeal Shock Wave Therapy in Orthopedics: Focused versus Unfocused Shock Waves. Ultrasound Med Biol, 38(10): 1673-1680
Gerdesmeyer, L., Schaden, W., Besch, L., Stukenberg, M., Doerner, L., Muehlhofer, H., et al. (2015) Osteogenetic Effect of Extracorporeal Shock Waves in Human. Int. J Surg, 24(PtB): 115-119
Harniman, E., Carette, S., Kennedy, C., Beaton, D. (2004) Extracorporeal Shock Wave Therapy for Calcific and Noncalcific Tendonitis of the Rotator Cuff: A Systematic Review. J Hand Ther, 17(2): 132-151
Heide, M., Mørk, M., Røe, C., Brox, J.I., Hoksrud, A.F. (2020) The Effectiveness of Radial Extracorporeal Shock Wave Therapy (rESWT), Sham-rESWT, Standardised Exercise Programme or Usual Care for Patients with Plantar Fasciopathy: Study Protocol for a Double-blind, Randomised, Sham-Controlled Trial. Trials, 21(1): 589-589
Kearney, R., Costa, M.L. (2010) Insertional Achilles Tendinopathy Management: A Systematic Review. Foot Ankle Int Foot Ankle Int, 31(8): 689-694
Lange, T., Deventer, N., Gosheger, G., Lampe, L.P., Bockholt, S., Boevingloh, S.A., et al. (2021) Effectiveness of Radial Extracorporeal Shockwave Therapy in Patients with Acute Low Back Pain-Randomized Controlled Trial. J Clin Med, 10(23): 5569
Leung, R., Malliaropoulos, N., Korakakis, V., Padhiar, N. (2018) What Are Patients' Knowledge, Expectation and Experience of Radial Extracorporeal Shockwave Therapy for the Treatment of Their Tendinopathies?: A Qualitative Study. J Foot Ankle Res, 11(1): 11-11
Li, W., Zhang, S.X., Yang, Q., Li, B., Meng, Q.G., Guo, Z.G. (2017) Effect of Extracorporeal Shock-Wave Therapy for Treating Patients with Chronic Rotator Cuff Tendonitis. Medicine, Baltimore, 96(35): e7940
Lohrer, H., Nauck, T., Korakakis, V., Malliaropoulos, N. (2016) Historical ESWT Paradigms Are Overcome: A Narrative Review. Biomed Res Int, 2016: 3850461
Malliaropoulos, N., Thompson, D., Meke, M., Pyne, D., Alaseires, D., Atkinson, H., et al. (2017) Individualised Radial Extracorporeal Shock Wave Therapy (rESWT) for Symptomatic Calcific Shoulder Tendinopathy: A Retrospective Clinical Study. BMC Musculoskelet Disord, 18(1): 513-513
Mateo, V., Naim, N.R., Pierluigi, P., Andreas, D., di Carlo, G., Anshuman, C., et al. (2019) ESWT and Nutraceutical Supplementation (Tendisulfur Forte) vs ESWT-Only in the Treatment of Lateral Epicondylitis, Achilles Tendinopathy, and Rotator Cuff Tendinopathy: A Comparative Study. J Drug Assess, 8(1): 77-86
Mihai, E.E., Dumitru, L., Mihai, I.V., Berteanu, M. (2020) Long-Term Efficacy of Extracorporeal Shock Wave Therapy on Lower Limb Post-Stroke Spasticity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Clin Med, 10(1): 86-86
Moya, D., Ramón, S., Schaden, W., Wang, C.J., Guiloff, L., Cheng, J.H. (2018) The Role of Extracorporeal Shockwave Treatment in Musculoskeletal Disorders. J Bone Joint Surg Am, 100(3): 251-263
Odgen, J.A., Toth-Kischkat, A., Schultheiss, R. (2001) Principles of Shock Wave Therapy. Clin Orthop Relat Res, (387): 8-17
Okur, S.Ç., Aydın, A. (2019) Comparison of Extracorporeal Shock Wave Therapy with Custom Foot Orthotics in Plantar Fasciitis Treatment: A Prospective Randomized One-Year Follow-Up Study. J Musculoskelet Neuronal Interact, 19(2): 178-186
Ordegen, J.A., Toth-Kischakat, A., Shultheiss, R. (2001) Principles of Shock Wave Therapy. Clin Orthop Relat Res, (387): 8-17
Pakos, E., Gkiatas, I., Rakkas, G., Papadopoulos, D., Gelalis, I., Verkis, M., et al. (2018) Calcific Deposit Needling in Combination with Extracorporeal Shock Wave Therapy (ESWT): A Proposed Treatment for Supraspinatus Calcified Tendinopathy. SICOT J, 4: 45-45
Rowe, V., Hemmings, S., Malliaras, P., Maffulli, N., Morrissey, D. (2012) Conservative Management of Midportion Achilles Tendinopathy: A Mixed Methods Study, Integrating Systematic Review and Clinical Reasoning. Sports Med, 42(11): 941-967
Speed, C. (2014) A Systematic Review of Shockwave Therapies in Soft Tissue Conditions: Focusing on the Evidence. Br J Sports Med, 48(21): 1538-1542
Taheri, P., Khosrawi, S., Ramezani, M. (2021) Extracorporeal Shock Wave Therapy Combined With Oral Medication and Exercise for Chronic Low Back Pain: A Randomized Controlled Trial. Arch Phys Mewd Rehab, 102(7): 1294-1299
Tailly, G.G. (2013) Extracorporeal Shock Wave Lithotripsy Today. Indian J Urol, 29(3): 200-207
Takahashi, N., Ohtori, S., Saisu, T., Moriya, H., Wada, Y. (2006) Second Application of Low-Energy Shock Waves Has a Cumulative Effect on Free Nerve Endings. Clin Orthop Relat Res, 443: 315-319
Thiele, S., Thiele, R., Gerdesmeyer, L. (2015) Lateral Epicondylitis: This Is Still a Main Indication for Extracorporeal Shockwave Therapy. Int J Surg, 24(Pt B): 165-170
Umamahesvaran, B., Sambandam, S.N., Mounasamy, V., Gokulakrishnan, P.P., Ashraf, M. (2018) Calcifying Tendinitis of Shoulder: A Concise Review. Journal of Orthopaedics, 15(3): 776-782
Yoon, S.Y., Kim, Y.W., Shin, I.S., Moon, H.I., Lee, S.C. (2020) Does the Type of Extracorporeal Shock Therapy Influence Treatment Effectiveness in Lateral Epicondylitis?: A Systematic Review and Meta-Analysis. Clin Orthop Relat Res, 478(10): 2324-2339
Yue, L., Sun, M.S., Chen, H., Mu, G.Z., Sun, H.S. (2021) Extracorporeal Shockwave Therapy for Treating Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Biomed Res Int, 2021: 5937250
Zelle, B.A., Gollwitzer, H., Zlowodzki, M., Bühren, V. (2010) Extracorporeal Shock Wave Therapy: Current Evidence. J Orthop. Trauma
Zhang, J.Z., Lee, W.C., Fu, S.N. (2020) One Session of Extracorporeal Shockwave Therapy-Induced Modulation on Tendon Shear Modulus Is Associated with Reduction in Pain. J Sports Sci Med, 19(2): 309-316
 

O članku

jezik rada: srpski
vrsta rada: pregledni članak
DOI: 10.5937/mp73-35808
objavljen u SCIndeksu: 12.05.2022.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

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