| Background and purpose: shock waves are defined as a sequence of single sonic pulses largely used in the treatment of bone and tendon diseases and recently on muscular hypertonia in stroke patients. Our purpose is to investigate the short and long term effect of extracorporeal shock wave therapy (ESWT) on the peripheral nerve conduction and central conductions from the treated muscles in normal human subjects in order to define safety criteria. Methods: we studied 10 patients normal subjects. Motor and sensory nerve conduction velocity and F response from right ipothenar eminence (abductor digiti minimi) of the hand was recorded. Furthermore MEP latency and amplitude and central conduction from the same muscles by transcranial magnetic stimulation was evaluated. In all subjects each neurophysiological measures were monitored before, immediately after, 15 minutes and after 30 minutes from the active ESWT treatment (1600 shots with an energy applied of 0.030 mj/mm2). Results: no significant short or long term changes were noted in sensory and motor peripheral nerve conduction and in central motor conduction in all the subjects evaluated after ESWT. Conclusions: the ESWT has no effect on sensory and motor peripheral nerve conduction and in central motor conduction. The ESWT using low level of energy represent a safety method for treating the muscles in human subjects without involvement of motor or sensory nervous trunks. Different mechanisms of action of ESWT are discussed. |
Shock wave over hand muscles: a neurophysiological study on peripheral conduction nerves in normal subjects
Manganotti P., Amelio E., Guerra C.
Original Article, 104 - 107
Keywords: "ms, ESWT, extracorporeal shock wave, muscles", peripheral nerve, spasticity,
Table of Content: Vol. 2 (No. 2) 2012 April/June
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Treatment of adhesive capsulitis: a review
D'Orsi G.M., Giai Via A., Frizziero A., Oliva F.Review Article, 70 - 78 -
The force-length relationship of the cat soleus muscle
Vaz M.A., de la Rocha Freitas C., Leonard T., Herzog W.Original Article, 79 - 84 -
Pectoralis major tendon rupture. Surgical procedures review.
Merolla G., Paladini P., Campi F., Porcellini G.Review Article, 96 - 103 -
Shock wave over hand muscles: a neurophysiological study on peripheral conduction nerves in normal subjects
Manganotti P., Amelio E., Guerra C.Original Article, 104 - 107 -
The morphology and symptom history of the Achilles tendons of figure skaters: an observational study
Perry M., Tillett E., Mitchell S., Maffulli N., Morrissey D.Original Article, 108 - 114 -
Neuromuscular efficiency of the vastus medialis obliquus and postural balance in professional soccerathletes after anterior cruciate ligament reconstruction
Chaves S.F., Marques N.P., Lemos e Silva R., Rebouças N.S., de Freitas L.M., de Paula Lima P.O., de Oliveira R.ROriginal Article, 121 - 126 -
Leg extension test, semg and vibratory stimuli to assess functional recovery following knee joint surgery
Foti C., Laurini A., Tiberti S., Carli G., Tsarpela O., Adamidis K., Bonifazi M., Giombini A., Tihanyi J., von Duvillard S., De Vita M., BoscoOriginal Article, 127 - 132 -
Prospective study of three surgical procedures for long head biceps tendinopathy associated with rotator cuff tears
Biz C., Vinanti GB., Rossato A., Arnaldi E., Aldegheri R.Original Article, 133 - 136 -
Insertional tendinopathy of the adductors and rectus abdominis in athletes: a review
Valent A., Frizziero A., Bressan S., Zanella E., Giannotti E., Masiero S.Review Article, 142 - 148 -
Massive cuff tears treated with arthroscopically assisted latissimus dorsi transfer. Surgical technique
De Cupis V., De Cupis M.Original Article, 149 - 153