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KMID : 1195020200160020045
Archives of Orthopedic and Sports Physical Therapy
2020 Volume.16 No. 2 p.45 ~ p.53
The Effect of Radial Extracorporeal Shock Wave Application on the Thickness and Mechanical Properties of the Thoracolumbar Fascia
Han Sang-Wan

Abstract
Purpose: This study assessed the effects of long periods of radial extracorporeal shockwave therapy (ESWT)applied to the thoracolumbar fascia on fascia thickness, fat, and mechanical properties.

Methods: Among the 15 patients with low back pain, 10 received twice-weekly ESWT of the thoracolumbarfascia for 5 weeks. The thickness of the thoracolumbar fascia was evaluated by ultrasonography before and afterESWT, and the mechanical properties (frequency, decrement, and stiffness) were assessed using a MyotonPROdevice. Data were analyzed using IBM SPSS Statistics for Windows, version 21.0, and paired t-tests were usedto determine statistical differences between the pre- and post-intervention groups. The statistical significancewas defined as ¥á=0.05.

Results: Ultrasonography showed a greater decrease in thoracolumbar fascia thickness in the ESWT groupat 5 weeks (p=0.309). The patients who received ESWT to the thoracolumbar fascia showed significant changesin the mechanical properties of fascia stiffness and decrement values between pre- and post-intervention(p£¼0.05). However, no significant differences were observed in fascia tone.

Conclusion: Clinically, there was no change in thoracolumbar fascia thickness, while the reduction in muscletone and stiffness of the thoracolumbar fascia increased the mobility following ESWT.
KEYWORD
Extracorporeal Shockwave Therapy, Thoracolumbar Fascia, Myoton, Mechanical Property, Ultrasonography
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