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