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Eficácia da terapia por ondas de choque extracorporais na tendinopatia da coifa dos rotadores: revisão bibliográfica
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Abstract(s)
A tendinopatia da coifa dos rotadores é uma das principais causas de dor crónica no ombro e nem sempre responde ao tratamento conservador. Objetivo: Perceber qual a eficácia da terapia por ondas de choque extracorporais no tratamento da tendinopatia da coifa dos rotadores. Metodologia: Pesquisa computorizada nas bases de dados Pubmed, Web of Science, PEDro, Academic Search Complete e CINAHL Plus, com a combinação “shockwave therapy” AND “rotator cuff”, no sentido de identificar estudos randomizados controlados que avaliassem a eficácia da terapia por ondas de choque extracorporais no tratamento da tendinopatia da coifa dos rotadores. Resultados: Foram incluídos 7 estudos na revisão bibliográfica, com um total de 572 participantes, em que uns avaliaram a eficácia da terapia por ondas de choque extracorporais focalizada e radial no tratamento da tendinopatia da coifa dos rotadores e outros compararam diferentes dosagens das ondas de choque, tendo a maioria obtido resultados favoráveis. Conclusão: A terapia por ondas de choque extracorporais focalizada e radial aparenta ser eficaz no tratamento da tendinopatia da coifa dos rotadores, sendo que, a de alta energia mostrou resultados melhores na maioria dos estudos e a fase crónica a mais analisada.
Rotator cuff tendinopathy is a major cause of chronic shoulder pain and does not always respond to conservative treatment. Objective: Understand the effectiveness of extracorporeal shock wave therapy in the treatment of rotator cuff tendinopathy. Methods: Computerized research in the databases Pubmed, Web of Science, PEDro, Academic Search Complete and CINAHL Plus was made with the combination “shockwave therapy” AND “rotator cuff”, in order to identify randomized controlled studies that evaluated the effectiveness of extracorporeal shock wave therapy in the treatment of rotator cuff tendinopathy. Results: Seven studies were included in the literature review, with a total of 572 participants, in which some assessed the effectiveness of focused and radial extracorporeal shock wave therapy in the treatment of rotator cuff tendinopathy and others compared different dosages of shock waves, taking most obtained favourable results. Conclusion: Focused and radial shockwave therapy appears to be effective in the treatment of rotator cuff tendinopathy, with high-energy therapy showing better results in most studies and the chronic phase was the most analysed.
Rotator cuff tendinopathy is a major cause of chronic shoulder pain and does not always respond to conservative treatment. Objective: Understand the effectiveness of extracorporeal shock wave therapy in the treatment of rotator cuff tendinopathy. Methods: Computerized research in the databases Pubmed, Web of Science, PEDro, Academic Search Complete and CINAHL Plus was made with the combination “shockwave therapy” AND “rotator cuff”, in order to identify randomized controlled studies that evaluated the effectiveness of extracorporeal shock wave therapy in the treatment of rotator cuff tendinopathy. Results: Seven studies were included in the literature review, with a total of 572 participants, in which some assessed the effectiveness of focused and radial extracorporeal shock wave therapy in the treatment of rotator cuff tendinopathy and others compared different dosages of shock waves, taking most obtained favourable results. Conclusion: Focused and radial shockwave therapy appears to be effective in the treatment of rotator cuff tendinopathy, with high-energy therapy showing better results in most studies and the chronic phase was the most analysed.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Terapia por ondas de choque extracorporais Coifa dos rotadores Fisioterapia Extracorporeal shock wave therapy Rotator cuff Physical therapy/Physiotherapy