Main Article Content
Abstract
Methodology: Muscle stiffness, pain intensity, and functional outcomes were evaluated using clinical and sonographic measures. Participants typically included athletes with shoulder impingement, myofascial pain syndrome, or rotator cuff tendinopathy. Treatment sessions varied in duration and frequency, with some studies combining interventions like ESWT with trigger point injections for enhanced efficacy.
Results: Research indicated that ESWT was generally more effective than US in reducing pain and improving function in conditions such as lateral epicondylitis and myofascial pain syndrome. ESWT showed significant reductions in muscle stiffness, increased range of motion, and improved athletic performance. Some studies also found that combined therapy approaches provided superior outcomes compared to single-modality treatments. However, variations in study designs and treatment protocols led to inconsistent findings across trials.
Conclusion: The evidence suggests that ESWT is an effective treatment for musculoskeletal injuries in overhead athletes, including badminton players. Future studies should focus on optimizing treatment protocols and exploring combination therapies for enhanced recovery in sports-related injuries.
Keywords
Article Details
References
- 1. Marchena-Rodriguez A, Gijon-Nogueron G, Cabello-Manrique D, Ortega-Avila AB. Incidence of injuries among amateur badminton players: A cross-sectional study. Medicine. 2020 May 1;99(18):e19785.
- 2. Jørgensen U, Winge S. Injuries in badminton. Sports Medicine. 1990 Jul;10:59-64.
- 3. Phomsoupha M, Laffaye G. Injuries in badminton: A review. Science & Sports. 2020 Sep 1;35(4):189-99.
- 4. Kamali F, Sinaei E, Morovati M. Comparison of upper trapezius and infraspinatus myofascial trigger point therapy by dry needling in overhead athletes with unilateral shoulder impingement syndrome. Journal of sport rehabilitation. 2019 Mar 1;28(3):243-9.
- 5. Leong HT, Hug F, Fu SN. Increased upper trapezius muscle stiffness in overhead athletes with rotator cuff tendinopathy. PLoS One. 2016 May 9;11(5):e0155187.
- 6. Dedes V, Tzirogiannis K, Polikandrioti M, Dede AM, Nikolaidis C, Mitseas A, Panoutsopoulos GI. Comparison of radial extracorporeal shockwave therapy versus Ultrasound Therapy in the treatment of Rotator Cuff Tendinopathy. Folia medica. 2019 Dec 31;61(4):612-9.
- 7. Rahbar M, Samandarian M, Salekzamani Y, Khamnian Z, Dolatkhah N. Effectiveness of extracorporeal shock wave therapy versus standard care in the treatment of neck and upper back myofascial pain: a single blinded randomised clinical trial. Clinical Rehabilitation. 2021 Jan;35(1):102-13.
- 8. Özmen T, Koparal SS, Karataş Ö, Eser F, Özkurt B, Gafuroğlu TÜ. Comparison of the clinical and sonographic effects of ultrasound therapy, extracorporealshock wave therapy, and Kinesio taping in lateral epicondylitis. Turkish journal of medical sciences. 2021;51(1):76-83.
- 9. Gur, A., Koca, I., Karagullu, H., Altindag, O., & Madenci, E. (2013). Comparison of the Efficacy of Ultrasound and Extracorporeal Shock Wave Therapies in Patients with Myofascial Pain Syndrome: A Randomized Controlled Study. Journal of Musculoskeletal Pain, 21(3), 210–216. https://doi.org/10.3109/10582452.2013.828824
- 10. Yao G, Chen J, Duan Y, Chen X. Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta‐Analysis. BioMed research international. 2020;2020(1):2064781.
- 11. Dedes V, Tzirogiannis K, Polikandrioti M, Dede AM, Mitseas A, Panoutsopoulos GI. Comparison of radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis. Journal of Medical Ultrasonics. 2020 Apr;47:319- 25.
- 12. Yan C, Xiong Y, Chen L, Endo Y, Hu L, Liu M, Liu J, Xue H, Abududilibaier A, Mi B, Liu G. A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials. Journal of orthopaedic surgery and research. 2019 Dec;14:1-2.
- 13. Yalvaç B, Mesci N, Külcü DG, Yurdakul OV. Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis. Acta orthopaedica et traumatologica turcica. 2018 Sep 1;52(5):357-62.
- 14. Kisilewicz A, Janusiak M, Szafraniec R, Smoter M, Ciszek B, Madeleine P, Fernández- de-Las-Peñas C, Kawczyński A. Changes in muscle stiffness of the trapezius muscle after application of ischemic compression into myofascial trigger points in professional basketball players. Journal of human kinetics. 2018 Oct 15;64:35.
- 15. Leong HT, Hug F, Fu SN. Increased upper trapezius muscle stiffness in overhead athletes with rotator cuff tendinopathy. PLoS One. 2016 May 9;11(5):e0155187.
- 16. Bailey LB, Shanley E, Hawkins R, Beattie PF, Fritz S, Kwartowitz D, Thigpen CA. Mechanisms of shoulder range of motion deficits in asymptomatic baseball players. The American journal of sports medicine. 2015 Nov;43(11):2783-93.
- 17. Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scandinavian journal of medicine & science in sports. 2007 Feb;17(1):25-33.
- 18. Høy K, Lindblad BE, Terkelsen CJ, Helleland HE. Badminton injuries--a prospective epidemiological and socioeconomic study. British Journal of Sports Medicine. 1994 Dec 1;28(4):276-9.
- 19. Jørgensen U, Winge S. Injuries in badminton. Sports Medicine. 1990 Jul;10:59-64.
- 20. Anwar N, Li S, Long L, Zhou L, Fan M, Zhou Y, Wang S, Yu L. Combined effectiveness of extracorporeal radial shockwave therapy and ultrasound-guided trigger point injection of lidocaine in upper trapezius myofascial pain syndrome. American journal of translational research. 2022;14(1):182.
- 21. Ji HM, Kim HJ, Han SJ. Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Annals of rehabilitation medicine. 2012 Oct 31;36(5):675-80.
References
1. Marchena-Rodriguez A, Gijon-Nogueron G, Cabello-Manrique D, Ortega-Avila AB. Incidence of injuries among amateur badminton players: A cross-sectional study. Medicine. 2020 May 1;99(18):e19785.
2. Jørgensen U, Winge S. Injuries in badminton. Sports Medicine. 1990 Jul;10:59-64.
3. Phomsoupha M, Laffaye G. Injuries in badminton: A review. Science & Sports. 2020 Sep 1;35(4):189-99.
4. Kamali F, Sinaei E, Morovati M. Comparison of upper trapezius and infraspinatus myofascial trigger point therapy by dry needling in overhead athletes with unilateral shoulder impingement syndrome. Journal of sport rehabilitation. 2019 Mar 1;28(3):243-9.
5. Leong HT, Hug F, Fu SN. Increased upper trapezius muscle stiffness in overhead athletes with rotator cuff tendinopathy. PLoS One. 2016 May 9;11(5):e0155187.
6. Dedes V, Tzirogiannis K, Polikandrioti M, Dede AM, Nikolaidis C, Mitseas A, Panoutsopoulos GI. Comparison of radial extracorporeal shockwave therapy versus Ultrasound Therapy in the treatment of Rotator Cuff Tendinopathy. Folia medica. 2019 Dec 31;61(4):612-9.
7. Rahbar M, Samandarian M, Salekzamani Y, Khamnian Z, Dolatkhah N. Effectiveness of extracorporeal shock wave therapy versus standard care in the treatment of neck and upper back myofascial pain: a single blinded randomised clinical trial. Clinical Rehabilitation. 2021 Jan;35(1):102-13.
8. Özmen T, Koparal SS, Karataş Ö, Eser F, Özkurt B, Gafuroğlu TÜ. Comparison of the clinical and sonographic effects of ultrasound therapy, extracorporealshock wave therapy, and Kinesio taping in lateral epicondylitis. Turkish journal of medical sciences. 2021;51(1):76-83.
9. Gur, A., Koca, I., Karagullu, H., Altindag, O., & Madenci, E. (2013). Comparison of the Efficacy of Ultrasound and Extracorporeal Shock Wave Therapies in Patients with Myofascial Pain Syndrome: A Randomized Controlled Study. Journal of Musculoskeletal Pain, 21(3), 210–216. https://doi.org/10.3109/10582452.2013.828824
10. Yao G, Chen J, Duan Y, Chen X. Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta‐Analysis. BioMed research international. 2020;2020(1):2064781.
11. Dedes V, Tzirogiannis K, Polikandrioti M, Dede AM, Mitseas A, Panoutsopoulos GI. Comparison of radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis. Journal of Medical Ultrasonics. 2020 Apr;47:319- 25.
12. Yan C, Xiong Y, Chen L, Endo Y, Hu L, Liu M, Liu J, Xue H, Abududilibaier A, Mi B, Liu G. A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials. Journal of orthopaedic surgery and research. 2019 Dec;14:1-2.
13. Yalvaç B, Mesci N, Külcü DG, Yurdakul OV. Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis. Acta orthopaedica et traumatologica turcica. 2018 Sep 1;52(5):357-62.
14. Kisilewicz A, Janusiak M, Szafraniec R, Smoter M, Ciszek B, Madeleine P, Fernández- de-Las-Peñas C, Kawczyński A. Changes in muscle stiffness of the trapezius muscle after application of ischemic compression into myofascial trigger points in professional basketball players. Journal of human kinetics. 2018 Oct 15;64:35.
15. Leong HT, Hug F, Fu SN. Increased upper trapezius muscle stiffness in overhead athletes with rotator cuff tendinopathy. PLoS One. 2016 May 9;11(5):e0155187.
16. Bailey LB, Shanley E, Hawkins R, Beattie PF, Fritz S, Kwartowitz D, Thigpen CA. Mechanisms of shoulder range of motion deficits in asymptomatic baseball players. The American journal of sports medicine. 2015 Nov;43(11):2783-93.
17. Cools AM, Declercq GA, Cambier DC, Mahieu NN, Witvrouw EE. Trapezius activity and intramuscular balance during isokinetic exercise in overhead athletes with impingement symptoms. Scandinavian journal of medicine & science in sports. 2007 Feb;17(1):25-33.
18. Høy K, Lindblad BE, Terkelsen CJ, Helleland HE. Badminton injuries--a prospective epidemiological and socioeconomic study. British Journal of Sports Medicine. 1994 Dec 1;28(4):276-9.
19. Jørgensen U, Winge S. Injuries in badminton. Sports Medicine. 1990 Jul;10:59-64.
20. Anwar N, Li S, Long L, Zhou L, Fan M, Zhou Y, Wang S, Yu L. Combined effectiveness of extracorporeal radial shockwave therapy and ultrasound-guided trigger point injection of lidocaine in upper trapezius myofascial pain syndrome. American journal of translational research. 2022;14(1):182.
21. Ji HM, Kim HJ, Han SJ. Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Annals of rehabilitation medicine. 2012 Oct 31;36(5):675-80.