Extracorporeal shock wave therapy (ESWT) as a treatment for recurrent neurogenic heterotopic ossification (NHO)

Reznik, Jacqueline E., Gordon, Susan J., Barker, Ruth N., Keren, Ofer, Arama, Yuval, and Galea, Mary P. (2013) Extracorporeal shock wave therapy (ESWT) as a treatment for recurrent neurogenic heterotopic ossification (NHO). Brain Injury, 27 (2). pp. 242-247.

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Abstract

Primary objective: To describe the effects of extracorporeal shock wave therapy (ESWT) on neurogenic heterotopic ossification (NHO).

Research design: A single case study was considered the most appropriate methodology in this situation.

Methods and procedures: The subject was a 43 year old female 10 years post-traumatic brain injury with recurring NHO around the hip joint. Baseline assessments of pain using a 10-point VAS, range of motion of the hip using a goniometer and walking ability (number of steps over a standard distance) were conducted. Four applications of ESWT using a Minispec™ Extracorporeal Shock Wave Lithotripsy machine (Medispec Int. USA) administered over 6 weeks to the anterolateral aspect of the right hip. Follow-up assessments were conducted weekly over the period of intervention and then monthly for 5 months.

Main outcomes and results: Immediately following treatment, pain was reduced to 0 on the VAS scale; hip range of motion increased and the number of steps over a standard distance reduced, indicating increased step length. At 5-month follow-up, without further ESWT intervention, these results were maintained.

Conclusion: This case study suggests that ESWT may be a non-invasive, low risk intervention for the management of NHO.

Item ID: 25519
Item Type: Article (Research - C1)
ISSN: 1362-301X
Keywords: brain injury, traumatic brain injury (TBI), neurogenic heterotopic ossification (NHO), extracorporeal shock wave therapy (ESWT)
Date Deposited: 13 Mar 2013 05:33
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110317 Physiotherapy @ 33%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110321 Rehabilitation and Therapy (excl Physiotherapy) @ 34%
10 TECHNOLOGY > 1004 Medical Biotechnology > 100499 Medical Biotechnology not elsewhere classified @ 33%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders @ 33%
92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 34%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920116 Skeletal System and Disorders (incl. Arthritis) @ 33%
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