Clinical evaluation of the efficacy of focused extracorporeal shock-wave therapy in patients with cervical spondylosis: A randomized control trial

Clinical Trial on Focused Extracorporeal Shock-Wave Therapy for Cervical Spondylosis

Study Overview

Extracorporeal Shock Wave Therapy (ESWT) is a modern physiotherapy treatment that helps with muscle and bone issues. This study specifically looked at how effective focused ESWT (fESWT) is for relieving pain and improving function in patients with cervical spondylosis, a neck condition.

Study Details

This clinical trial included data from 5 centers, running from June 2021 to March 2024. Patients aged 20 to 70 with cervical spondylosis were included. Key points include:

  • Inclusion Criteria: Patients with cervical spondylosis, aged 20-70, without serious health issues.
  • Exclusion Criteria: Pregnant or nursing women, patients with bleeding issues, and those with pacemakers.

Participants were divided into two groups: one receiving actual fESWT and the other getting a sham (fake) treatment. Key measurements included pain levels, neck function, and quality of life.

Results

A total of 320 patients participated: 160 in the treatment group and 160 in the control group. The results showed:

  • Lower pain levels and disability scores in the treatment group.
  • Better neck movement and quality of life scores.
  • A treatment success rate over 90% for fESWT compared to about 70% for the control group.

No significant side effects were reported between both groups.

Conclusion

The study concludes that fESWT is effective in treating cervical spondylosis by reducing pain, improving neck function, and enhancing overall quality of life. It is recommended for wider clinical use.

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