Posts

Brazilian Medical Society for Shockwave Therapy: World Leader in the Field of Shockwaves

Editorial | Vol 4 | Issue 2 |  July-December 2024 | page: 02-03 | Daniel Moya

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.139


Author: Daniel Moya [1]

[1] Department of Orthopaedics, Buenos Aires British Hospital, Buenos Aires, Argentina.

Address of Correspondence
Dr. Daniel Moya,

Department of Orthopaedics, Buenos Aires British Hospital, Buenos Aires, Argentina.

E-mail: drdanielmoya@yahoo.com.ar


Editorial

The Brazilian Medical Society for Shockwave Therapy (SMBTOC) has a long history. It was created nearly 24 years ago, specifically on March 8, 2001 [1]. It is probably the second largest in the world, after the Chinese society. I have been fortunate to be in contact with the institution from its very 1st day, which has allowed me to closely follow its evolution and gain a deep understanding of its development. It is a good example of what any scientific society should be.
What is Expected from a Scientific Association?
Scientific societies play a fundamental role in various fields:
1. Regulations: A scientific society, especially when based on the use of a specific technique, studies its mechanisms of action, evaluates which devices are suitable and their features, describes indications and contraindications, develops treatment protocols, and warns about possible complications. In this way, guidelines and recommendations are developed, creating evidence-based directions for medical practice to ensure quality patient care [2].
Based on these recommendations, reliable medical services are accredited.
In the case of SMBTOC, the institution’s commitment is admirable and undoubtedly surpasses any other in the world.
2. Education: Medical education without ideological or commercial bias is an essential role of scientific societies. Since its creation, SMBTOC has been developing training courses at different levels, workshops, and international congresses. Its work has expanded in Brazil’s vast territory. SMBTOC has reached even the most remote corners of the country.
Beyond basic education, due to the dynamic nature of our field, continuous medical training is necessary for ongoing updates. SMBTOC implements this through its “Advanced Courses,” dedicated to professionals already certified with vast prior experience.
3. Hierarchy of Scientific Information: The past few decades have witnessed an exponential growth in scientific publications [3], but not everything published is necessarily true [4]. It is the responsibility of scientific societies to distinguish accurate information from low-quality or commercially biased data.
4. Forum for the exchange of experiences: Scientific societies connect professionals from different generations with varying levels of knowledge, perspectives, commercial trends, and even values.
The interaction in a single environment of professionals with different backgrounds and approaches to their profession, and varied levels of experience enriches discussions and provides balance between different trends. In this respect, SMBTOC is also an example to follow, being a society open not only to participants from Brazil but also from all of Latin America.
The exchange of information enriches the group and benefits our practice.
SMBTOC puts this into practice not only through in-person meetings but also through frequent webinars it organizes.
5. Promoting research and advancing knowledge: It is another fundamental task of any scientific society. The generation of new ideas and the search for new applications and protocols are reflected in the high number of publications originating from SMBTOC.
6. Protection of their members: Scientific associations must look after the interests of all their members, including safeguarding professional practice, upholding the hierarchy of medical acts, and actively protecting their members from unfair legal demands. In the past SMBTOC has given very strong evidence of the determination of its Boards of Directors to fulfill this task.
7. Role in society: Science has moved away from secrecy and opened up to society. While this has many positive aspects, indiscriminate access to information has a downside. The general public is not educated to distinguish between true and false information. Social media is full of pseudoscientists spreading fake news and incorrect interpretations of real data. There is also a lot of information with commercial tendencies. Unfortunately, even “serious professionals” have joined this wave to gain “clients” or simply take shortcuts in the once slow and tedious process required to gain academic recognition.
8. International collaboration: Scientific collaboration is as old as science itself [5]. In today’s times, we have tools that facilitate interaction between different national scientific societies. Above all, this interaction must be based on mutual respect, integrity, transparency, and reciprocity [5].
Defending these values is not always easy for Latin American scientific societies. Modern Western science was deeply entangled with colonialism, and the legacy of this still permeates science today [6].
There is a tendency to underestimate local scientific production and points of view, especially in a procedure such as shock waves, that initially had a “Eurocentric” bias.
SMBTOC has also faced these attempts of “intellectual imperialism” [6]. However, it remains the only recognized scientific institution in the field of shockwaves in Brazil by the “Conselho Federal de Medicina” (Federal Council of Medicine). It is endorsed by the Brazilian Society of Orthopedics and Traumatology, a massive association that invites SMBTOC to participate scientifically in its annual National meeting. It also has the support of the vast majority of international scientific societies in the specialty.
In summary, medical scientific societies are fundamental for maintaining quality, innovation, and ethics in medicine, as well as improving public health through collaboration and education. SMBTOC is a great example of this.


References:

1. Simplício C, Teixeira Mourão AL, Saueressig Kruel AV, D’Almeida A, De Vasconcelos Alves FR, Shinzato GT, et al. Treatise on Shock Waves. Brazilian Medical Society of Shock Wave Treatment -Alef editora-São Paulo, Brazil. 2022;1:14-16.
2. Moya D, Wei S, Simplicio C, Guiloff L, Kwangsun P, Di Giorno A, et al. Scientific evidence of shock waves in orthopedics and traumatology: It is time to set the record straight. J Regen Sci. 2023;3:1-6.
3. Bornmann L, Haunschild R, Mutz R. Growth rates of modern science: A latent piecewise growth curve approach to model publication numbers from established and new literature databases. Humanit Soc Sci Commun 2021;8:224.
4. Ioannidis JP. Why most published research findings are false. PLoS Med 2005;2:e124.
5. Vráblová M, Bonetti G, Henehan G, Brown RE, Sykora P, Marks RS, et al. Promoting international scientific cooperation: The role of scientific societies. Eur Biotech J 2024;3:115-21.
6. Deb Roy R. Science Still Bears the Fingerprints of Colonialism. The Conversation. Science. Smithsonian Magazine; 2018. Available from: https://www.smithsonianmag.com/science-nature/science-bears-fingerprints-colonialism-180968709 [Last accessed on 2024 Oct 20].


How to Cite this article: Moya D | Brazilian Medical Society for Shockwave Therapy: World Leader in the Field of Shockwaves | Journal of Regenerative Science | July-December 2024; 4(2): 02-03.

[Article Text HTML]       [Full Text PDF] 


Personalized Multimodal Treatment for Adhesive Capsulitis: A Case Series on Regenerative Medicine and Noninvasive Therapies

Original Article | Vol 4 | Issue 2 |  July-December 2024 | page: 12-14 | Napoliane Costa Santos, André Vinicius Saueressig Kruel, Alex Pontes de Macedo, Fabio Ramos Costa, Luyddy Pires, Maria Laura Schiefelbein, Palmerindo Antônio Tavares de Mendonça Néto, Renata Takeyama de Oliveira, Daiane Agostini, Jose Fábio Lana

DOI: https://doi.org/10.13107/jrs.2024.v04.i02.145


Author: Napoliane Costa Santos [1], André Vinicius Saueressig Kruel [2], Alex Pontes de Macedo [1], Fabio Ramos Costa [3], Luyddy Pires [1], Maria Laura Schiefelbein [4], Palmerindo Antônio Tavares de Mendonça Néto [5], Renata Takeyama de Oliveira [1], Daiane Agostini [2], Jose Fábio Lana [1]

[1] Department of Orthopedics, Brazilian Institute of Regenerative Medicine (BIRM), Indaiatuba 13334-170, SP, Brazil,
[2] Proregen Clínica Médica, Bento Gonçalves, Rio Grande do Sul, Brasil.
[3] TRATE – Traumatologia Esportiva, Salvador, Brazil,
[4] Departamento de Ortopedia, TRATE, Traumatologia Esportiva, Salvador, BA, Brazil, Federal University of Health Science of Porto Alegre, Porto Alegre, Brazil,
[5] Instituto Regenera Dor, Juazeiro do Norte, Ceará, Brazil.

Address of Correspondence
Dr. André Kruel
Proregen Clínica Médica, Bento Gonçalves, Rio Grande do Sul, Brasil.
E-mail: kruel.andre@gmail.com


Abstract

Introduction: Adhesive capsulitis causes chronic shoulder pain and restricted range of motion (ROM). Conventional treatments often offer limited relief, prompting the need for innovative approaches, such as high-intensity pulsed electromagnetic field (PEMF) therapy, shockwave therapy, and orthobiologic injections.

Objective: To evaluate the efficacy of a multimodal approach combining shockwave therapy, high-intensity PEMF therapy, orthobiologic injections, and complementary therapies in improving pain and shoulder function in patients with adhesive capsulitis.

Methods: This retrospective case series included five patients treated in Indaiatuba, São Paulo, Brazil, between May 2023 and October 2024. Individualized multimodal protocols were performed. Pain and ROM were assessed pre- and post-treatment.

Discussion: All patients showed significant improvements in pain and ROM after treatment. High-intensity PEMF therapy, shockwave therapy, and orthobiologics enhanced tissue regeneration, supported by complementary therapies. Personalized protocols optimized outcomes, with synergistic effects observed between treatments.

Conclusion: A multimodal, personalized approach effectively reduced pain and improved function in adhesive capsulitis patients. This strategy shows promise, especially for those unresponsive to conventional treatments, warranting further research.

Keywords: Adhesive capsulitis, High intensity pulsed electromagnetic field therapy, Orthobiologics, Regenerative medicine, Shockwave therapy


References:

  1. Mello DP, Corbin JN, Holanda LS, Pascarelli L, Nishimura EM, Almeida TB. Incidence and epidemiology of adhesive capsulitis during the COVID-19 pandemic. Acta Ortop Bras 2023;31:e261132.
  2. Varriano G, Nardone V, Brunese MC, Bruno M, Santone A, Brunese L, Zappia M. An approach leveraging radiomics and model checking for the automatic early diagnosis of adhesive capsulitis. Dent Sci Rep 2024;14:18878.
  3. Omar FK, Alshaimaa ME, Khaled SA. Adhesive capsulitis of the shoulder joint: Correlation between the utrasonographic and MRI findings. Ain Shams Med J 2024;75:387-98.
  4. Riccardo P, Federico P, Federico Z, Giovanni M, Maribel MP, Alberto T, et al. Adhesive capsulitis of the shoulder: Current concepts on the diagnostic work-up and evidence-based protocol for radiological evaluation. Diagnostics (Basel) 2023;13:3410.
  5. Evin C. Effectiveness of strengthening and stretching exercise along with proprioceptive neuromuscular facilitation techniques to reduce pain and improve shoulder range of motion in adhesive capsulitis: A literature review. Physiotherapy 2024;18:81-9.
  6. De la Corte-Rodríguez H, Román-Belmonte JM, Rodríguez-Damiani BA, Vázquez-Sasot A, Rodríguez-Merchán EC. Extracorporeal shock wave therapy for the treatment of musculoskeletal pain: A narrative review. Healthcare (Basel) 2023;11:2830.
  7. Mayer Y, Shibli JA, Saada HA, Melo M, Gabay E, Barak S, et al. Pulsed electromagnetic therapy: Literature review and current Brazilian Dent J 2024;35:e24-6109.
  8. Mittermayr R, Haffner N, Feichtinger X, Schaden W. The role of shockwaves in the enhancement of bone repair-from basic principles to clinical Injury 2021;52 Suppl 2:S84-90.
  9. Bakaliuk TG, Gordiychuk I, Stelmakh HO, Makarchuk NR, Stoliarchuk VM. Application of shock wave therapy in neurorehabilitation (literature review). Art Med 2022;1:138.
  10. Blanchard E, Harvi J, Vasudevan J, Swanson RL. Platelet-rich plasma for adhesive capsulitis: A systematic review. Cureus 2023;15:e46580.
  11. Thu AC, Kwak SG, Shein WN, Htun M, Htwe TT, Chang M Comparison of ultrasound-guided platelet-rich plasma injection and conventional physical therapy for management of adhesive capsulitis: A randomized trial. J Int Med Res 2020;48:300060520976032.
  12. Sampson S, Bemden AB, Aufiero D. Autologous bone marrow concentrate: Review and application of a novel intra-articular orthobiologic for cartilage Phys Sportsmed 2013;41:7-18.
  13. Katz NB, Tsitsilianos N, Nowak AS, Douglas SR, Tenforde AS, Borg-Stein J. Advanced non-operative interventions for anterior knee pain. Curr Rev Musculoskeletal Med 2024;17:589-615.
  14. Oliveira VO, Vergara JM, Oliveira VF, Lara PH, Nogueira LC, Arliani GG. Extracorporeal shockwave therapy in shoulder injuries: Prospective study. Acta Ortop Bras 2021;29:268-73.
  15. Tedla JS, Sangadala Proprioceptive neuromuscular facilitation techniques in adhesive capsulitis: A systematic review and meta-analysis. J Musculoskelet Neuronal Interact 2019;19:482-91.
  16. De la Barra Ortiz HA, Parizotto N, Arias M, Liebano R. Effectiveness of high-intensity laser therapy in the treatment of patients with frozen shoulder: A systematic review and meta-analysis. Lasers Med Sci 2023;38:266.
  17. Xue X, Song Q, Yang X, Kuati A, Fu H, Liu Y, et al. Effect of extracorporeal shockwave therapy for rotator cuff tendinopathy: A systematic review and meta-analysis. BMC Musculoskeletal Disord 2024;25:357.

How to Cite this article: Santos NC, Saueressig Kruel AV, de Macedo AP, Costa FR, Pires L, Schiefelbein ML, de Mendonça Néto PAT, de Oliveira RT, Agostini D, Fábio Lana J | Personalized Multimodal Treatment for Adhesive Capsulitis: A Case Series on Regenerative Medicine and Noninvasive Therapies. | Journal of Regenerative Science | July-December 2024; 4(2): 12-17.

 

 


[Article Text HTML]       [Full Text PDF]