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Tibial Stress Syndrome in Sport

December 10, 2022/0 Comments/in Vol 2 | Issue 2 | Jul Dec 2022/by Editor JRS

Abstract | Volume 2 | Issue 2 | JRS Jul – Dec 2022 | Page 25 | Santiago Gómez García DOI: 10.13107/jrs.2022.v02.i02.63 Author: Santiago Gómez García [1] [1] Orthopaedic Surgeon and Sports Medicine Physician, Unidad Médica del Instituto Nacional de la Seguridad Social. Dirección Provincial. A Coruña, Spain. Address of Correspondence Dr. Santiago Gómez García, […]

Treatment of Spasticity in Patients with Brain Damage with the Association of Focused Shock Waves and Botulinum Toxin

December 10, 2022/0 Comments/in Vol 2 | Issue 2 | Jul Dec 2022/by Editor JRS

Abstract | Volume 2 | Issue 2 | JRS Jul – Dec 2022 | Page 26 | Antonio Déniz Cáceres, Pedro Saavedra Santana, María Isabel Marrero Arencibia, Jaime Hernández Alemán ,Almudena Hernández DOI: 10.13107/jrs.2022.v02.i02.65 Author: Antonio Déniz Cáceres [1], Pedro Saavedra Santana [2], María Isabel Marrero Arencibia [3], Jaime Hernández Alemán [4], Almudena Hernández [4] […]

Tibial Stress Syndrome in Sport

December 10, 2022/0 Comments/in Vol 2 | Issue 2 | Jul Dec 2022/by Editor JRS

Treatment of Spasticity in Patients with Brain Damage with the Association of Focused Shock Waves and Botulinum Toxin

December 10, 2022/0 Comments/in Vol 2 | Issue 2 | Jul Dec 2022/by Editor JRS

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Tibial Stress Syndrome in Sport

December 10, 2022/0 Comments/in Vol 2 | Issue 2 | Jul Dec 2022/by Editor JRS

Author: Santiago Gómez García [1]

[1] Orthopaedic Surgeon and Sports Medicine Physician, Unidad Médica del Instituto Nacional de la Seguridad Social.
Dirección Provincial. A Coruña, Spain.

Address of Correspondence
Dr. Santiago Gómez García, MD
Orthopaedic Surgeon and Sports Medicine Physician, A Coruña, Spain.
E-mail: sancubacfg@yahoo.es

Abstract

Medial tibial stress syndrome (MTSS), also known as shin splints or tibial periostitis, is characterized by pain in the middle and lower end of the tibia; the pain is usually elicited by practicing sports or other physical activities. It is a common cause of leg pain in athletes and militaries. Prolonged military marching and physical activity involving excess training of the lower limbs contribute to the stress reaction of the bone, as confirmed by imaging studies. This condition has been considered a precursor stage for stress fracture.
The criteria for diagnosis of MTSS were established by Yates and White.
Although the prognosis of MTSS is usually benign, it can evolve to chronicity and be disabling.
Optimal treatment for MTSS has yet to be established.
Extracorporeal shockwave treatment (ESWT) is a tool aimed at alleviating symptoms and shortening recovery time in MTSS. Three studies have shown ESWT combined with a specific exercise program to be effective for MTSS. Regarding the recovery time, one study showed that the ESWT group recovered in 59 days while the control group did so in 91 days, another study obtained results compatible with scores 1 and 2 on the Likert scale in 76%. of the patients in the ESWT versus 37% of the control group. A third study showed 82.6% excellent or good results in the ESWT group as opposed to 36.8% in the control group to the Roles and Maudsley scale. In addition, the literature has pointed out the efficacy of 1-3 ESWT sessions in this pathology.

How to Cite this article: García SG | Tibial Stress Syndrome in Sport. | Journal of Regenerative Science | Jul – Dec 2022; 2(2): 25.

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Treatment of Spasticity in Patients with Brain Damage with the Association of Focused Shock Waves and Botulinum Toxin

December 10, 2022/0 Comments/in Vol 2 | Issue 2 | Jul Dec 2022/by Editor JRS

Author: Antonio Déniz Cáceres [1], Pedro Saavedra Santana [2], María Isabel Marrero Arencibia [3], Jaime Hernández Alemán [4], Almudena Hernández [4]

[1] Rehabilitation Service, Hospital Universitario de Gran Canaria Dr. Negrín, Spain.

[2] Department of Mathematics, Universidad de Las Palmas de Gran Canaria, Spain.

[3] Department of Biochemestry and Molecular Biology, Universidad de Las Palmas de Gran Canaria, Spain.

[4] Universidad de Las Palmas de Gran Canaria, Spain.

Address of Correspondence
Dr. Antonio Déniz Cáceres, MD, PhD,
Rehabilitation Service, Hospital Universitario de Gran Canaria Dr. Negrín, Spain.
E-mail: antonio.deniz@ulpgc.es

Abstract

Introduction: Spasticity is a common complication in patients with brain damage secondary to stroke and multiple sclerosis, generating
disability and reducing the quality of life. In cases of muscles spasticity, we usually use Botulinum toxin injections (BTI) associated with
physiotherapy. Extracorporeal shock wave therapy (ESWT) is a safe, effective, and non-invasive treatment in these patients. Both methods are highly effective but currently are applied separately. Scientific evidence of the combined use of both techniques is scarce. The aim of this study is to assess the results of the association of both treatments (ESWT and BTI). On spasticity in patients secondary to stroke or multiple sclerosis.
Materials and Methods: This is a prospective study, with 6-month follow-up, including 10 adult patients with stroke or multiple sclerosis. ESWT was added to the usual treatment with BTI weekly for 3 weeks. The patients received rehabilitation during the treatment period and during the follow-up period. For statistical analysis in each of the follow-up weeks, the markers analyzed (spasticity and gait speed) were summarized in medians, which were plotted as a weekly function and the paired data were compared with the Wilcoxon test. The data were analyzed with an statistical program version 3.6.1 (R Development Core Team, 2019).
Results and Conclusions: We observed a statistically significant improvement in spasticity that was correlated with an increase in walking speed. The effectiveness of the combined treatment was superior and lasted longer than BTI alone.
Keywords: Shockwaves, Spasticity, Brain damage, Botulinum Toxin

How to Cite this article: Deniz A, Saavedra P, Marrero I, Hernández J, Hernández A | Treatment of Spasticity in Patients with Brain Damage with the Association of Focused Shock Waves and Botulinum Toxin. | Journal of Regenerative Science | Jul – Dec 2022; 2(2): 26.

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Tibial Stress Syndrome in Sport

Treatment of Spasticity in Patients with Brain Damage with the Association of Focused Shock Waves and Botulinum Toxin

Tibial Stress Syndrome in Sport

Treatment of Spasticity in Patients with Brain Damage with the Association of Focused Shock Waves and Botulinum Toxin

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Tibial Stress Syndrome in Sport

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Treatment of Spasticity in Patients with Brain Damage with the Association of Focused Shock Waves and Botulinum Toxin

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