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Spasm of pelvic floor muscles as a cause of its dysfunction
Hurt, Karel ; Zahálka, František (advisor) ; Martan, Alois (referee) ; Otčenášek, Michal (referee)
Background: Currently, there are no effective therapy strategies for idiopathic, non-organic vulvodynia and dyspareunia in women. ESWT (extracorporeal shock wave therapy) is a nonsurgical/noninvasive technique widely used to treat musculoskeletal diseases, muscle spasticity, hypertonia, renal, biliary calculi and urological disorders. Aim: The goal of our work is to investigate the possibility to eliminate chronic and acute forms of pelvic pain by a non-invasive physical method. We wanted to know if the extracorporeal shock wave technique could fulfill these requirements. Study design: The prospective, randomized, double-blind, placebo-controlled studies were conducted following feasibility studies. Methods: The study 1. included 62 women with vulvodynia for at least 3 months. The women were randomly assigned to either a treatment group (n=31) or a placebo group (n=31). The patients in the treatment group received perineally applied ESWT weekly (3000 pulses each for four consecutive weeks). The position of the shock wave transducer was changed six times after every 500 pulses. Patients in the placebo group underwent the same treatment procedure, but the handpiece was provided with a placebo stand-off that disabled energy transmission. Subjective pain was evaluated by a visual analogue scale (VAS,...
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Comparison between the Effectiveness of Extracorporeal Shockwave Therapy (ESWT) and the Surgical Approach in the Treatment of the Rotator Cuff Tendinopathy: A Literature Review
Saqqa, Mohammed Maher H ; Pavlů, Dagmar (advisor) ; Vomáčková, Helena (referee)
Title Comparison between the effectiveness of extracorporeal shockwave therapy (ESWT) and the surgical approach in the treatment of the rotator cuff tendinopathy. Objective The main goal of this research work is comparing the effectiveness of extracorporeal shock wave therapy and the surgical intervention (arthroscopic approach) in the treatment of calcific rotator cuff tendinopathy depending on the outcome measures of the Constant-Murley Score (CMS), and the Visual Analogue Scale (VAS) from the recent scientific publications. Methodology This thesis is systemic (literature) review. The studies which recruited in this research were randomized controlled trials, prospective studies, and retrospective case series studies which written in English language form, and published between the year 2000 to the year 2018. The studies were retrieved from following databases: EMBASE, PubMed, CINAHL, Medline, SpringerLink, ProQuest using different integrations of the key words. The participants in the studies were from both genders and all ages. The type of the pathology which included in this research was chronic calcific rotator cuff tendinopathy. Regarding the intervention types both Radial, and Focused ESWT with low, medium, and high intensities and the arthroscopic interventions were the main types of...
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