Effect of Shockwave Therapy on Low Back Pain in Primary Dysmenorrhea
DOI:
https://doi.org/10.52783/jns.v14.3714Keywords:
Shockwave therapy, Primary dysmenorrhea, Low back painAbstract
Purpose: This study was conducted to explore shockwave therapy's efficacy in managing low back pain (LBP) associated with primary dysmenorrhea (PD). Subjects: Sixty patients complaining of LBP during PD participated in this study. Participants' ages ranged from 18 to 30 years, and all subjects presented with body mass indices not exceeding 29 kg/m2.
Design: A randomized controlled methodology was employed for this study. They were divided into two equal groups: Group A, which was treated with hot packs for three consecutive menstrual cycles. Group B which was treated with hot packs in addition to shockwave therapy for three consecutive menstrual cycles.
Assessment: LBP intensity was evaluated using a visual analogue scale (VAS) and pressure algometer (PA) measurements for all participants in Groups A and B before intervention and following each of three consecutive menstrual cycles. The Oswestry disability index (ODI) was employed to assess pain-related functional limitations before and after the intervention protocol.
Results: Statistical analysis revealed significant within-group improvements in both groups, demonstrated by decreased VAS scores, increased PA values, and reduced ODI measurements following intervention. The between-group comparison demonstrated significant differences across all outcome measures, with Group B achieving superior therapeutic outcomes characterized by greater pain reduction, higher pain thresholds, and enhanced functional improvement.
Conclusion: Shockwave therapy is an effective adjunctive intervention for managing LBP in PD through reducing VAS scores, increasing PA measurements, and decreasing ODI values.
Downloads
Metrics
References
Xing R, Yang J, Wang R, Wang Y. Extracorporeal shock wave therapy for treating primary dysmenorrhea: A randomized controlled trial. Medicine. 2021;100(5).
Berkley KJ. Primary dysmenorrhea: an urgent mandate. Pain. 2013;1(1):8.
Wahid W, Asif M, Mansoori J, Iqbal MH, Khalid F. Correlation of Dysmenorrhea and Lower Back Pain among Young Female Students-A Cross-Sectional Study. Pakistan Journal of Medical & Health Sciences. 2021;15(10):2647-8.
Lee S, Lee D, Park J. Effects of extracorporeal shockwave therapy on patients with chronic low back pain and their dynamic balance ability. Journal of physical therapy science. 2014;26(1):7-10.
Siddiqui AS, Khan SN, Narwade N, Mhase S, Thorat A, Nagrale W, et al. The Effect of Static Cupping Therapy in Non-specific Low Back Pain for Primary Dysmenorrhea. Cureus. 2022;14(9).
Kong L, Tian X, Yao X. Effects of extracorporeal shock wave therapy on chronic low back pain and quality of life. Revista Argentina de Clínica Psicológica. 2020;29(4):883.
Russel SS, Lau YW, RahulKrishnan PK. Effect of Lumbar Spinal Mobilization on Primary Dysmenorrhea Among University Students. Int J Physiother Res. 2022;10(3):4218-24.
Walewicz K, Taradaj J, Rajfur K, Ptaszkowski K, Kuszewski MT, Sopel M, et al. The effectiveness of radial extracorporeal shock wave therapy in patients with chronic low back pain: a prospective, randomized, single-blinded pilot study. Clinical interventions in aging. 2019:1859-69.
Sriprasert I, Suerungruang S, Athilarp P, Matanasarawoot A, Teekachunhatean S. Efficacy of acupuncture versus combined oral contraceptive pill in treatment of moderate-to-severe dysmenorrhea: a randomized controlled trial. Evidence-based Complementary and Alternative Medicine. 2015;2015.
Bernardi M, Lazzeri L, Perelli F, Reis FM, Petraglia F. Dysmenorrhea and related disorders [version 1; referees: 3 approved]. F1000Res; 2017.
Kho KA, Shields JK. Diagnosis and management of primary dysmenorrhea. Jama. 2020;323(3):268-9.
Moura CdC, Chaves ÉdCL, Cardoso ACLR, Nogueira DA, Corrêa HP, Chianca TCM. Ventosaterapia y dolor crónico en la espalda: revision sistemática y metanálisis. Revista Latino-Americana de Enfermagem. 2018;26.
Rafique N, Al‐Sheikh MH. Prevalence of primary dysmenorrhea and its relationship with body mass index. Journal of Obstetrics and Gynaecology Research. 2018;44(9):1773-8.
De Sá Souza H, Piovezan R, Chagas Miranda R, Silva B, Tufik S, Poyares D, et al. 0832 Physical Exercise Improves Sleep and Muscle Function in Sarcopenic Patients: A Randomized Controlled Trial. Sleep. 2020;43(Supplement_1): A317-A.
Itani R, Soubra L, Karout S, Rahme D, Karout L, Khojah HM. Primary dysmenorrhea: pathophysiology, diagnosis, and treatment updates. Korean journal of family medicine. 2022;43(2):101.
Eftekharsadat B, Fasaie N, Golalizadeh D, Babaei-Ghazani A, Jahanjou F, Eslampoor Y, et al. Comparison of efficacy of corticosteroid injection versus extracorporeal shock wave therapy on inferior trigger points in the quadratus lumborum muscle: a randomized clinical trial. BMC Musculoskeletal Disorders. 2020; 21:1-11.
Simplicio CL, Purita J, Murrell W, Santos GS, Dos Santos RG, Lana JFSD. Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine. Journal of Clinical Orthopaedics and Trauma. 2020;11: S309-S18.
Chang Z, Wang H, Zhang Y. Clinical trial of acupuncture and exercise therapy combined with extracorporeal shock wave therapy for lumbar disc herniation. Shaanxi J Trad Chinese Med. 2023; 44:652-54.
Zhou J, Liu F. Clinical study of extracorporeal shock wave therapy assisted core muscle training in patients with non-specific low back pain. Health Manage. 2020:116-17.
Elgendy MH, Mohamed M, Hussein HM. A single-blind randomized controlled trial investigating changes in electrical muscle activity, pain, and function after shockwave therapy in chronic non-specific low back pain: pilot study. Ortopedia Traumatologia Rehabilitacja. 2022; 24:87-94.
Zimmermann R, Cumpanas A, Miclea F, Janetschek G. Extracorporeal shock wave therapy for the treatment of chronic pelvic pain syndrome in males: a randomised, double-blind, placebo-controlled study. European Urology. 2009;56(3):418-24.
Marwan Y, Husain W, Alhajii W, Mogawer M. Extracorporeal shock wave therapy relieved pain in patients with coccydynia: a report of two cases. The Spine Journal. 2014;14(1): e1-e4.
Rompe JD, Cacchio A, Furia JP, Maffulli N. Low-energy extracorporeal shock wave therapy as a treatment for medial tibial stress syndrome. The American journal of sports medicine. 2010;38(1):125-32.
SECO J, KOVASCS F, URRUTIA G. The efficacy, safety, effectiveness of ultrasound and shock wave therapies for low back pain": A systematic review in the spine Journal. October; 2011.
Han H, Lee D, Lee S, Jeon C, Kim T. The effects of extracorporeal shock wave therapy on pain, disability, and depression of chronic low back pain patients. Journal of physical therapy science. 2015;27(2):397-9.
Çelik A, Altan L, Ökmen BM. The effects of extracorporeal shock wave therapy on pain, disability and life quality of chronic low back pain patients. Alternative therapies in health and medicine. 2020;26(2):54-60.
Nedelka T, Nedelka J, Schlenker J, Hankins C, Mazanec R. Mechano-transduction effect of shockwaves in the treatment of lumbar facet joint pain: comparative effectiveness evaluation of shockwave therapy, steroid injections and radiofrequency medial branch neurotomy. Neuroendocrinol Lett. 2014;35(5):393-7.
Lange T, Deventer N, Gosheger G, Lampe LP, Bockholt S, Schulze Boevingloh A, et al. Effectiveness of radial extracorporeal shockwave therapy in patients with acute low back pain—randomized controlled trial. Journal of clinical medicine. 2021;10(23):5569.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
