The Journal is included in Russian and International Library and Abstract Databases:
Russain Science Index (Russia)
Electronic Library (Russia)
DOI Registration Agency (USA)
Ulrich's Periodicals Directory (USA)
Scientific Indexing Services (USA)
InfoBase Index (India)

EFFECTS OF EXTRACORPOREAL SHOCKWAVE THERAPY ON THE PAIN SYNDROME IN DISEASES AND INJURIES OF THE MUSCULOSKELETAL SYSTEM IN ATHLETES

A. S. LITVINENKO (1,2), O. B. DOBROVOLSKY (1), V. V. KURSHEV (1,2), L.V. VESELOVA(1), G. V. DYATCHINA (1) 1 -SECHENOV FIRST MOSCOW STATE MEDICAL UNIVERSITY, MOSCOW, RUSSIA 2 -«SPORTS MEDICINE CLINIC», MOSCOW, RUSSIA

Objective: to develop optimal application mode of shockwave therapy with assessment of SWT role in treatment of musculoskeletal diseases in athletes.
Materials and Methods: Results of treatment 976 athletes aged 16 to 42 years (average age – 28,9±2,3) with the most frequent diseases of musculoskeletal system, accompanied by pains were analyzed. The results of treatment were evaluated using the visual analog scale of pain; the dynamics of the level of pain before and after treatment were taken into account. The patients were divided into two groups. In the first group, 459 patients received standard conservative treatment (physiotherapy, non-steroidal anti-inflammatory drugs, cartilage protectors, exercise therapy, corticosteroids, etc.). In the second group, 517 patients additionally received extracorporeal shock wave therapy (ESWT).
Results: ESWT allowed reducing intensity of pain significantly in a short period of time, and stable positive effects of treatment were observed in long-term period. After the first procedure, over 65% of patients reported significant reduction of pain. Good results of ESWT in one month treatment were obtained in 81%, satisfactory – 7%, unsatisfactory – 2% of patients. Six month from baseline, a stable positive effect was observed in 55% patients of the first group and in 80% of patients in the second group.
Conclusions: SWT allows reducing pain syndrome quickly and helps to prevent the recurrence of pain in the long-term period in patients with degenerative-dystrophic musculoskeletal diseases. Inclusion of SWT in the individual treatment programs allows reducing the period of disability sport and rehabilitation time of the patient.
Keywords: 
sports medicine, shockwave therapy, musculoskeletal system, trauma, disease, pain syndrome, visual analog scale of pain, exercise, physical activity, sports.