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The aim of this randomized controlled study is to investigate if the sequential administration of focused shock wave therapy and of a rehabilitation program based on the strengthening of gluteal muscles is more effective than a standard shock wave treatment for greater trochanteric pain syndrome
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| exercise plus shockwaves | Experimental | Enrolled subject will be treated with focused shock wave therapy, once a week for three consecutive weeks, by a specialized physician, using a device powered by an electromagnetic generator. Focusing: (out-of-line) ultrasound-guided with the patient lying in lateral decubitus. Dosimetry: 1500-1800 shots per session with an energy flux density equal to 0.10-0.20 mJ/mm2 (frequency=4Hz). The experimental group will then start a physiotherapy program for the following 8 weeks. The program is made up of strengthening and stretching exercises of gluteal muscles, planned to be daily performed at home. Four supervised physiotherapy session will be planned on week 0-1-2-4, during which the exercise loading will be implemented. |
|
| shockwaves | Active Comparator | Enrolled subject will be treated with focused shock wave therapy, once a week for three consecutive weeks, by a specialized physician, using a device powered by an electromagnetic generator. Focusing: (out-of-line) ultrasound-guided with the patient lying in lateral decubitus. Dosimetry: 1500-1800 shots per session with an energy flux density equal to 0.10-0.20 mJ/mm2 (frequency=4Hz). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rehabilitation program based on the strengthening of gluteal muscles | Other | Physiotherapy program (8 weeks) |
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| Measure | Description | Time Frame |
|---|---|---|
| NRS Pain | Change in lateral hip pain measured by the Numeric Rating Scale (NRS) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| EQ5D Quality of life | Change in quality of life measured by EQ-5D-3L | 12 months |
| VISA-G Disability | Change in disability measured by VISA-G questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondazione IRCCS Policlinico San Matteo | Pavia | 27100 | Italy |
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| ID | Term |
|---|---|
| D000074059 | Extracorporeal Shockwave Therapy |
| ID | Term |
|---|---|
| D014464 | Ultrasonic Therapy |
| D003972 | Diathermy |
| D006979 | Hyperthermia, Induced |
| D013812 | Therapeutics |
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| Extracorporeal shock wave therapy | Other | Focused shock wave therapy (3 weeks) |
|
| 12 months |
| Functional capacity (strength of gluteal muscles) | Change in functional capacity measured by MRC scale | 12 months |
| D026741 |
| Physical Therapy Modalities |
| D012046 | Rehabilitation |