A Preliminary Study on the Effect of Low Energy Extracorporeal Shock Wave Therapy as a Treatment for Shoulder Adhesive Capsulitis in Hasan Sadikin Hospital Bandung, Indonesia

Adhesive capsulitis or frozen shoulder describes the common shoulder condition characterized by painful and limited active and passive range of motion. Extracorporeal shock wave therapy (ESWT) suggested as alternative treatment for adhesive capsulitis. Aim of this study was to determine the effect of low energy rESWT on adhesive capsulitis related to shoulder pain, shoulder range of motion, and function of the shoulder joint. The study design was an interventional, experimental study. A series of single-case studies was undertaken with patients shoulder adhesive capsulitis who came to the physical medicine and rehabilitation department Hasan Sadikin Hospital. Each patient received four weeks applications of low energy rESWT, 1 week apart. Outcome measure using NRS, ROM and DASH questionnaire. Result: Five patient, 4 Female and 1 Male were included, with mean age of patient is 50,60 ± 2,97 years old, mean length of symptoms 12 ± 6,96 month. Pain intensity, passive shoulder range of motions, and functional outcome are improved after 4 weeks intervention rESWT(p<0,05). The low energy rESWT resulted in significant clinical and statistical improvement pain, passive shoulder ROM and functional outcomes in patients with shoulder adhesive capsulitis. Low energy rESWT as effective treatment alternative in shoulder adhesive capsulitis.