Does pulsed low intensity ultrasound allow early return to normal activities when treating stress fractures? A review of one tarsal navicular and eight tibial stress fractures

We sought to evaluate the efficacy of daily pulsed low intensity ultrasound (LIUS) with early return to activities for the treatment of lower extremity stress fractures. Eight patients (2 males, 6 females) with radiographic and bone scan confirmed tibial stress fractures participated in this study....

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Bibliographic Details
Published in:The Iowa orthopaedic journal 1999, Vol.19, p.26-30
Main Authors: Brand, Jr, J C, Brindle, T, Nyland, J, Caborn, D N, Johnson, D L
Format: Article
Language:English
Subjects:
Basketball - injuries
Female
Fractures, Stress - diagnosis
Fractures, Stress - therapy
Humans
Magnetic Resonance Imaging
Male
Soccer - injuries
Tarsal Bones - injuries
Tibial Fractures - diagnosis
Tibial Fractures - therapy
Treatment Outcome
Ultrasonic Therapy
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Summary:We sought to evaluate the efficacy of daily pulsed low intensity ultrasound (LIUS) with early return to activities for the treatment of lower extremity stress fractures. Eight patients (2 males, 6 females) with radiographic and bone scan confirmed tibial stress fractures participated in this study. Additionally, a case report of a tarsal navicular stress fracture is described. All patients except one were involved in athletics. Prior to the study, subjects completed a 5 question, 10 cm visual analog scale (VAS) regarding pain level (10 = extreme pain, 1 = no pain) and were assessed for functional performance. Subjects received 20-minute LIUS treatments 5 times a week for 4 weeks. Subjects maintained all functional activities during the treatment period. Seven patients with posterior-medial stress fractures participated without a brace. Subjects were re-tested after 4 weeks of treatment. Mann-Whitney U tests (VAS data) and paired t-tests (functional tests) assessed statistical significance (p
ISSN:1541-5457
1555-1377