Effect of shock wave on post burn Tarsal tunnel syndrome / Ahmed Mohamed Abdelfadiel Elewa Ahmed Sherief ; Supervised Zakaria Mowafy Emam Mowafy , Mohamed Ali Mostafa Nasr , Khadra Mohamed Ali

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for surgery

Purpose: to detect the effect of the extracorporeal shock wave therapy (ESWT) on electrophysiological responses in patients suffering from tarsal tunnel syndrome after burn. Methods: Forty male and female individuals who have tarsal tunnel syndrome after burn injury were equally divided into two separate groups. 1stGroup received the extracorporeal shock wave therapy (ESWT) in addition to a routine physical therapy program which consists of stretching of calf muscles followed by pulsed US, Ice massage and ankle pump exercise. 2ndGroupreceived only routine physical therapy program. The area of popliteal fossa (little bit laterally) was outlined and 100 impulses per cm2 and another 100 impulses per cm2 were administered over the area behind and above the medial malleolus. The two areas were administered, every two weeks for three months as a total period of treatment. Measurement of sensory and motor nerve conduction velocities of the lateral and medial plantar branches of the tibial nerve were performed before the treatment and after 3 months. Results: There were improvement and significant decrease in the prolonged motor and distal latencies of the two branches of the posterior tibial nerve of the shock wave group compared to the 2nd group (p<0.05).Conclusion: ESWT is effective in treating patients suffering from tarsal tunnel syndrome after burn as evidenced by decreasing the prolonged motor and sensory distal latencies of the two branches of the posterior tibial nerve

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