Internationale Zeitschrift für Physikalische Medizin und Rehabilitation
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Radial Extracorporeal Shock Wave is Effective for Pisa Syndrome in a Patient with Parkinson’s Disease: A Case Report

Jun-Ichi Inobe*, Tatsuki Otsuka, Yuto Shibuta, Rie Yamazaki, Takashi Kato

A 58-year-old male with Pisa Syndrome (PS) and Parkinson’s Disease (PD) was first treated with serial lidocaine injections to the External Oblique (EO) muscle of the ipsilateral side to the lateral flexion once time weekly for 8 weeks. The Lateral Trunk Flexion Angle (LFA) was improved from 24 degrees to 6.3 degrees and lumbago resolved. One month later, the LFA was >10 degrees with lumbago, therefore Radial Extracorporeal Shock Wave (rESW) therapy was delivered to the same side of the lateral abdomen in conjunction with the same rehabilitation program once weekly for 4 weeks. The LFA was improved from 11.4 degrees to 6.4 degrees. The LFA was maintained at <10 degrees without lumbago for >2 months. Radial Extracorporeal Shock Wave (rESW) therapy was shown to be effective and safe for PS in a patient with PD.