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activity that initially existed in 174(100%) persisted at two months in11(63%) and 14(8%), respectively. The fasciitis that existed in 31(17.8%)and calcification in 7(4%) disappeared. The spur that existed in 76(43.7%)persisted. The tolerance was good without important pain in 134(77%) andwithout secondary effects of interest. Mean flux density applied, number ofpulses applied and improvement in pain compared with other studies arerespectively: 035 mJ/mm2/ 045 mJ/mm2 14682/2000 and 78.5%/2 1%-84%.Conclusions: ECSWT in plantar fasciitis are well tolerated and showsa significant effectiveness for pain relief and functional restoration with a meansatisfaction of 81�2(VAS 0-10).

No. 371 Extracorporeal Shock Wave Therapy in CalcificTendinosis of Shoulder.José Antonio Mirallas Martínez; María Teresa Ricarte Benedito;Adela Beltrán Vives; María Teresa Sabater Querol.

Objective: To study the effectiveness, tolerance and satisfaction ofextracorporeal shock wave therapy (ECSWT) in calcific tendinosis ofshoulder. Design: Prospective descriptive study. Setting: Implementa-tion of treatment with ECSWT in calcific tendinosis of shoulder. Partici-pants: 178 consecutive adults subjects with calcific tendinosis of shoulder.Interventions: All were treated by ECSWT 1 session per week for 4weeks. All were assessed before each treatment and one month aftercompletion of therapy. The frequency analysis was conducted. The level ofevidence is 3. Main Outcome Measures: Pain tolerance and satisfac-tion through visual analog scale 0-10 (VAS), energy used, number of shots,limitations (in daily living activity, sporting activity or working activity),calcifications, lithotripsi and articular range measurement of the shoulder.Results: The mean flux density applied was 099�019 mJ/mm2 and themean number of pulses applied 22101�758. Within two months of theimplementation of the first ECSWT session the evaluation resulted insignificant improvement in pain (65.1% less in activity) and in articulationrange measurement (292o�16.2o more in active abduction of the shoulder).The limitations in daily living activity, sporting or working activity thatinitially existed in 178(100%) persisted at two months in 20(11.2%) and28(15.7%), respectively. The calcifications that existed in 178(100%) per-sisted in 82(46%). The tolerance was good without important pain in129(72.5%) and without secondary effects of interest. Mean flux densityapplied, number of pulses applied and improvement in pain compared withother studies are respectively: 099 mJ/mm2 / 060 mJ/mm2 , 22101/2000 and651%/21%-84%. Conclusions: ECSWT in calcific tendinosis of shoulderis well tolerated and shows a significant effectiveness for pain relief func-tional restoration and calcifications lithotripsi with a mean satisfaction of82�18 (VAS 0-10).

No. 372 Intratendinous Platelet Rich Plasma Effectsin Supraspinatus Partial Tears.Laura Paulina Muñoz Velasco, MD; Lya Contreras del Toro, MD;Salvador Israel Macías Hernández; David Chávez Arias.

Objective: To assess the efficacy of platelet-rich plasma (PRP) intra-tendinous application for conservative treatment of supraspinatus partialtears. Design: Randomized controlled trial; Level of Evidence: 1.Setting: Tertiary care rehabilitation hospital. Participants: 34 patientswith partial supraspinatus tear diagnosed clinically and by ultrasound wererandomly assigned to receive a physical therapy program without (n¼16)or with (n¼18) intratendinous PRP application. Interventions:Ultrasound-guided intratendinous PRP application in supraspinatus. Bothgroups received a standardized rehabilitation protocol and were followed for3 months. Main Outcome Measures: UCLA Constant-Murley scores,pain visual analog scale, and tear size using ultrasound measured initially

and after 3 months in both Groups. Results: Of the original 34 patients29 were seen at 3 months. Both groups showed statistically significantimprovement in all scores at 3 months follow up compared to thepre-treatment scores (p< 0.001). There were no significant differencesbetween both groups except in the Constant-Murley’s mobility itemwhich was slightly higher for the control group. No adverse eventsrelated to PRP application were noted during the procedure. Con-clusions: Conservative treatment with or without PRP is effective inreducing pain and improving mobility, function and strength in patientswith supraspinatus partial tears. PRP didn’t add an extra benefit toconventional treatment.

No. 373 Aerobic Exercise Cognitive Behavioural Therapyand Combination of Treatment in Fibromyalgia SyndromePatients: A Randomized Control Trial (Effect on MoodRelated Disorder-A Preliminary Result).Boya Nugraha, PhD1; Christoph Korallus, MD1; Denise Dörffer1;Sarah Zastrutzki Dipl Psych2; Stefanie Jasper, PhD2;Bürkard Jäger, PhD2; Christoph GutenBrunner c, MD Prof1

(1Dept. Rehabilitation Medicine); (2Institute of Psychosomaticand Psychotherapy, Hannover Medical School, HannoverGermany).

Disclosure: None. Objective: Fibromyalgia syndrome is a debilitatingdisease. This syndrome has many comorbidities in addition to painincluding fatigue, mood related disorders, sleep disorder and others. Thetreatment for this syndrome consists of pharmacological treatment andnon-pharmacological treatment. Although some studies have been donefurther research needs to be done to observe the benefit of non-pharma-cological treatment on other symptoms related to mood related disorderssuch as anxiety and depression. Therefore this study was aimed tocompare the effectiveness of different non-pharmacological treatments:aerobic exercise (AE), cognitive behavioural therapy (CBT), and combi-nation of exercise and cognitive behavioural therapy (combination) andcontrol in fibromyalgia syndrome patients. Design: Randomizedcontrolled study. Setting: Non-pharmacological treatment in patientswith fibromyalgia syndrome. Participants: 122 female fibromyalgiasyndrome patients were randomly assigned to AE (n¼30), CBT (n¼29),combination (n¼31) and control (n¼32) group. They were treated twiceper week for AE once a week for CBT and combination of twice per weekof exercise and once a week of CBT for 12 weeks. Main OutcomeMeasures: Hospital anxiety and depression scale (HADS)-anxiety(HADS-A) and depression (HADS-D). Results: Analysis per protocoldemonstrated that improvement showed in AE, CBT and combinationgroups for both anxiety and depression. Conclusions: All the non-pharmacological treatments in this study showed benefit to the patientsregarding their mood related symptoms such as depression and anxiety.Reprinted with permission.

No. 374 Brachial Artery Blood Flow After Oxford andDelorme Exercises in Healthy Young Individuals: A DopplerUltrasonographic Study.Sevgi Baspinar; Busra Uruk; Deniz Nur Soruklu; Ozgur Akgul;Salih Ozgocmen.

Objective: To compare the brachial artery blood flow volume (BAFV)and diameter in healthy young individuals after Oxford and DeLormeexercises. Disclosure: None. Design: Serial measures observationalstudy design. Setting: Gymnasium and musculoskeletal research unit ofa tertiary care center. Participants: Twenty healthy non-smoking adults(10 male 10 female) of mean (standard deviation) age 28.35�3.25 years.