Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Zifan Lin, Hong Shao, Jun Chen, Wei Yao, Chang Liu, Zhengbiao Jin, Yunxia Li
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引用次数: 0

Abstract

Background. There is still no consensus on the treatment of frozen shoulder (FS). Clinical studies on extracorporeal shockwave therapy (ESWT) combined with arthroscopic capsular release (ACR) for FS are still lacking. Objectives. To investigate the effect of ESWT on short-term functional recovery after arthroscopic capsular release (ACR). Methods. A randomized clinical trial including 49 patients who under ACR was included. The patients were assigned to the ESWT group (n = 24) or non-ESWT group (n = 25) 2 weeks after surgery. Routine advanced rehabilitation program are given to all participants, while the ESWT group additionally received 5 times shockwave therapy. Visual analog scale (VAS) pain score, Constant score, University of California Los Angeles score (UCLA), UCLA-satisfaction, and shoulder range of motion (ROM) in four directions of flexion, abduction, internal, and external rotation were analyzed at the baseline (2 weeks postsurgery), 2 weeks, 8 weeks, and 12 weeks of follow-up. Repeated measure ANOVA is used to analyze the above outcomes. Results. A total of 46 participants completed all assessments. Pain and function improved in both groups. Comparing between the groups, we found that lower VAS pain scores and higher internal rotation were found in the ESWT group at each follow-up stage (all P < 0.05, 12 weeks VAS-pain 95% CI: [ESWT: 1.55–2.19, non-ESWT: 2.11–2.76], and 12 weeks internal rotation 95% CI: [ESWT: 5.42–7.27, non-ESWT: 7.20–9.06]). Regarding functional scores, the UCLA and UCLA-satisfaction of the ESWT group was significantly higher than that of the control group at 8 weeks and 12 weeks of follow-up (all P < 0.05, 12 weeks UCLA 95% CI: [ESWT: 31.94-33.45, non-ESWT: 27.94-29.45], 12 weeks UCLA-satisfaction 95% CI: [ESWT: 4.32–5.00, non-ESWT: 2.50–4.32]), but there was no significant difference in Constant (P > 0.05, 12 weeks Constant 95% CI: [ESWT: 82.98-92.94, non-ESWT: 78.24–88.20]). Conclusion. Extracorporeal shockwave therapy has a good analgesic effect and improves internal rotation after arthroscopic capsular release through short-term follow-up.

Abstract Image

体外冲击波疗法可减轻疼痛并改善关节镜囊松解术后的内旋:随机临床试验
背景。关于肩周炎(FS)的治疗,目前仍未达成共识。关于体外冲击波疗法(ESWT)结合关节镜关节囊松解术(ACR)治疗肩周炎的临床研究仍然缺乏。研究目的研究 ESWT 对关节镜关节囊松解术(ACR)后短期功能恢复的影响。方法。随机临床试验包括 49 名接受 ACR 的患者。患者在术后 2 周被分配到 ESWT 组(24 人)或非 ESWT 组(25 人)。所有参与者都接受了常规的高级康复计划,而 ESWT 组则额外接受了 5 次冲击波治疗。在基线(术后 2 周)、2 周、8 周和 12 周的随访中,对视觉模拟量表(VAS)疼痛评分、恒定评分、加州大学洛杉矶分校评分(UCLA)、UCLA 满意度以及肩关节在屈曲、外展、内旋和外旋四个方向的活动范围(ROM)进行分析。重复测量方差分析用于分析上述结果。结果。共有 46 名参与者完成了所有评估。两组患者的疼痛和功能均有所改善。通过比较发现,在每个随访阶段,ESWT 组的 VAS 疼痛评分更低,内旋率更高(所有 P < 0.05,12 周 VAS 疼痛 95% CI:[ESWT:1.55-2.19,非 ESWT:2.11-2.76],12 周内旋 95% CI:[ESWT:5.42-7.27,非 ESWT:7.20-9.06])。在功能评分方面,随访 8 周和 12 周时,ESWT 组的 UCLA 和 UCLA-满意度明显高于对照组(所有 P 均为 0.05,12 周 UCLA 95% CI:[ESWT:31.94-33.45,非 ESWT:27.00-29.00])。45,非 ESWT:27.94-29.45],12 周 UCLA-满意度 95% CI:[ESWT:4.32-5.00,非 ESWT:2.50-4.32]),但恒定值无显著差异(P >;0.05,12 周恒定值 95% CI:[ESWT:82.98-92.94,非 ESWT:78.24-88.20])。结论体外冲击波疗法具有良好的镇痛效果,通过短期随访可改善关节镜关节囊松解术后的内旋功能。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
274
审稿时长
3-8 weeks
期刊介绍: IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.
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