Comparing the long-term effect of extracorporeal shockwave therapy and therapeutic ultrasound in treating trigger finger: A prospective cohort study.

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Reem M Alfaifi, Alaa A Juraybi, Abdulrahman M Alrashed, Abdullah M Alghidani, Hana M Alfaifi
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引用次数: 0

Abstract

Objectives: To investigate the long-term effects of Extracorporeal shockwave therapy (ESWT) and ultrasound (US) in treating the trigger finger. Trigger finger, also known as stenosing tenosynovitis, is a common type of tenosynovitis affecting the flexor sheath of any finger. Extracorporeal shockwave therapy and therapeutic US are conservative treatments that use waves of varied frequency to target damaged regions and improve function.

Methods: This cohort study was carried out in Saudi Arabia, using samples obtain from the files of patients with trigger fingers who visited the orthopedic department at Al-Rass General Hospital between May and June 2023. Of the 38 people with trigger fingers who were initially included, 24 satisfied the requirements for inclusion (11 underwent US, and 13 received ESWT). Assessments were conducted in September 2023, two months later. A goniometer was used to measure the range of motion (ROM), an electrical dynamometer was used to test grip strength, a numerical pain rating scale was used to quantify discomfort, and QuickDASH was used to measure general functional capacity.

Results: Extracorporeal shockwave therapy and US significantly affected all outcomes, including pain severity, ROM, hand strength, and general functional capability (p<0.005). In the immediate period, the US outperformed ESWT in enhancing general functional capability. Over time, ESWT was more essential for reducing pain (p=0.001).

Conclusion: This study provides preliminary evidence that ESWT and US have similar effects in treating trigger fingers.

比较体外冲击波治疗和超声治疗扳机指的长期疗效:一项前瞻性队列研究。
目的:探讨体外冲击波治疗(ESWT)和超声治疗(US)治疗扳机指的远期疗效。扳机指,也称为狭窄性腱鞘炎,是一种常见的腱鞘炎,影响任何手指的屈肌鞘。体外冲击波疗法和治疗性美国是保守的治疗方法,使用不同频率的波来靶向受损区域并改善功能。方法:本队列研究在沙特阿拉伯进行,使用的样本来自于2023年5月至6月在Al-Rass总医院骨科就诊的扳机指患者档案。在最初纳入的38例扳机指患者中,24例满足纳入要求(11例接受US, 13例接受ESWT)。评估于两个月后的2023年9月进行。用测角仪测量运动范围(ROM),用电测力仪测试握力,用数值疼痛评定量表量化不适感,用QuickDASH测量一般功能能力。结果:体外冲击波治疗和US显著影响了所有结果,包括疼痛严重程度、ROM、手部力量和一般功能(pp=0.001)。结论:本研究提供了ESWT与US治疗扳机指疗效相近的初步证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Saudi Medical Journal
Saudi Medical Journal 医学-医学:内科
CiteScore
2.30
自引率
6.20%
发文量
203
审稿时长
12 months
期刊介绍: The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license. The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.
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