一项随机对照临床试验,比较类固醇声游疗法和治疗性超声治疗腕管综合征的效果。

IF 1.1 4区 医学 Q4 Medicine
Burcu Ortanca, Onur Armağan, Fulya Bakılan, Merih Özgen, Funda Berkan, Setenay Öner
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引用次数: 0

摘要

目的:在本研究中,我们旨在比较超声(US)和类固醇声泳(PH)治疗特发性腕管综合征(CTS)患者的疗效。患者与方法:2013年1月~ 2015年5月共46手27例患者(男5例,女22例;平均年龄:47.3+13.7岁;范围,23至67岁),包括特发性轻/中度CTS,没有神经萎缩或短拇外展肌自发活动。患者随机分为三组。第一组为超声(US)组,第二组为PH组,第三组为安慰剂组。在US组和PH组中使用频率为1 MHz,强度为1.0 W/cm2的连续US。PH组给予0.1%地塞米松治疗。安慰剂组接受频率为0 MHz,强度为0 W/cm2 US。治疗每周进行5天,总共10次。所有患者在治疗期间也佩戴夜间夹板。比较治疗前、治疗后和治疗后3个月的视觉模拟量表(VAS)、波士顿腕管问卷(症状严重程度量表和功能状态量表)、握力和神经电生理评价。结果:治疗后及3个月,除握力外,各组临床指标均有改善。US组治疗3个月后掌腕间感觉神经传导速度恢复;然而,在治疗后和治疗后3个月,PH组和安慰剂组的食指和手掌之间的感觉神经远端潜伏期恢复。结论:本研究结果提示夹板治疗联合类固醇PH、安慰剂或持续US对临床和神经电生理改善均有效;然而,神经电生理的改善是有限的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A randomized-controlled clinical trial comparing the effects of steroid phonophoresis and therapeutic ultrasound in carpal tunnel syndrome.

A randomized-controlled clinical trial comparing the effects of steroid phonophoresis and therapeutic ultrasound in carpal tunnel syndrome.

Objectives: In this study, we aimed to compare the efficacy of ultrasonography (US) and steroid phonophoresis (PH) treatments in patients with idiopathic carpal tunnel syndrome (CTS).

Patients and methods: Between January 2013 and May 2015, a total of 46 hands of 27 patients (5 males, 22 females; mean age: 47.3+13.7 years; range, 23 to 67 years) with idiopathic mild/moderate CTS without tenor atrophy or spontaneous activity in abductor pollicis brevis were included. The patients were randomly divided into three groups. The first group was ultrasound (US) group, the second group was PH group, and the third group was placebo US group. Continuous US with a frequency of 1 MHz, an intensity of 1.0 W/cm2 was used in the US and the PH groups. The PH group received 0.1% dexamethasone. Placebo group received a frequency of 0 MHz, an intensity of 0 W/cm2 US. Treatments were administered for five days a week, a total of 10 sessions. All patients also wore night splints during treatment. The Visual Analog Scale (VAS), Boston Carpal Tunnel Questionnaire consisting of two parts, namely the Symptom Severity Scale and Functional Status Scale), grip strength, and electroneurophysiological evaluations were compared before the treatment, after the treatment, and three months later.

Results: All clinical parameters improved in all groups after treatment and at three months, except for the grip strength. Recovery in the sensory nerve conduction velocity between palm and wrist was seen in US group at three months after the treatment; however, recovery in the sensory nerve distal latency between the second finger and palm was seen in PH and placebo groups after treatment and at three months after the treatment.

Conclusion: The results of this study suggest that splinting therapy combined with steroid PH, placebo or continuous US is effective for both clinical and electroneurophysiological improvement; however, electroneurophysiological improvement is limited.

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来源期刊
Archives of rheumatology
Archives of rheumatology Medicine-Rheumatology
CiteScore
2.00
自引率
9.10%
发文量
15
期刊介绍: The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors. Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).
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