脉冲射频神经调控治疗出血性中风患者中风后肩部疼痛

IF 1.4 4区 医学 Q4 CLINICAL NEUROLOGY
Journal of Korean Neurosurgical Society Pub Date : 2024-09-01 Epub Date: 2024-02-15 DOI:10.3340/jkns.2023.0204
Doyoung Na, Mu Seung Park, Hyuk Jai Choi, Jinseo Yang, Yong-Jun Cho, Jin Pyeong Jeon
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引用次数: 0

摘要

目的:中风后肩痛(PSSP)是一种常见的并发症,它限制了肩关节的活动范围(ROM)和患者的康复,进而影响患者的生活质量(QOL)。文献中提出了多种治疗方法,如吊带、定位、捆绑、功能性电刺激(FES)和神经阻滞,但没有一种治疗方法对 PSSP 有长期疗效。在本研究中,作者评估了脉冲射频(PRF)神经调控治疗肩胛上神经挛缩症的临床疗效,并建议将其作为一种具有长期疗效的潜在治疗方法:这项回顾性病例系列研究在一家私人执业机构的单一中心进行。从2013年到2021年,13名PSSP患者接受了肩胛上神经的PRF神经调控治疗。主要结果指标为视觉模拟量表(VAS)评分。次要结果测量包括肩关节活动度、残疾评估量表(DAS)、改良阿什沃斯量表(mAS)、改良兰金量表(mRS)和欧洲量表-5维-3L问卷(EQ-5D-3L)评分。这些参数在PRF调节前、PRF调节后立即进行评估,每三个月评估一次,直至最后一次随访:结果:六名男性和七名女性接受了治疗,所有患者均接受了至少 12 个月的随访。PRF神经调控前的平均VAS评分为7.07分,调控后为2.38分。肩关节外展和屈曲的 ROM、疼痛的 DAS、mRS 和 EQ-5D-3L 均有明显改善。无并发症报告:结论:对肩胛上神经进行 PRF 神经调控是治疗 PSSP 患者的一种有效方式,具有缓解疼痛、改善 QOL 的长期效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pulsed Radiofrequency Neuromodulation for Post-Stroke Shoulder Pain in Patients with Hemorrhagic Stroke.

Objective: Post-stroke shoulder pain (PSSP) is a common complication that limits the range of motion (ROM) of the shoulder, the patient's rehabilitation and in turn, affects the patients' quality of life (QoL). Several treatment modalities such as sling, positioning, strapping, functional electrical stimulation, and nerve block have been suggested in literatures, however none of the treatments had long-term effects for PSSP. In this study, the authors evaluated clinical efficacy of pulsed radiofrequency (PRF) neuromodulation on the suprascapular nerve for PSSP, and suggested it as a potential treatment with long-term effect.

Methods: This retrospective case series was conducted at a single center, a private practice institution. From 2013 to 2021, 13 patients with PSSP underwent PRF neuromodulation of the suprascapular nerve. The primary outcome measure was the Visual analog scale (VAS) score. The secondary outcome measurements included the shoulder ROM, Disability assessment scale (DAS), modified Ashworth scale, modified Rankin scale (mRS), and EuroQol-5 dimension-3L questionnaire (EQ-5D-3L) scores. These parameters were evaluated before PRF modulation, immediately after PRF modulation, and every 3 months until the final follow-up visit.

Results: Six men and seven women were enrolled, and all patients were followed-up for a minimum of 12 months. The mean VAS score was 7.07 points before PRF neuromodulation and 2.38 points immediately post-procedure. Shoulder ROM for abduction and flexion, DAS for pain, mRS, and EQ-5D-3L demonstrated marked improvement. No complications were reported.

Conclusion: PRF neuromodulation of the suprascapular nerve is an effective modality in patients with PSSP, and has long-term effect of pain relief, improvement of QoL.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
109
审稿时长
3-8 weeks
期刊介绍: The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.
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