Effectiveness of therapeutic ultrasound in adhesive capsulitis
Effectiveness of therapeutic ultrasound in adhesive capsulitis
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DOI：
10.1016/j.jbspin.2007.07.016
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发表时间：
2008-07-01
期刊：
影响因子：
4.2
通讯作者：
Sarpel, Tunay
中科院分区：
文献类型：
--
作者：
Dogru, Hacer;Basaran, Sibel;Sarpel, Tunay
目的：目前尚无证据表明治疗性超声（US）与安慰剂US相比治疗粘连性囊炎的有效性。方法：49例粘连性关节囊炎患者随机分为超声组（n = 25）和假超声组（n = 24）。两组均给予浅表加热和运动计划。超声组应用超声，假超声组应用模拟超声，治疗2周。在治疗开始、治疗后和3个月后（对照组）评估肩关节活动度（ROM）、疼痛和肩关节疼痛和残疾指数（SPADI）。采用简明健康状况调查表（SF-36）在治疗开始和治疗3个月后评估患者的一般健康状况。结果：两组患者治疗后肩关节活动度、运动疼痛、SPADI两个分量表和总分、SF-36身体成分总分均较治疗前和治疗后明显改善（p < 0.0001）。当我们比较治疗后和治疗前肩关节ROM值之间的差异时，US组屈曲、内旋和外旋值的改善显著更高。US组内旋和外旋的对照和治疗前值之间的差异也显著更高（分别为p = 0.002和p = 0.02）。两组间疼痛、SPADI和SF-36评分无显著差异。运动的依从性显着较高的假US组（p = 0.04）。结论：我们的研究结果表明，US与假US相比，在治疗粘连性囊炎没有相关的好处。US组的治疗前值较差，而假US组的运动依从性较高，可能掩盖了US的有效性。(c)2008年，Elsevier Masson SAS。All rights reserved.
Objective: There is a lack of evidence about the effectiveness of therapeutic ultrasound (US) compared with placebo US in the treatment of adhesive capsulitis. This study was performed to assess the effectiveness of therapeutic US in the treatment of adhesive capsulitis.Methods: Forty-nine patients with adhesive capsulitis were randomized to US (n = 25) and sham US (n = 24) groups. Superficial heat and an exercise program were given to both groups. Ultrasound was applied to US group and imitative ultrasound was applied to sham US group for 2 weeks. Shoulder range of motion (ROM), pain and Shoulder Pain and Disability Index (SPADI) were assessed at the beginning, after treatment and after 3 months (control). Short Form-36 (SF-36) was applied for assessing general health status at the beginning and after 3 months. Compliance with the home exercise program was recorded daily on a chart for 3 months.Results: Shoulder ROM, pain with motion, two subscales and total score of SPADI and physical component summary score of SF-36 were improved significantly in both groups after the treatment and after 3 months (p < 0.0001). Improvements in flexion, inner and outer rotation values were significantly higher in the US group when we compared the differences between post- and pre-treatment values of shoulder ROM. The differences between control and pre-treatment values of inner and outer rotation were also significantly higher in the US group (p = 0.002 and p = 0.02 respectively). No significant difference was detected in pain, SPADI and SF-36 scores between groups. The exercise compliance was significantly higher in the sham US group (p = 0.04).Conclusion: Our results suggest that US compared with sham US gives no relevant benefit in the treatment of adhesive capsulitis. Effectiveness of US might be masked by worse pre-treatment values of the US group and higher exercise compliance of the sham US group. (c) 2008 Elsevier Masson SAS. All rights reserved.