Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis
Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis
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DOI：
10.1016/j.jse.2014.08.010
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发表时间：
2014-12-01
影响因子：
3
通讯作者：
Cheng, Cheng-Kung
中科院分区：
文献类型：
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作者：
Chen, Chih-Yu;Hu, Chia-Chian;Cheng, Cheng-Kung
背景：粘连性关节囊炎的治疗是骨科康复专家的一个难题。在这项研究中，我们评估体外冲击波治疗（ESWT）是否改善原发性肩关节粘连性囊炎的功能结局。方法：在这项前瞻性、随机、对照、单盲临床试验中，我们招募了40例原发性粘连性囊炎患者，以评估ESWT是否能改善原发性粘连性囊炎的功能结局，优于口服类固醇治疗。患者随机分配至口服类固醇组或ESWT组。使用恒定的肩关节评分（CSS）和Oxford Shoulder Score.Results的功能结果进行评价：两组显示在整个研究期间的牛津肩关节评分评价显着改善。在ESWT组中，ESWT组的总CSS和CSS的活动度（ROM）参数从第4周开始出现显著改善，优于类固醇组; CSS的日常生活能力（ADL）参数在第6周达到显著性，优于类固醇组。对于类固醇组，疼痛从基线到研究的第四周显著减轻; ADL和ROM在第四至第12周改善。对于ESWT组，ADL和ROM的改善是显着的，从基线到第六week.Conclusion：我们的研究结果表明，ESWT可以是一种替代治疗，至少在短期内，原发性粘连性肩关节囊炎。此外，ESWT的所有副作用均为一过性且可耐受。(C)2014年《肩肘外科杂志》董事会。
Background: The treatment of adhesive capsulitis is a dilemma for orthopaedic rehabilitation specialists. In this study, we assessed whether extracorporeal shockwave therapy (ESWT) improves the functional outcome of primary shoulder adhesive capsulitis.Methods: In this prospective, randomized, controlled, single-blind clinical trial, we enrolled 40 patients with primary adhesive capsulitis to assess whether ESWT can improve the functional outcome of primary adhesive capsulitis better than oral steroid therapy. Patients were allocated to the oral steroid group or ESWT group with randomization. Functional outcome evaluations were performed using the Constant Shoulder Score (CSS) and Oxford Shoulder Score.Results: Both groups showed significant improvement in the Oxford Shoulder Score evaluation throughout the study period. In the ESWT group, the total CSS and range of motion (ROM) parameter of the CSS in the ESWT group showed significant improvement from the fourth week that was better than that in the steroid group; the activities-of-daily living (ADL) parameter of the CSS achieved significance and was better than that in the steroid group at the sixth week. For the steroid group, pain was significantly reduced from baseline to the fourth week of the study; ADL and ROM improved at the fourth to 12th week. For the ESWT group, ADL and ROM improvements were significant from baseline to the sixth week.Conclusion: Our results showed that ESWT can be an alternative treatment, at least in the short-term, for primary adhesive capsulitis of the shoulder. In addition, all of the side effects of ESWT were transient and tolerable. (C) 2014 Journal of Shoulder and Elbow Surgery Board of Trustees.