Medical Faculty, Ondokuz Mayis University, Samsun, Turkey.
Rheumatol Int. 2012 Oct;32(10):3007-16. doi: 10.1007/s00296-011-2097-2. Epub 2011 Sep 7.
The aim of this clinical trial was to evaluate the effectiveness of therapeutic MD on pain, functional capacity, muscle strength, quality of life, and depression in patients with subacromial impingement syndrome (SIS). A total of 40 inpatient subjects with definite SIS were included in this study. These patients were sequentially randomized into 2 groups. Group 1 (n = 20) received therapeutic MD. Group 2 (n = 20) was served as control group and received sham MD. Superficial heat and exercise program were given to both groups. Both of the programs were performed 5 times weekly for 3 weeks. Patients were assessed before treatment (BT), after treatment (AT), and at a 1-month follow-up (F). Outcome measures included visual analogue scale, goniometry, Shoulder Pain and Disability Index, Shoulder Disability Questionnaire, shoulder isokinetic muscle testing, handgrip strength, Short Form 36, and Beck Depression Index. The patients with SIS in each group had significant improvements in pain, shoulder ROM, disability, shoulder muscles and grip strength, quality of life, and depression AT and F when compared with their initial status (P < 0.05). There was no statistically significant difference between the groups according to all the parameters regarding the change scores between AT-BT test and F-BT test (P > 0.05). A 2,450-MHz MD regimen showed no beneficial effects in patients with SIS, so the superficial heat and exercise program, as it is efficient, may be preferable for the treatment of SIS, alone.
本临床试验旨在评估治疗性微波(MD)对肩峰下撞击综合征(SIS)患者疼痛、功能能力、肌肉力量、生活质量和抑郁的疗效。共有 40 名明确诊断为 SIS 的住院患者参与了本研究。这些患者被顺序随机分为 2 组。组 1(n = 20)接受治疗性 MD 治疗。组 2(n = 20)作为对照组,接受假 MD 治疗。两组均给予表面热疗和运动方案。这两个方案每周进行 5 次,持续 3 周。患者在治疗前(BT)、治疗后(AT)和 1 个月随访(F)时进行评估。评估指标包括视觉模拟评分、关节活动度、肩痛和残疾指数、肩关节残疾问卷、肩部等速肌肉测试、握力、健康调查简表 36 项(SF-36)和贝克抑郁指数。与初始状态相比,每组 SIS 患者的疼痛、肩部 ROM、残疾、肩部肌肉和握力、生活质量以及 AT 和 F 时的抑郁均有显著改善(P < 0.05)。根据 AT-BT 测试和 F-BT 测试之间的变化评分,两组在所有参数上均无统计学差异(P > 0.05)。2450MHz 的 MD 方案对 SIS 患者没有有益效果,因此表面热疗和运动方案作为一种有效的治疗方法,可能更适合单独治疗 SIS。
J Back Musculoskelet Rehabil. 2014
Physiother Theory Pract. 2018-4
Shoulder Elbow. 2019-8
Knee Surg Sports Traumatol Arthrosc. 2010-12-15
Singapore Med J. 2010-11
Acta Orthop Traumatol Turc. 2009
Eur J Appl Physiol. 2009-6