Analan Pınar Doruk, Leblebici Berrin, Adam Mehmet
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University Adana Research and Education Center: Kazım Karabekir Cad. 4227. Sok. No 37 Yüreğir, Adana, Turkey.
J Phys Ther Sci. 2015 Oct;27(10):3113-7. doi: 10.1589/jpts.27.3113. Epub 2015 Oct 30.
[Purpose] The aim of this prospective, double-blind, randomized, placebo-controlled study was to evaluate the effects of therapeutic continuous ultrasound (US) on patients with rotator cuff disease. [Subjects and Methods] Twenty-two patients were treated with a standard physiotherapy program consisting of a hot-pack, transcutaneous electrical nerve stimulation (TENS), exercises, and US that was supervised by the same physiotherapist. The patients were randomly assigned to either a group that received true US (n=11) or one that received sham US (n=11). [Results] There were significant differences between the pre- and post-intervention UCLA Shoulder Rating Scale and Constant-Murley Shoulder Outcome scores, VAS, and external rotation (ER) peak torque 60°/second values for both the true and sham US groups. However, the between-group differences were not statistically significant. [Conclusion] In patients with rotator cuff disease, physiotherapy interventions effectively treat the pain, improve the clinical status, and increase the muscle strength of the shoulder ER at a low constant angular velocity, with functional improvement being seen immediately after treatment. However, at the end of the intervention, the US had yielded no additional efficacy to the physiotherapy treatment regimen of the patients with rotator cuff disease.
[目的] 本前瞻性、双盲、随机、安慰剂对照研究旨在评估治疗性连续超声（US）对肩袖疾病患者的影响。[对象与方法] 22例患者接受由热敷、经皮电刺激神经疗法（TENS）、运动以及由同一名物理治疗师监督的超声组成的标准物理治疗方案。患者被随机分为接受真正超声治疗的组（n = 11）或接受假超声治疗的组（n = 11）。[结果] 真正超声组和假超声组在干预前后的加州大学洛杉矶分校肩评分量表和Constant-Murley肩部结局评分、视觉模拟评分法（VAS）以及外旋（ER）60°/秒峰值扭矩值方面均存在显著差异。然而，组间差异无统计学意义。[结论] 对于肩袖疾病患者，物理治疗干预可有效缓解疼痛、改善临床状况并提高肩部低恒定角速度下外旋的肌肉力量，治疗后即可见到功能改善。然而，在干预结束时，超声对肩袖疾病患者的物理治疗方案并未产生额外疗效。
