Chang Min Cheol
a Department of Physical Medicine and Rehabilitation , College of Medicine, Yeungnam University , Daegu , Republic of Korea.
Int J Neurosci. 2017 Nov;127(11):958-964. doi: 10.1080/00207454.2017.1281274. Epub 2017 Jan 25.
We attempted to investigate whether ultrasound (US)-guided intra-articular or subacromial bursa corticosteroid injections can potentially influence the severity of depression and anxiety in patients with chronic stroke with hemiplegic shoulder pain (HSP).
Thirty patients with chronic stroke with HSP received US-guided corticosteroid injections. Numeric rating scale (NRS) scores, passive shoulder range of motion (ROM), Beck Depression Inventory (BDI) scores and Spielberger State-Trait Anxiety Inventory (STAI) scores were evaluated before the injection, and one and two months after the injection.
NRS, passive shoulder ROM, BDI and STAI scores were significantly lower one and two months following the injection. Changes in NRS scores were significantly correlated with changes in psychological outcomes (BDI and STAI).
US-guided intra-articular or subacromial bursa corticosteroid injections might be a beneficial treatment option for relieving depression and anxiety symptoms in patients with chronic stroke with HSP. Also, US-guided injections appear to be helpful for reducing shoulder pain and increasing shoulder ROM.
我们试图研究超声（US）引导下关节内或肩峰下囊内注射皮质类固醇是否可能影响慢性卒中伴偏瘫肩痛（HSP）患者的抑郁和焦虑严重程度。
30例慢性卒中伴HSP患者接受了超声引导下皮质类固醇注射。在注射前、注射后1个月和2个月评估数字评分量表（NRS）评分、被动肩部活动范围（ROM）、贝克抑郁量表（BDI）评分和斯皮尔伯格状态-特质焦虑量表（STAI）评分。
注射后1个月和2个月，NRS、被动肩部ROM、BDI和STAI评分显著降低。NRS评分的变化与心理结果（BDI和STAI）的变化显著相关。
超声引导下关节内或肩峰下囊内注射皮质类固醇可能是缓解慢性卒中伴HSP患者抑郁和焦虑症状的有益治疗选择。此外，超声引导下注射似乎有助于减轻肩部疼痛并增加肩部ROM。
