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超声评估针灸对肱骨外上髁炎患者伸肌总腱厚度的影响:一项随机对照研究。

Ultrasonographic Evaluation of Acupuncture Effect on Common Extensor Tendon Thickness in Patients with Lateral Epicondylitis: A Randomized Controlled Study.

作者信息

Ural Fatma Gülçin, Öztürk Gökhan Tuna, Bölük Hüma, Akkuş Selami

机构信息

1 Department of Physical Medicine and Rehabilitation, Ankara Yıldırım Beyazıt University Medical School , Ankara, Turkey .

2 Ankara Physical Medicine and Rehabilitation Training and Research Hospital , Ankara, Turkey .

出版信息

J Altern Complement Med. 2017 Oct;23(10):819-822. doi: 10.1089/acm.2016.0370. Epub 2017 Jun 7.

DOI:10.1089/acm.2016.0370
PMID:28590765
Abstract

OBJECTIVE

To explore the effect of acupuncture on common extensor tendon (CET) thickness in patients with lateral epicondylitis (LE). Additionally, to identify whether clinical and ultrasonographic changes showed any correlation.

METHODS

Forty-one patients were randomly assigned to acupuncture and control groups. Conventional treatment (rest, NSAİİ, bracing, exercise) methods for LE were applied to all patients. In addition to this, the acupuncture treatment was applied to the acupuncture group. The visual analog scale (VAS) for pain, the Duruoz Hand Index (DHI) for functioning of the affected limb, the pressure pain threshold, and CET thickness (via ultrasound imaging) were assessed before and end of the treatment in both groups.

RESULTS

The VAS and DHI scores in both groups decreased. The pressure pain threshold and CET thickness only demonstrated improvement in the acupuncture group.

CONCLUSION

These findings show that the CET thickness was reduced after 10 sessions of acupuncture treatment in LE patients.

摘要

目的

探讨针刺对肱骨外上髁炎(LE)患者伸肌总腱(CET)厚度的影响。此外,确定临床和超声检查结果是否存在相关性。

方法

41例患者被随机分为针刺组和对照组。所有患者均采用LE的常规治疗方法(休息、非甾体抗炎药、支具固定、运动)。除此之外,针刺组接受针刺治疗。在两组治疗前和治疗结束时,评估疼痛视觉模拟量表(VAS)、患侧肢体功能的杜罗兹手指数(DHI)、压痛阈值和CET厚度(通过超声成像)。

结果

两组的VAS和DHI评分均降低。仅针刺组的压痛阈值和CET厚度有所改善。

结论

这些结果表明,LE患者经过10次针刺治疗后,CET厚度减小。

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