超声引导下针刺与径向冲击波疗法治疗肩部钙化性肌腱炎的前瞻性随机试验
Ultrasound guided Needling vs Radial Shockwave Therapy in calcific tendinitis of the shoulder: A prospective randomized trial.
作者信息
De Boer Friso A, Mocking Femke, Nelissen Eelco M, Van Kampen Paulien M, Huijsmans Pol E
机构信息
HagaZiekenhuis, Department of Orthopaedic Surgery, Sportlaan 600, 2566 MJ The Hague, The Netherlands.
Spijkenisse Medical Centre, Department of Orthopaedic Surgery, Ruwaard van Puttenweg 500, Spijkenisse, 3201 GZ, The Netherlands.
出版信息
J Orthop. 2017 Aug 1;14(4):466-469. doi: 10.1016/j.jor.2017.07.011. eCollection 2017 Dec.
Abstract
PURPOSE
Ultrasound Needling(UN) and Radial Shockwave(RSWT) aim to dissolve deposits in Shoulder Calcific tendinitis.
METHODS
RCT in 25 patients to compare short term effectiveness. Outcome measures were pain and functional outcome at 6 weeks and 1 year and decrease of deposits after 6 weeks.
RESULTS
UN decreased deposit more than RSWT(P = 0.029). After 6 weeks, Constant, NRS and Oxford improved more in UN. After 1 year, there was no significant difference in NRS(p = 0.45) or Oxford(p = 0.32).
CONCLUSION
Compared to RSWT, UN resulted in lower pain and faster resorption of calcifications after 6 weeks. No significant differences were found after 1 year.
摘要
目的
超声针刺（UN）和径向冲击波（RSWT）旨在溶解肩部钙化性肌腱炎中的沉积物。
方法
对25名患者进行随机对照试验以比较短期疗效。结果指标为6周和1年时的疼痛和功能结果，以及6周后沉积物的减少情况。
结果
UN比RSWT更能减少沉积物（P = 0.029）。6周后，Constant、NRS和牛津评分在UN组改善更明显。1年后，NRS（p = 0.45）或牛津评分（p = 0.32）无显著差异。
结论
与RSWT相比，UN在6周后疼痛更低，钙化吸收更快。1年后未发现显著差异。
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2
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4
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5
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6
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7
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