Metin Ökmen Burcu, Ökmen Korgün, Altan Lale
Department of Physical Medicine and Rehabilitation, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences, Mimar Sinan Mah, Emniyet Street, Yıldırım, Bursa, Turkey.
Department of Anesthesiology and Reanimation, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences, Bursa, Turkey.
J Med Ultrason (2001). 2018 Jul;45(3):479-486. doi: 10.1007/s10396-017-0855-9. Epub 2018 Jan 9.
The purpose of our study was to evaluate the effects of therapeutic ultrasound (US) on chronic cervical radiculopathy (CR) patients using both the clinical parameters and the cross-sectional area (CSA) values of the cervical nerve roots (NR) measured by high-resolution ultrasonography (HRUS).
Thirty-two patients with chronic CR were included in this prospective, controlled, and single-blind study. All of the patients received therapeutic US at continuous mode, 1-MHz frequency, and 1.5-W/cm intensity for 10 sessions. The patients were assessed using VAS for pain, Modified Neck Disability Index, and Short-form 12, and cervical NR were examined with HRUS. The data were obtained before treatment (W0), the second week immediately after treatment (W2), and at the sixth week (W6).
Twenty-nine patients and a total of 42 affected cervical NR and 42 unaffected cervical NR (control group) were evaluated. A significant improvement was observed for all clinical parameters and CSA values of affected cervical NR both at W2 and W6 compared to pre-treatment values (p < 0.05).
We found therapeutic US to be beneficial in improvement of pain, disability, and quality of life of patients with chronic CR. We suggest that CSA measurements may also contribute to both diagnosis and post-treatment evaluation in chronic CR.
本研究旨在通过临床参数以及高分辨率超声（HRUS）测量的颈神经根（NR）横截面积（CSA）值，评估治疗性超声（US）对慢性神经根型颈椎病（CR）患者的影响。
32例慢性CR患者纳入了这项前瞻性、对照、单盲研究。所有患者均接受连续模式、1MHz频率、1.5W/cm强度的治疗性超声，共10次。使用视觉模拟评分法（VAS）评估疼痛程度、改良颈部功能障碍指数和简短健康调查问卷12项量表（Short-form 12）对患者进行评估，并用HRUS检查颈神经根。在治疗前（W0）、治疗后第2周（W2）和第6周（W6）获取数据。
共评估了29例患者，包括42条患侧颈神经根和42条未受影响的颈神经根（对照组）。与治疗前相比，在W2和W6时，患侧颈神经根的所有临床参数和CSA值均有显著改善（p < 0.05）。
我们发现治疗性超声对改善慢性CR患者的疼痛、功能障碍和生活质量有益。我们认为CSA测量也可能有助于慢性CR的诊断和治疗后评估。
