Papadopoulos Dimitrios V, Koulouvaris Panagiotis, Aggelidakis Georgios, Tsantes Andreas G, Mavrodontidis Alexandros, Papadopoulos Georgios
Department of Ïrthopedics, University Hospital of Ioannina, Stavros Niarchos Avenue, 45500, Ioannina, Greece.
Department of Orthopedics, University Hospital "Attikon", 12462, Haidari, Athens, Greece.
J Clin Orthop Trauma. 2019 May-Jun;10(3):624-628. doi: 10.1016/j.jcot.2019.02.008. Epub 2019 Feb 8.
Conservative treatment of calcific tendonitis includes rest, medications, and physical therapy. Several physiotherapy interventions such as shockwave therapy are commonly used. The aim of this study was to investigate the efficacy of an electrotherapy method called electroacupuncture, in the treatment of calcific tendonitis.
40 patients with calcific tendonitis were randomly divided to receive either a combination of medications and electroacupuncture, or just a course of medications. Evaluated outcomes included pain using the visual analog scale, shoulder range of motion with the use of goniometer, and quality of life along with functional status using the Instrumental Activities of Daily Living Scale (IAOLDS) and the Beck Depression Inventory (BDI). Radiological evaluation for the progression of the calcific deposits was also performed. All these evaluations were performed before and at the end of treatment. A final interview with the patients regarding any recurrent episodes was performed 18-24 months after the end of treatment.
The intervention group showed greater improvement in pain intensity (2.8 points), range of motion (forward flexion, +30; abduction +29) when compared with the control group (for all, P < .05) while there was no statistically significant difference regarding the quality of life (IOLDS +0.2; BDI 0). Radiological evaluation demonstrated total or nearly total absorption of calcific deposits in 15 patients of the intervention group and in 8 patients of the control group.
The successful clinical results of electroacupuncture and the regression of calcific depositions after treatment showed that electroacupuncture may have a role as a treatment modality in calcific tendonitis.
钙化性肌腱炎的保守治疗包括休息、药物治疗和物理治疗。几种物理治疗干预措施，如冲击波疗法，被广泛应用。本研究的目的是探讨一种名为电针的电疗方法在治疗钙化性肌腱炎中的疗效。
40例钙化性肌腱炎患者被随机分为两组，一组接受药物与电针联合治疗，另一组仅接受一个疗程的药物治疗。评估的结果包括使用视觉模拟量表评估疼痛程度，使用量角器测量肩关节活动范围，以及使用日常生活活动能力量表（IAOLDS）和贝克抑郁量表（BDI）评估生活质量和功能状态。还对钙化沉积物的进展进行了影像学评估。所有这些评估均在治疗前和治疗结束时进行。在治疗结束18 - 24个月后，对患者进行了关于任何复发情况的最终访谈。
与对照组相比，干预组在疼痛强度（改善2.8分）、活动范围（前屈增加30°；外展增加29°）方面有更大改善（所有指标，P < 0.05），而在生活质量方面无统计学显著差异（IOLDS增加0.2；BDI为0）。影像学评估显示，干预组15例患者和对照组8例患者的钙化沉积物完全或几乎完全吸收。
电针治疗取得的成功临床结果以及治疗后钙化沉积物的消退表明，电针可能在钙化性肌腱炎的治疗中发挥作用。
