Azienda Ospedaliera Universitaria Careggi, Firenze, Italy.
Azienda USL Toscana Centro, Firenze, Italy.
J Back Musculoskelet Rehabil. 2021;34(6):983-988. doi: 10.3233/BMR-191637.
Rotator cuff calcific tendinopathy (RCCT) is a very frequent and debilitating disease often treated with Ultrasound-guided percutaneous irrigation (UGPI) followed by physiotherapy.
A multicenter observational clinical study was designed to assess the effects of physiotherapy after UGPI on the functional recovery of the shoulders of patients suffering from RCCT.
One hundred sixty-six patients (mean age 50.7± 7.6 years), 121 women, with painful RCCT were treated with UGPI and assessed at the day of UGPI (T0), and at one (T1), 3 (T2) and 6 (T3) months after treatment by the Constant- Murley Score (CMS), Oxford Shoulder Scale (OSS) and Numerical Rating Scale (NRS). Patients were divided into 2 groups, Physiotherapy (PT+) and not Physiotherapy (PT-) according to the performance of the rehabilitation program based on personal decision.
A significant improvement at T1 in all outcomes in both groups and between T1 and T3 for NRS during movement and OSS was found, but not for NRS at rest and CMS. There was no difference between groups for all outcome measures. In 27,1% of patients symptoms recurred in an average of 13 ± 8 weeks.
Results suggest that post-UGPI not-standardized physiotherapy might not provide additional clinical benefits in short and medium term. Further studies could assess the effectiveness of physiotherapy performed after three months in patients with recurrence of pain.
肩袖钙化性肌腱炎（RCCT）是一种非常常见且使人虚弱的疾病，常采用超声引导下经皮冲洗（UGPI）联合物理治疗。
本多中心观察性临床研究旨在评估 UGPI 后物理治疗对 RCCT 患者肩部功能恢复的影响。
166 例（平均年龄 50.7±7.6 岁，121 例女性）RCCT 疼痛患者接受 UGPI 治疗，并在 UGPI 当天（T0）以及治疗后 1 个月（T1）、3 个月（T2）和 6 个月（T3）时通过 Constant-Murley 评分（CMS）、牛津肩评分（OSS）和数字评分量表（NRS）进行评估。根据个人决定的康复方案，患者分为物理治疗组（PT+）和非物理治疗组（PT-）。
两组患者在 T1 时所有结果均有显著改善，T1 与 T3 之间 NRS 运动时和 OSS 均有改善，但 NRS 静息时和 CMS 无改善。所有结果两组间无差异。在平均 13±8 周时，27.1%的患者症状复发。
结果表明，UGPI 后非标准化的物理治疗可能在短期和中期内不能提供额外的临床获益。进一步的研究可以评估在疼痛复发的患者中，在三个月后进行物理治疗的有效性。
