Oliveira Victor Otavio Moraes DE, Vergara Juliana Munhoz, Oliveira Vicente Furquim DE, Lara Paulo Henrique Schmidt, Nogueira Luiz Carlos, Arliani Gustavo Gonçalves
Orthopedics and Traumatology Group of Prevent Senior, São Paulo, SP, Brazil.
Acta Ortop Bras. 2021 Sep-Oct;29(5):268-273. doi: 10.1590/1413-785220212905237628.
To evaluate the functional results after the use of extracorporeal shockwave therapy (ESWT) in four groups of patients: tendinopathy, partial rotator cuff injury, adhesive capsulitis and calcareous tendinopathy of the rotator cuff at one month and three months after the end of treatment.
Case series in which patients were evaluated according to the VAS of pain, range of motion of the shoulder, and functional questionnaires DASH and modified UCLA.
There was a significant increase in the measure of flexion, lateral rotation and shoulder abduction in the evaluations after treatment in relation to the baseline measurement (p < 0.001) and no evidence of significant difference was found between the post-treatment evaluations at one month and three months follow-up (p > 0.05). There was a significant reduction in the VAS score, increase in the UCLA score and a significant reduction in the DASH score in the post-treatment evaluations in relation to the baseline score (p < 0.001) and a significant improvement in the three-month evaluation in relation to one month (p < 0.05).
Extracorporeal shockwave therapy proved to be efficient and safe in the treatment of shoulder pathologies, improving pain, range of motion and functional scores in all groups of patients evaluated in the study.
评估体外冲击波疗法（ESWT）用于四组患者（肌腱病、肩袖部分损伤、粘连性关节囊炎和肩袖钙化性肌腱病）后，在治疗结束后1个月和3个月时的功能结果。
采用病例系列研究，根据疼痛视觉模拟评分（VAS）、肩关节活动范围以及功能问卷DASH和改良的加州大学洛杉矶分校（UCLA）评分对患者进行评估。
与基线测量相比，治疗后评估中屈曲度、外旋和肩关节外展测量值显著增加（p < 0.001），且在1个月和3个月随访的治疗后评估之间未发现显著差异的证据（p > 0.05）。与基线评分相比，治疗后评估中VAS评分显著降低，UCLA评分增加，DASH评分显著降低（p < 0.001），且3个月评估相对于1个月有显著改善（p < 0.05）。
在本研究评估的所有患者组中，体外冲击波疗法在治疗肩部疾病方面被证明是有效且安全的，可改善疼痛、活动范围和功能评分。
