From the Ankara Şereflikoçhisar State Hospital, Ankara, Turkey (HÖD); Kirşehir Ahi Evran University Education and Research Hospital, Kirşehir, Turkey (FT); Ankara City Hospital, Ankara, Turkey (HD); and High Specialization University, Ankara, Turkey (HRE).
Am J Phys Med Rehabil. 2022 Jul 1;101(7):685-692. doi: 10.1097/PHM.0000000000001891. Epub 2021 Oct 4.
The aim of the study was to compare the effectiveness of radial extracorporeal shock wave therapy and local corticosteroid injection on pain, function, and nerve conduction studies in the treatment of idiopathic carpal tunnel syndrome.
A total of 72 patients who were diagnosed as having carpal tunnel syndrome were included in the study. The radial extracorporeal shock wave therapy group received radial extracorporeal shock wave therapy, the local corticosteroid injection group received local corticosteroid injection, and the control group only used a resting hand splint. The patients were evaluated using a Visual Analog Scale-pain, a Visual Analog Scale-numbness, the Boston Symptom Severity Scale, the Boston Functional Status Scale, and handgrip strength tests before treatment 1 and 12 wks after the treatment.
Both clinical and nerve conduction study parameters improved with all three groups, and this effect continued at the 12th-week follow-up of the patients. The Visual Analog Scale-pain, Visual Analog Scale-numbness, Boston Symptom Severity Scale, and Boston Functional Status Scale scores in the first week after the treatment, as well as Visual Analog Scale-pain and Boston Functional Status Scale scores in the 12th week after the treatment, were significantly lower in the local corticosteroid injection group compared with the other two groups.
Our study revealed the success of radial extracorporeal shock wave therapy, splint, and local corticosteroid injection, but symptom relief was greater in the first week and 12th week with local corticosteroid injection.
本研究旨在比较桡动脉体外冲击波治疗与局部皮质类固醇注射治疗特发性腕管综合征的疗效，评估它们在疼痛、功能和神经传导研究方面的作用。
共纳入 72 例腕管综合征患者，将其分为桡动脉体外冲击波治疗组、局部皮质类固醇注射组和对照组。桡动脉体外冲击波治疗组接受桡动脉体外冲击波治疗，局部皮质类固醇注射组接受局部皮质类固醇注射，对照组仅使用手部休息夹板。患者在治疗前和治疗后 12 周时采用视觉模拟量表疼痛评分、视觉模拟量表麻木评分、波士顿症状严重程度量表、波士顿功能状态量表和握力测试进行评估。
三组患者的临床和神经传导研究参数均有改善，这种效果在患者 12 周随访时仍持续存在。治疗后第 1 周，局部皮质类固醇注射组的视觉模拟量表疼痛评分、视觉模拟量表麻木评分、波士顿症状严重程度量表和波士顿功能状态量表评分，以及治疗后第 12 周的视觉模拟量表疼痛评分和波士顿功能状态量表评分均显著低于其他两组。
本研究表明桡动脉体外冲击波治疗、夹板和局部皮质类固醇注射均有效，但局部皮质类固醇注射在第 1 周和第 12 周时的症状缓解更明显。
