Ko Jih-Yang, Siu Kai-Kit, Wang Feng-Sheng, Wang Ching-Jen, Chou Wen-Yi, Huang Chung-Cheng, Kuo Shu-Jui
Department of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Department of Medical Research, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Biomed Res Int. 2020 May 13;2020:6501714. doi: 10.1155/2020/6501714. eCollection 2020.
We wish to investigate the therapeutic potential of a single-session high-energy extracorporeal shock wave therapy (ESWT) on the rotator cuff lesions with shoulder stiffness. . Thirty-seven patients afflicted with rotator cuff lesions with shoulder stiffness were randomized to receive either shockwave or sham treatment based on statistical randomization. In the shockwave group, we used Orthospec™ Extracorporeal Shock Wave Therapy 3000 impulse 24 kV (0.32 mJ/mm) focused at two points as one session. The sham intervention entailed the use of the device in which the silicone pad was removed from the stand-off device. The visual analogue scale (VAS), muscle power of the shoulder, Constant and Murley score (CMS), and range of motion (ROM) of the shoulder were assessed for all patients. Ten milliliters of peripheral venous blood was obtained from every participant for the measurements of markers for inflammation, tissue regeneration, angiogenesis, and substance P before and at 1 week and 4 weeks after intervention.
The ESWT group has significantly better VAS, muscle power, CMS, and ROM at 6 and 12 months after intervention. No between-group differences were observed before as well as 1 and 4 weeks after intervention in the selected biomarkers.
ESWT may be a good adjuvant for the treatment of rotator cuff lesions with shoulder stiffness.
我们希望研究单次高能体外冲击波疗法（ESWT）对伴有肩部僵硬的肩袖损伤的治疗潜力。37例伴有肩部僵硬的肩袖损伤患者根据统计随机化原则被随机分为接受冲击波治疗组或假治疗组。在冲击波治疗组中，我们使用Orthospec™体外冲击波治疗仪，以24 kV（0.32 mJ/mm）的能量发射3000次脉冲，聚焦于两个点，作为一个疗程。假干预是使用从间隔装置上取下硅胶垫的设备。对所有患者评估视觉模拟量表（VAS）、肩部肌肉力量、Constant和Murley评分（CMS）以及肩部活动范围（ROM）。在干预前、干预后1周和4周，从每位参与者采集10毫升外周静脉血，用于测量炎症、组织再生、血管生成和P物质的标志物。
ESWT组在干预后6个月和12个月时的VAS、肌肉力量、CMS和ROM明显更好。在选定的生物标志物方面，干预前以及干预后1周和4周未观察到组间差异。
ESWT可能是治疗伴有肩部僵硬的肩袖损伤的良好辅助手段。
