微电解联合运动与单纯运动对慢性肩袖肌腱病患者疼痛强度和功能障碍的疗效：一项随机对照试验
Effectiveness of Microelectrolysis Associated With Exercises Versus Exercises Alone on Pain Intensity and Disability in Individuals With Chronic Rotator Cuff Tendinopathy: A Randomized Controlled Trial.
作者信息
Magalhães Geraldo Carvalho, Kamonseki Danilo Harudy, da Silva Ana Catarine Tavares, Nunes Janaynna Araújo, de Sousa Antonio Ismayle Araújo Firmino, Ribeiro Daniel Cury, de Oliveira Valéria Mayaly Alves
机构信息
Empresa Brasileira de Serviços Hospitalares (Brazilian Company of Hospital Services), Alcides Carneiro University Hospital, Campina Grande, Paraíba, Brazil; Department of Physical Therapy, Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
Department of Physical Therapy, Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
出版信息
Arch Phys Med Rehabil. 2025 Jun;106(6):837-844. doi: 10.1016/j.apmr.2024.10.016. Epub 2024 Nov 19.
OBJECTIVE
To compare the effectiveness of intratissue percutaneous microelectrolysis (IPM) in addition to shoulder exercise program on pain intensity and disability in individuals with rotator cuff tendinopathy.
STUDY DESIGN
Two parallel arms, single-blind superiority randomized controlled trial. SITE: Outpatient clinic (Alcides Carneiro University Hospital).
PARTICIPANTS
Forty-two individuals with rotator cuff tendinopathy were randomly allocated (1:1) into 2 groups: IPM associated with exercises (IPM+Ex) and exercises only (Ex).
INTERVENTIONS
Both groups underwent a therapeutic exercise program (6 in-person sessions) conducted by a physiotherapist, but only the IPM+Ex group received additional treatment with IPM (6 sessions). Linear mixed models were used to compare groups.
MAIN OUTCOME MEASURES
Pain intensity was measured with the Numerical Pain Rating Scale and shoulder disability with the Shoulder Pain and Disability Index. The outcomes were evaluated (blinded assessor) at baseline and 8 weeks after the intervention protocol. The secondary outcomes included adverse effects, frequency of the weekly home exercises, and overall perceived effect.
RESULTS
Forty individuals completed the 8-week follow-up. There were statistically significant within-group changes in both IPM+Ex and Ex for pain (IPM+Ex: mean difference -3.19; 95% CI: -4.45 to -1.94; Ex: mean difference: -3.99; 95% CI: -5.27 to -2.72) and disability (IPM+Ex: mean difference -35.76; 95% CI: -47.77 to -23.76; Ex: mean difference: -38.26; 95% CI: -50.45 to -26.07). We found no between-group significant differences in either pain (mean difference: -1.23; 95% CI: -2.54, 0.07) or disability (mean difference 7.17; 95% CI: -7.02, 21.35). We found no differences between the groups (P<.05) regarding adverse effects, frequency of the weekly home exercises, and overall perceived effect.
CONCLUSION
Applying IPM along with therapeutic exercises does not have additional effects on pain intensity and disability in individuals with rotator cuff tendinopathy.
目的
比较组织内经皮微电解（IPM）联合肩部锻炼计划对肩袖肌腱病患者疼痛强度和功能障碍的疗效。
研究设计
两个平行组，单盲优效性随机对照试验。
地点
门诊诊所（阿尔西德斯·卡内罗大学医院）。
参与者
42例肩袖肌腱病患者被随机（1:1）分为两组：IPM联合锻炼组（IPM+Ex）和单纯锻炼组（Ex）。
干预措施
两组均接受由物理治疗师实施的治疗性锻炼计划（6次面对面治疗），但只有IPM+Ex组接受额外的IPM治疗（6次治疗）。采用线性混合模型对两组进行比较。
主要观察指标
采用数字疼痛评分量表测量疼痛强度，采用肩痛和功能障碍指数测量肩部功能障碍。在基线和干预方案实施8周后（由盲法评估者）对结果进行评估。次要观察指标包括不良反应、每周家庭锻炼的频率以及总体感知效果。
结果
40例患者完成了8周的随访。IPM+Ex组和Ex组在疼痛（IPM+Ex组：平均差值-3.19；95%可信区间：-4.45至-1.94；Ex组：平均差值：-3.99；95%可信区间：-5.27至-2.72）和功能障碍（IPM+Ex组：平均差值-35.76；95%可信区间：-47.77至-23.76；Ex组：平均差值：-38.26；95%可信区间：-50.45至-26.07）方面均有统计学意义的组内变化。我们发现两组在疼痛（平均差值：-1.23；95%可信区间：-2.54，0.07）或功能障碍（平均差值7.17；95%可信区间：-7.02，21.35）方面均无组间显著差异。我们发现两组在不良反应、每周家庭锻炼的频率以及总体感知效果方面无差异（P<0.05）。
结论
对于肩袖肌腱病患者，IPM联合治疗性锻炼对疼痛强度和功能障碍并无额外效果。
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