Norwood Stephen M, Han David, Gupta Ashim
, Austin, USA.
Department of Management Science and Statistics, University of Texas at San Antonio, San Antonio, TX, 78249, USA.
Sci Rep. 2025 Jul 11;15(1):25130. doi: 10.1038/s41598-025-09440-x.
Patient-reported outcome measures (PROMs) studies for H-Wave device stimulation (HWDS) for chronic low back and neck pain (cLBP, cNP) have been promising, so a retrospective statistical analysis of chronic shoulder pain (cSP) patients was conducted. Surveys from a cohort of 34,192 pain patients, filtered for chronicity of 3-36 months and device use of 22-365 days, resulted in 1496 with "all shoulder" diagnoses, including 772 rotator cuff disorder patients. Reported shoulder pain dropped 3.17 points (0-10 pain scale), with significant (≥ 20%) relief in 89.73%. Reported function/activities of daily living (ADL) improved in 96.40% and work performance in 84.86%. Medications decreased in 74.61% and sleep improved in 59.89%. Over 96% patient satisfaction and no adverse events were reported. Subgroup analyses found benefit with longer device use and shorter pain chronicity, while rotator cuff outcomes were equivalent to all shoulder conditions. Similarly positive outcomes were self-reported by cSP patients as for previously published cLBP and cNP patients, suggesting device appropriateness beyond spinal conditions. HWDS may have contributed to effective cSP relief and improvements in function and ADL, while also improving sleep and work performance. Medication reduction (e.g., opioids) in 3 of 4 shoulder patients was higher than reported for low back and neck conditions.
针对慢性腰背痛（cLBP）和颈痛（cNP）患者的H波装置刺激（HWDS）的患者报告结局测量（PROMs）研究前景良好，因此对慢性肩痛（cSP）患者进行了回顾性统计分析。对34192名疼痛患者的队列进行调查，筛选出病程为3至36个月且使用该装置22至365天的患者，结果有1496名被诊断为“全肩部”疾病，其中包括772名肩袖损伤患者。报告的肩部疼痛下降了3.17分（0至10分疼痛量表），89.73%的患者疼痛得到显著缓解（≥20%）。报告的日常生活功能/活动（ADL）改善率为96.40%，工作表现改善率为84.86%。74.61%的患者用药量减少，59.89%的患者睡眠得到改善。超过96%的患者表示满意，且未报告不良事件。亚组分析发现，使用装置时间越长、疼痛病程越短，获益越大，而肩袖损伤的治疗效果与所有肩部疾病相当。cSP患者自我报告的结果与之前发表的cLBP和cNP患者的结果同样积极，表明该装置适用于脊柱疾病以外的情况。HWDS可能有助于有效缓解cSP，并改善功能和ADL，同时还能改善睡眠和工作表现。4名肩部患者中有3名的药物减少（如阿片类药物）情况高于腰背痛和颈痛患者的报告。
