The effect of postoperatively applied far-infrared radiation on pain and tendon-to-bone healing after arthroscopic rotator cuff repair: a clinical prospective randomized comparative study
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: The effects of far-infrared radiation (FIR) on the treatment of rotator cuff diseases remains unknown. We evaluated the safety and efficacy of FIR after arthroscopic rotator cuff repair with regard to postoperative pain and healing. Methods: This prospective randomized comparative study included 38 patients who underwent arthroscopic rotator cuff repair due to a medium-sized tear. Patients were randomly divided into the FIR or control group (n = 19 per group). In the FIR group, FIR with an FIR radiator started 1 week postoperatively for 30 minutes per session twice daily. It lasted until abduction brace weaning at 5 weeks postoperatively. We assessed pain using a pain visual analogue scale (pVAS) and measured the range of motion (ROM) of the shoulder at 5 weeks, and 3 and 6 months, postoperatively. The anatomical outcome was evaluated using magnetic resonance imaging at 6 months postoperatively. Results: At 5 weeks postoperatively, the average pVAS score was lower in the FIR group than in the control group (1.5 ± 0.8 vs. 2.7 ± 1.7; P = 0.019). At 3 months postoperatively, the average forward flexion was higher in the FIR group (151.6° ± 15.3° vs. 132.9° ± 27.8°; P = 0.045), but there was no significant difference at 6 months postoperatively. There was no significant difference in healing failure between the groups (P = 0.999). Conclusions: FIR after arthroscopic rotator cuff repair could be an effective and safe procedure to reduce postoperative pain, thereby facilitating rehabilitation and better ROM in the early postoperative period.
Abstract
Background: The effects of far-infrared radiation (FIR) on the treatment of rotator cuff diseases remains unknown. We evaluated the safety and efficacy of FIR after arthroscopic rotator cuff repair with regard to postoperative pain and healing. Methods: This prospective randomized comparative study included 38 patients who underwent arthroscopic rotator cuff repair due to a medium-sized tear. Patients were randomly divided into the FIR or control group (n = 19 per group). In the FIR group, FIR with an FIR radiator started 1 week postoperatively for 30 minutes per session twice daily. It lasted until abduction brace weaning at 5 weeks postoperatively. We assessed pain using a pain visual analogue scale (pVAS) and measured the range of motion (ROM) of the shoulder at 5 weeks, and 3 and 6 months, postoperatively. The anatomical outcome was evaluated using magnetic resonance imaging at 6 months postoperatively. Results: At 5 weeks postoperatively, the average pVAS score was lower in the FIR group than in the control group (1.5 ± 0.8 vs. 2.7 ± 1.7; P = 0.019). At 3 months postoperatively, the average forward flexion was higher in the FIR group (151.6° ± 15.3° vs. 132.9° ± 27.8°; P = 0.045), but there was no significant difference at 6 months postoperatively. There was no significant difference in healing failure between the groups (P = 0.999). Conclusions: FIR after arthroscopic rotator cuff repair could be an effective and safe procedure to reduce postoperative pain, thereby facilitating rehabilitation and better ROM in the early postoperative period.
참고문헌 (30)
- Yamaguchi K, "The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders", J Bone Joint Surg Am, 88, pp.1699~1704 (2006)
- Kukkonen J, "The effect of tear size on the treatment outcome of operatively treated rotator cuff tears", Knee Surg Sports Traumatol Arthrosc, 23, pp.567~572 (2015)
- Baumgarten KM, "Rotator cuff repair rehabilitation : a level I and II systematic review", Sports Health, 1, pp.125~130 (2009)
- 오주한, "견관절 관절경 수술 후 기능 회복 치료법", 대한정형외과학회지, 55(2), pp.103~116 (2020), 대한정형외과학회[DOI]
- Toyokawa H, "Promotive effects of far-infrared ray on fullthickness skin wound healing in rats", Exp Biol Med (May-wood), 228, pp.724~729 (2003)
- Wong CH, "The analgesic effect of thermal therapy after total knee arthroplasty", J Altern Complement Med, 18, pp.175~179 (2012)
- Vatansever F, "Far infrared radiation(FIR) : its biological effects and medical applications", Photonics Lasers Med, 4, pp.255~266 (2012)
- Li K, "Efficacy and safety of far infrared radiation in lymphedema treatment : clinical evaluation and laboratory analysis", Lasers Med Sci, 32, pp.485~494 (2017)
- Dominguez-Vidal A, "Probing intermolecular interactions in water", ionic liquid mixtures by far-infrared spectroscopy, 2007, pp.111, 4446~4452
- Akasaki Y, "Repeated thermal therapy up-regulates endothelial nitric oxide synthase and augments angiogenesis in a mouse model of hindlimb ischemia", Circ J, 70, pp.463~470 (2006)
- Oh JH, "Clinical features of partial anterior bursal-sided supraspinatus tendon(PABST)lesions", J Shoulder Elbow Surg, 21, pp.295~303 (2012)
- Oh JH, "Moderate preoperative shoulder stiffness does not alter the clinical outcome of rotator cuff repair with arthroscopic release and manipulation", Arthroscopy, 24, pp.983~991 (2008)
- Kocher MS, "Reliability, validity, and responsiveness of the American Shoulder and Elbow Surgeons subjective shoulder scale in patients with shoulder instability, rotator cuff disease, and glenohumeral arthritis", J Bone Joint Surg Am, 87, pp.2006~2011 (2005)
- Beaton DE, "Measuring function of the shoulder. A cross-sectional comparison of five questionnaires", J Bone Joint Surg Am, 78, pp.882~890 (1996)
- Codsi MJ, "Assessment of rotator cuff repair integrity using ultrasound and magnetic resonance imaging in a multicenter study", J Shoulder Elbow Surg, 23, pp.1468~1472 (2014)
- Lin CC, "Farinfrared therapy : a novel treatment to improve access blood flow and unassisted patency of arteriovenous fistula in hemodialysis patients", J Am Soc Nephrol, 18, pp.985~992 (2007)
- Yu SY, "Biological effect of far-infrared therapy on increasing skin microcirculation in rats", Photodermatol Photoimmunol Photomed, 22, pp.78~86 (2006)
- Lin YH, "The application of far-infrared in the treatment of wound healing : a short evidence-based analysis", J Evid Based Complementary Altern Med, 22, pp.186~188 (2017)
- Arany PR, "Activation of latent TGF-beta1 by low-power laser in vitro correlates with increased TGF-beta1 levels in laser-enhanced oral wound healing", Wound Repair Regen, 15, pp.866~874 (2007)
- Breivik H, "Postoperative pain management: why is it difficult to show that it improves outcome?", Eur J Anaesthesiol, 15, pp.748~751 (1998)
- Owen H, "Postoperative pain therapy : a survey of patients’ expectations and their experiences", Pain, 41, pp.303~307 (1990)
- Rhee SM, "Subacromial local anesthetics do not interfere with rotator cuff healing after arthroscopic repair", Am J Sports Med, 46, pp.1097~1105 (2018)
- Fredrickson MJ, "Analgesic effectiveness of a continuous versus single-injection interscalene block for minor arthroscopic shoulder surgery", Reg Anesth Pain Med, 35, pp.28~33 (2010)
- Warrender WJ, "Pain management after outpatient shoulder arthroscopy : a systematic review of randomized controlled trials", Am J Sports Med, 45, pp.1676~1686 (2017)
- "Regulation of the acute phase and immune responses: interleukin-6", Ann N Y Acad Sci, 557, pp.1~583 (1989)
- Oh JH, "Continuous intralesional infusion combined with interscalene block was effective for postoperative analgesia after arthroscopic shoulder surgery", J Shoulder Elbow Surg, 16, pp.295~299 (2007)
- Martin P, "Wound healing--aiming for perfect skin regeneration", Science, 276, pp.75~81 (1997)
- Yu W, "Expression of growth factors in early wound healing in rat skin", Lasers Surg Med, 15, pp.281~289 (1994)
- Masuda A, "The effects of repeated thermal therapy for patients with chronic pain", Psychother Psychosom, 74, pp.288~294 (2005)
- Ou SM, "Far-infrared therapy as a novel treatment for encapsulating peritoneal sclerosis", Am J Gastroenterol, 109, pp.1957~1959 (2014)