Effect of Radial Extracorporeal Shock Wave Therapy on Hemiplegic Shoulder Pain Syndrome
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective To investigate the effect of radial extracorporeal shock wave therapy (rESWT) on hemiplegic shoulder pain (HSP) syndrome.Methods In this monocentric, randomized, patient-assessor blinded, placebo-controlled trial, patients with HSP were randomly divided into the rESWT (n=17) and control (n=17) groups. Treatment was administered four times a week for 2 weeks. The visual analogue scale (VAS) score and Constant-Murley score (CS) were assessed before and after treatment, and at 2 and 4 weeks. The Modified Ashworth Scale and Fugl-Meyer Assessment scores and range of motion of the shoulder were also assessed.Results VAS scores improved post-intervention and at the 2-week and 4-week follow-up in the intervention group (p<0.05). Respective differences in VAS scores between baseline and post-intervention in the intervention and control groups were –1.69±1.90 and –0.45±0.79, respectively (p<0.05), between baseline and 2-week follow-up in the intervention and control groups were –1.60±1.74 and –0.34±0.70, respectively (p<0.05), and between baseline and 4-week follow-up in the intervention and control groups were –1.61±1.73 and –0.33±0.71, respectively (p<0.05). Baseline CS improved from 19.12±11.02 to 20.88±10.37 post-intervention and to 20.41±10.82 at the 2-week follow-up only in the intervention group (p<0.05).Conclusion rESWT consisting of eight sessions could be one of the effective and safe modalities for pain management in people with HSP. Further studies are needed to generalize and support these results in patients with HSP and a variety conditions, and to understand the mechanism of rESWT for treating HSP.
Abstract
Objective To investigate the effect of radial extracorporeal shock wave therapy (rESWT) on hemiplegic shoulder pain (HSP) syndrome.Methods In this monocentric, randomized, patient-assessor blinded, placebo-controlled trial, patients with HSP were randomly divided into the rESWT (n=17) and control (n=17) groups. Treatment was administered four times a week for 2 weeks. The visual analogue scale (VAS) score and Constant-Murley score (CS) were assessed before and after treatment, and at 2 and 4 weeks. The Modified Ashworth Scale and Fugl-Meyer Assessment scores and range of motion of the shoulder were also assessed.Results VAS scores improved post-intervention and at the 2-week and 4-week follow-up in the intervention group (p<0.05). Respective differences in VAS scores between baseline and post-intervention in the intervention and control groups were –1.69±1.90 and –0.45±0.79, respectively (p<0.05), between baseline and 2-week follow-up in the intervention and control groups were –1.60±1.74 and –0.34±0.70, respectively (p<0.05), and between baseline and 4-week follow-up in the intervention and control groups were –1.61±1.73 and –0.33±0.71, respectively (p<0.05). Baseline CS improved from 19.12±11.02 to 20.88±10.37 post-intervention and to 20.41±10.82 at the 2-week follow-up only in the intervention group (p<0.05).Conclusion rESWT consisting of eight sessions could be one of the effective and safe modalities for pain management in people with HSP. Further studies are needed to generalize and support these results in patients with HSP and a variety conditions, and to understand the mechanism of rESWT for treating HSP.
참고문헌 (40)
- Dromerick A, "Medical and neurological complications during inpatient stroke rehabilitation", Stroke, 25, pp.358~361 (1994)
- Wanklyn P, "Hemiplegic shoulder pain (HSP): natural history and investigation of associated features", Disabil Rehabil, 18, pp.497~501 (1996)
- 윤태상, "편마비 후 견관절 통증의 원인 분석", Annals of Rehabilitation Medicine, 34(2), pp.158~162 (2010), 대한재활의학회
- Andres BM, "Treatment of tendinopathy:what works, what does not, and what is on the horizon", Clin Orthop Relat Res, 466, pp.1539~1554 (2008)
- Sems A, "Extracorporeal shock wave therapy in the treatment of chronic tendinopathies", J Am Acad Orthop Surg, 14, pp.195~204 (2006)
- Ogden JA, "Shock wave therapy (Orthotripsy) in musculoskeletal disorders", Clin Orthop Relat Res, 387, pp.22~40 (2001)
- 손민균, "Spasticity and Electrophysiologic Changes after Extracorporeal Shock Wave Therapy on Gastrocnemius", Annals of Rehabilitation Medicine, 35(5), pp.599~604 (2011), 대한재활의학회
- Michener LA, "Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review", J Hand Ther, 17, pp.152~164 (2004)
- Gerdesmeyer L, "Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study", Am J Sports Med, 36, pp.2100~2109 (2008)
- Kim YW, "Usefulness of radial extracorporeal shock wave therapy for the spasticity of the subscapularis in patients with stroke: a pilot study", Chin Med J (Engl), 126, pp.4638~4643 (2013)
- Galasso O, "Shortterm outcomes of extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus: a double-blind, randomized, placebo-controlled trial", BMC Musculoskelet Disord, 13, pp.86~ (2012)
- 서형석, "체외충격파치료가 회전근개 건염 환자의 통증 및 기능에 미치는 영향", 한국산학기술학회논문지, 13(7), pp.3132~3139 (2012), 한국산학기술학회[DOI]
- Chen CY, "Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis", J Shoulder Elbow Surg, 23, pp.1843~1851 (2014)
- Notarnicola A, "Shockwave therapy in the management of complex regional pain syndrome in medial femoral condyle of the knee", Ultrasound Med Biol, 36, pp.874~879 (2010)
- 문승원, "The Effect of Extracorporeal Shock Wave Therapy on Lower Limb Spasticity in Subacute Stroke Patients", Annals of Rehabilitation Medicine, 37(4), pp.461~470 (2013), 대한재활의학회
- Hasuk Bae, "The Effects of Extracorporeal Shock Wave Therapy on Spasticity in Chronic Stroke Patients", Annals of Rehabilitation Medicine, 34(6), pp.663~669 (2010), 대한재활의학회
- Speed CA, "Humphreys H, et al. Extracorporeal shock-wave therapy for tendonitis of the rotator cuff: a doubleblind, randomised, controlled trial", J Bone Joint Surg Br, 84, pp.509~512 (2002)
- Reips UD, "Interval-level measurement with visual analogue scales in Internet-based research:VAS Generator", Behav Res Methods, 40, pp.699~704 (2008)
- Constant CR, "A clinical method of functional assessment of the shoulder", Clin Orthop Relat Res, 214, pp.160~164 (1987)
- Bohannon RW, "Interrater reliability of a modified Ashworth scale of muscle spasticity", Phys Ther, 67, pp.206~207 (1987)
- Gleitz M, "Myofascial syndromes and trigger points" (2011), Level10 Buchverlag
- Haake M, "Exact focusing of extracorporeal shock wave therapy for calcifying tendinopathy", Clin Orthop Relat Res, 397, pp.323~331 (2002)
- Knobloch K, "Focused extracorporeal shockwave therapy in Dupuytren’s disease: a hypothesis", Med Hypotheses, 76, pp.635~637 (2011)
- Huang CW, "A low cost color-based bacterial biosensor for measuring arsenic in groundwater", Chemosphere, 141, pp.44~49 (2015)
- Rompe JD, "Extracorporeal shockwave therapy of radiohumeral epicondylopathy: an alternative treatment concept", Z Orthop Ihre Grenzgeb, 134, pp.63~66 (1996)
- Rompe JD, "Analgesic effect of extracorporeal shock-wave therapy on chronic tennis elbow", J Bone Joint Surg Br, 78, pp.233~237 (1996)
- Kienle GS, "The powerful placebo effect: fact or fiction?", J Clin Epidemiol, 50, pp.1311~1318 (1997)
- Hooper TD, "Surgical site infection-a population-based study in Australian adults measuring the compliance with and correct timing of appropriate antibiotic prophylaxis", Anaesth Intensive Care, 43, pp.461~467 (2015)
- Vidal X, "Radial extracorporeal shock wave therapy (rESWT) in the treatment of spasticity in cerebral palsy: a randomized, placebo-controlled clinical trial", NeuroRehabilitation, 29, pp.413~419 (2011)
- Kim KS, "Portable measurement system for the objective evaluation of the spasticity of hemiplegic patients based on the tonic stretch reflex threshold", Med Eng Phys, 33, pp.62~69 (2011)
- Rizk TE, "Arthrographic studies in painful hemiplegic shoulders", Arch Phys Med Rehabil, 65, pp.254~256 (1984)
- Bohannon RW, "Shoulder pain in hemiplegia: statistical relationship with five variables", Arch Phys Med Rehabil, 67, pp.514~516 (1986)
- Hsu JE, "Current review of adhesive capsulitis", J Shoulder Elbow Surg, 20, pp.502~514 (2011)
- Neviaser AS, "Adhesive capsulitis: a review of current treatment", Am J Sports Med, 38, pp.2346~2356 (2010)
- Neviaser AS, "Adhesive capsulitis of the shoulder", J Am Acad Orthop Surg, 19, pp.536~542 (2011)
- Kilian O, "Enhanced alpha 1(I) mRNA expression in frozen shoulder and dupuytren tissue", Eur J Med Res, 12, pp.585~590 (2007)
- Uhthoff HK, "Primary frozen shoulder: global capsular stiffness versus localized contracture", Clin Orthop Relat Res, 456, pp.79~84 (2007)
- Manganotti P, "Long-term effect of shock wave therapy on upper limb hypertonia in patients affected by stroke", Stroke, 36, pp.1967~1971 (2005)
- Leone JA, "Effects of tendon pressure on alpha motoneuron excitability in patients with stroke", Phys Ther, 68, pp.475~480 (1988)
- Cohen SP, "Does pain score in response to a standardized subcutaneous local anesthetic injection predict epidural steroid injection outcomes in patients with lumbosacral radiculopathy? A prospective correlational study", Pain Med, 14, pp.327~335 (2013)