Combining hydraulic dilatation with extracorporeal shock waves relieves scapulohumeral periarthritis
10.3760/cma.j.issn.0254-1424.2022.11.009
- VernacularTitle:液压扩张联合放射式体外冲击波治疗肩周炎的疗效观察
- Author:
Hui XU
1
;
Chunman WANG
;
Lulu WANG
;
Lin LI
;
Qian GAO
Author Information
1. 衡水市人民医院（衡水市哈励逊国际和平医院）疼痛科，衡水 053000
- Keywords:
Scapulohumeral periarthritis;
Hydraulic dilatation;
Extracorporeal shock waves;
Shoulder function;
Pain;
Inflammatory cytokines
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(11):1004-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any curative effect of combining hydraulic dilatation with radial extracorporeal shock waves on scapulohumeral periarthritis.Methods:A total of 132 patients with scapulohumeral periarthritis were randomly divided into a hydraulic dilatation group, a shock wave group and a combination group. The three treatments were applied for 3 weeks, before and after which shoulder range of motion was evaluated. Shoulder function was quantified using the Japanese Orthopaedic Association′s (JOA′s) shoulder function scoring, pain was reported using a visual analogue scale (VAS), and ability in the activities of daily living (ADL) was also quantified. Serum prostaglandin E2 (PGE2), β-endorphin (β-EP), interleukin 6 (IL-6) and tumor necrosis factor α (TNF-α) were assayed.Results:The treatment response rate of the combination group (95%) was significantly higher than those of the hydraulic dilatation group (70%) and the shock wave group (82%). After the treatment, the average shoulder range of motion, JOA and ADL scores, and β-EP level in all 3 groups had improved significantly, while the average VAS score, and the PGE2, IL-6 and TNF-α levels had decreased significantly, but in each case the improvement in the combination group′s average was significantly greater than those of the other 2 groups. During the treatment there were no such adverse events as intra-articular infection, skin redness, numbness or palpitations.Conclusions:Combining hydraulic dilatation with radial extracorporeal shock waves significantly improves the treatment of scapulohumeral periarthritis. It can effectively promote the recovery of shoulder function and improve quality of life. Its greater effectiveness may be related to improving levels of PGE2, β-EP, IL-6 and TNF-α, and relieving pain and inflammation.
