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The Treatment of Chronic Rotator Cuff Tendinopathy of the Shoulder with Radial Shockwave Therapy

机译：径向冲击波疗法治疗肩关节慢性肩袖腱鞘病

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Objective: To assess the effects of radial shockwave therapy (RSWT) on shoulder function, pain, range of motion (ROM), and strength in patients with chronic rotator cuff tendinopathy (RCT). Design: One group pre-test post-test design. Methods: 24 subjects (17 males and 7 females) diagnosed with chronic RCT had their shoulder strength and ROM measured along with functional status via the Upper Extremity Functional Scale (UEFS) and shoulder pain with the P4 Scale and pain at rest, after activity, and overall improvement in pain using a visual analog scale (VAS) pre-treatment. Each subject was then treated with RSWT consisting of 2000 shockwaves set at an intensity of 2.5 bars, 10-15 Hz, and 11.5 Mp. The applicator was positioned so that treatment was completed over the insertion point of the supraspinatous muscle. Each subject received three treatments in total spaced one week apart over a three week period of time. Shoulder strength, ROM, UEFS, P4 and VAS scores for pain and overall improvement were measured again three months post-treatment. A Wilcoxen Signed Rank Test and Dependent t-Test was used to analyze the data comparing pre-treatment to post-treatment effects with an alpha level set at p<.05. Results: A significant improvement was found post-treatment in the UEFS score (Z=-3.895, p=.0001); in the P4 score (Z=-4.078, p=.0001); in the VAS for shoulder pain at rest (Z=-3.062, p=.002); shoulder pain following activity (Z=-4.138, p=.0001); and in the overall improvement in shoulder pain (Z=-4.11, p=.0001). A significant improvement was also noted in the ROM for shoulder flexion (t (23)=-2.075, p<.013); abduction (t (23)=-3.54, p<.002); internal rotation (t (23)=-2.503, p<.02); and external rotation (t (23)=-3.78, p<.001). A significant improvement was also noted in shoulder strength for abduction (Z=-2.585, p=.01) and external rotation (Z=-2.64, p=.008).
机译：目的：评估放射冲击波疗法（RSWT）对慢性肩袖肌腱病（RCT）患者肩部功能，疼痛，运动范围（ROM）和力量的影响。设计：一组测试的后测试设计。方法：经诊断为慢性RCT的24位受试者（男17例，女7例）通过上肢功能量表（UEFS）测量肩部力量和ROM以及功能状态，并通过上肢功能评分使用视觉模拟量表（VAS）预处理，P4量表和休息，活动后的疼痛以及疼痛的总体改善。然后，对每个受试者进行RSWT治疗，其中包括2000个冲击波，其强度设置为2.5 bar，10-15 Hz和11.5 Mp。放置涂药器，以使治疗在棘上肌的插入点完成。每位受试者在三周的时间内总共接受了三种治疗，间隔时间为一周。治疗后三个月再次测量疼痛和总体改善的肩膀力量，ROM，UEFS，P4和VAS评分。使用Wilcoxen Signed Rank检验和相关性t检验对数据进行比较，分析了α水平设置为p <.05的治疗前和治疗后效果。结果：发现治疗后的效果显着改善UEFS分数（Z = -3.895，p = .0001）;在P4分数中（Z = -4.078，p = .0001）;在VAS中用于休息时肩部疼痛（Z = -3.062，p = .002）;活动后的肩痛（Z = -4.138，p = .0001）;并改善了肩部疼痛（Z = -4.11，p = .0001）。 ROM中还发现了肩部屈曲的显着改善（t（23）=-2.075，p <.013）;绑架（t（23）= -3.54，p <.002）;内部旋转（t（23）＝ -2.503，p ＜.02）;和外旋转（t（23）＝ -3.78，p ＜.001）。外展（Z = -2.585，p = .01）和外旋（Z = -2.64，p = .008）的肩部力量也得到了显着改善。

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