Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis
Objective. To evaluate the efficacy of dextrose prolotherapy injection for focal supraspinatus rotator cuff tendinosis via outcomes such as functional score, range of movement, and real-time ultrasound parameters. Materials and Methods. 12 adult patients with focal supraspinatus tendinosis recruited...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Scientifica |
| Online Access: | http://dx.doi.org/10.1155/2018/4384159 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547572467630080 |
|---|---|
| author | John George Shyan Ch’ng Li Zulkarnain Jaafar Mohamad Shariff A. Hamid |
| author_facet | John George Shyan Ch’ng Li Zulkarnain Jaafar Mohamad Shariff A. Hamid |
| author_sort | John George |
| collection | DOAJ |
| description | Objective. To evaluate the efficacy of dextrose prolotherapy injection for focal supraspinatus rotator cuff tendinosis via outcomes such as functional score, range of movement, and real-time ultrasound parameters. Materials and Methods. 12 adult patients with focal supraspinatus tendinosis recruited after they had less than 30% improvement in functional (DASH) scores after one month of physiotherapy following initial presentation. Seven patients had 0.5–1.0 ml of prolotherapy injection (12.5% dextrose, 0.5% lignocaine) injected into the area of focal tendinosis under ultrasound guidance. Meanwhile, five patients continued standard physiotherapy with no intervention performed. Regional area of echogenicity in decibels, DASH, range of movements of the shoulder, pain, and sleep scores were measured at baseline and at 12 weeks. Results. The prolotherapy group showed significant improvement in shoulder abduction (p=0.030) and an improvement in sleep score (p=0.027). The echogenicity of area of tendinosis significantly increases at the end of treatment (p=0.009). However, there was a nonsignificant reduction in pain score in the injection group (43.5%) and in the control group (25%) at 12 weeks (p>0.005). Conclusion. Ultrasound-guided intratendinous prolotherapy injection significantly improves patient’s range of abduction and improves sleep within 12 weeks of treatment compared to conventional physiotherapy management. Trial Registration. This study was registered under Current Controlled Trials (UK) and given International Standard Randomised Controlled Trial Number (ISRCTN) of 43520960. |
| format | Article |
| id | doaj-art-5c1ac22771e44f3790360429ad0b14e3 |
| institution | Kabale University |
| issn | 2090-908X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Scientifica |
| spelling | doaj-art-5c1ac22771e44f3790360429ad0b14e32025-02-03T06:44:14ZengWileyScientifica2090-908X2018-01-01201810.1155/2018/43841594384159Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus TendinosisJohn George0Shyan Ch’ng Li1Zulkarnain Jaafar2Mohamad Shariff A. Hamid3University of Malaya Research Imaging Centre, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, MalaysiaDepartment of Biomedical Imaging, Faculty of Medicine, University Malaya Medical Center, 50603 Kuala Lumpur, MalaysiaDepartment of Sports Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, MalaysiaDepartment of Sports Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, MalaysiaObjective. To evaluate the efficacy of dextrose prolotherapy injection for focal supraspinatus rotator cuff tendinosis via outcomes such as functional score, range of movement, and real-time ultrasound parameters. Materials and Methods. 12 adult patients with focal supraspinatus tendinosis recruited after they had less than 30% improvement in functional (DASH) scores after one month of physiotherapy following initial presentation. Seven patients had 0.5–1.0 ml of prolotherapy injection (12.5% dextrose, 0.5% lignocaine) injected into the area of focal tendinosis under ultrasound guidance. Meanwhile, five patients continued standard physiotherapy with no intervention performed. Regional area of echogenicity in decibels, DASH, range of movements of the shoulder, pain, and sleep scores were measured at baseline and at 12 weeks. Results. The prolotherapy group showed significant improvement in shoulder abduction (p=0.030) and an improvement in sleep score (p=0.027). The echogenicity of area of tendinosis significantly increases at the end of treatment (p=0.009). However, there was a nonsignificant reduction in pain score in the injection group (43.5%) and in the control group (25%) at 12 weeks (p>0.005). Conclusion. Ultrasound-guided intratendinous prolotherapy injection significantly improves patient’s range of abduction and improves sleep within 12 weeks of treatment compared to conventional physiotherapy management. Trial Registration. This study was registered under Current Controlled Trials (UK) and given International Standard Randomised Controlled Trial Number (ISRCTN) of 43520960.http://dx.doi.org/10.1155/2018/4384159 |
| spellingShingle | John George Shyan Ch’ng Li Zulkarnain Jaafar Mohamad Shariff A. Hamid Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis Scientifica |
| title | Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis |
| title_full | Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis |
| title_fullStr | Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis |
| title_full_unstemmed | Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis |
| title_short | Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis |
| title_sort | comparative effectiveness of ultrasound guided intratendinous prolotherapy injection with conventional treatment to treat focal supraspinatus tendinosis |
| url | http://dx.doi.org/10.1155/2018/4384159 |
| work_keys_str_mv | AT johngeorge comparativeeffectivenessofultrasoundguidedintratendinousprolotherapyinjectionwithconventionaltreatmenttotreatfocalsupraspinatustendinosis AT shyanchngli comparativeeffectivenessofultrasoundguidedintratendinousprolotherapyinjectionwithconventionaltreatmenttotreatfocalsupraspinatustendinosis AT zulkarnainjaafar comparativeeffectivenessofultrasoundguidedintratendinousprolotherapyinjectionwithconventionaltreatmenttotreatfocalsupraspinatustendinosis AT mohamadshariffahamid comparativeeffectivenessofultrasoundguidedintratendinousprolotherapyinjectionwithconventionaltreatmenttotreatfocalsupraspinatustendinosis |