Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial
Background. There is still no consensus on the treatment of frozen shoulder (FS). Clinical studies on extracorporeal shockwave therapy (ESWT) combined with arthroscopic capsular release (ACR) for FS are still lacking. Objectives. To investigate the effect of ESWT on short-term functional recovery af...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-01-01
|
| Series: | International Journal of Clinical Practice |
| Online Access: | http://dx.doi.org/10.1155/2024/1940643 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832568875110105088 |
|---|---|
| author | Zifan Lin Hong Shao Jun Chen Wei Yao Chang Liu Zhengbiao Jin Yunxia Li |
| author_facet | Zifan Lin Hong Shao Jun Chen Wei Yao Chang Liu Zhengbiao Jin Yunxia Li |
| author_sort | Zifan Lin |
| collection | DOAJ |
| description | Background. There is still no consensus on the treatment of frozen shoulder (FS). Clinical studies on extracorporeal shockwave therapy (ESWT) combined with arthroscopic capsular release (ACR) for FS are still lacking. Objectives. To investigate the effect of ESWT on short-term functional recovery after arthroscopic capsular release (ACR). Methods. A randomized clinical trial including 49 patients who under ACR was included. The patients were assigned to the ESWT group (n = 24) or non-ESWT group (n = 25) 2 weeks after surgery. Routine advanced rehabilitation program are given to all participants, while the ESWT group additionally received 5 times shockwave therapy. Visual analog scale (VAS) pain score, Constant score, University of California Los Angeles score (UCLA), UCLA-satisfaction, and shoulder range of motion (ROM) in four directions of flexion, abduction, internal, and external rotation were analyzed at the baseline (2 weeks postsurgery), 2 weeks, 8 weeks, and 12 weeks of follow-up. Repeated measure ANOVA is used to analyze the above outcomes. Results. A total of 46 participants completed all assessments. Pain and function improved in both groups. Comparing between the groups, we found that lower VAS pain scores and higher internal rotation were found in the ESWT group at each follow-up stage (all P<0.05, 12 weeks VAS-pain 95% CI: [ESWT: 1.55–2.19, non-ESWT: 2.11–2.76], and 12 weeks internal rotation 95% CI: [ESWT: 5.42–7.27, non-ESWT: 7.20–9.06]). Regarding functional scores, the UCLA and UCLA-satisfaction of the ESWT group was significantly higher than that of the control group at 8 weeks and 12 weeks of follow-up (all P<0.05, 12 weeks UCLA 95% CI: [ESWT: 31.94-33.45, non-ESWT: 27.94-29.45], 12 weeks UCLA-satisfaction 95% CI: [ESWT: 4.32–5.00, non-ESWT: 2.50–4.32]), but there was no significant difference in Constant (P>0.05, 12 weeks Constant 95% CI: [ESWT: 82.98-92.94, non-ESWT: 78.24–88.20]). Conclusion. Extracorporeal shockwave therapy has a good analgesic effect and improves internal rotation after arthroscopic capsular release through short-term follow-up. |
| format | Article |
| id | doaj-art-d367b841408140348c57f2b7f5b53b88 |
| institution | Kabale University |
| issn | 1742-1241 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Clinical Practice |
| spelling | doaj-art-d367b841408140348c57f2b7f5b53b882025-02-03T00:19:48ZengWileyInternational Journal of Clinical Practice1742-12412024-01-01202410.1155/2024/1940643Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical TrialZifan Lin0Hong Shao1Jun Chen2Wei Yao3Chang Liu4Zhengbiao Jin5Yunxia Li6Department of Sports MedicineDepartment of Rehabilitation MedicineDepartment of Sports MedicineDepartment of Sports MedicineDepartment of Sports MedicineDepartment of Sports MedicineDepartment of Sports MedicineBackground. There is still no consensus on the treatment of frozen shoulder (FS). Clinical studies on extracorporeal shockwave therapy (ESWT) combined with arthroscopic capsular release (ACR) for FS are still lacking. Objectives. To investigate the effect of ESWT on short-term functional recovery after arthroscopic capsular release (ACR). Methods. A randomized clinical trial including 49 patients who under ACR was included. The patients were assigned to the ESWT group (n = 24) or non-ESWT group (n = 25) 2 weeks after surgery. Routine advanced rehabilitation program are given to all participants, while the ESWT group additionally received 5 times shockwave therapy. Visual analog scale (VAS) pain score, Constant score, University of California Los Angeles score (UCLA), UCLA-satisfaction, and shoulder range of motion (ROM) in four directions of flexion, abduction, internal, and external rotation were analyzed at the baseline (2 weeks postsurgery), 2 weeks, 8 weeks, and 12 weeks of follow-up. Repeated measure ANOVA is used to analyze the above outcomes. Results. A total of 46 participants completed all assessments. Pain and function improved in both groups. Comparing between the groups, we found that lower VAS pain scores and higher internal rotation were found in the ESWT group at each follow-up stage (all P<0.05, 12 weeks VAS-pain 95% CI: [ESWT: 1.55–2.19, non-ESWT: 2.11–2.76], and 12 weeks internal rotation 95% CI: [ESWT: 5.42–7.27, non-ESWT: 7.20–9.06]). Regarding functional scores, the UCLA and UCLA-satisfaction of the ESWT group was significantly higher than that of the control group at 8 weeks and 12 weeks of follow-up (all P<0.05, 12 weeks UCLA 95% CI: [ESWT: 31.94-33.45, non-ESWT: 27.94-29.45], 12 weeks UCLA-satisfaction 95% CI: [ESWT: 4.32–5.00, non-ESWT: 2.50–4.32]), but there was no significant difference in Constant (P>0.05, 12 weeks Constant 95% CI: [ESWT: 82.98-92.94, non-ESWT: 78.24–88.20]). Conclusion. Extracorporeal shockwave therapy has a good analgesic effect and improves internal rotation after arthroscopic capsular release through short-term follow-up.http://dx.doi.org/10.1155/2024/1940643 |
| spellingShingle | Zifan Lin Hong Shao Jun Chen Wei Yao Chang Liu Zhengbiao Jin Yunxia Li Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial International Journal of Clinical Practice |
| title | Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial |
| title_full | Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial |
| title_fullStr | Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial |
| title_full_unstemmed | Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial |
| title_short | Extracorporeal Shockwave Therapy Reduces Pain and Improves Internal Rotation after Arthroscopic Capsular Release: A Randomized Clinical Trial |
| title_sort | extracorporeal shockwave therapy reduces pain and improves internal rotation after arthroscopic capsular release a randomized clinical trial |
| url | http://dx.doi.org/10.1155/2024/1940643 |
| work_keys_str_mv | AT zifanlin extracorporealshockwavetherapyreducespainandimprovesinternalrotationafterarthroscopiccapsularreleasearandomizedclinicaltrial AT hongshao extracorporealshockwavetherapyreducespainandimprovesinternalrotationafterarthroscopiccapsularreleasearandomizedclinicaltrial AT junchen extracorporealshockwavetherapyreducespainandimprovesinternalrotationafterarthroscopiccapsularreleasearandomizedclinicaltrial AT weiyao extracorporealshockwavetherapyreducespainandimprovesinternalrotationafterarthroscopiccapsularreleasearandomizedclinicaltrial AT changliu extracorporealshockwavetherapyreducespainandimprovesinternalrotationafterarthroscopiccapsularreleasearandomizedclinicaltrial AT zhengbiaojin extracorporealshockwavetherapyreducespainandimprovesinternalrotationafterarthroscopiccapsularreleasearandomizedclinicaltrial AT yunxiali extracorporealshockwavetherapyreducespainandimprovesinternalrotationafterarthroscopiccapsularreleasearandomizedclinicaltrial |