野球選手の肘関節尺側側副靱帯損傷に対する収束型体外衝撃波療法を併用した保存療法の臨床成績
野球選手の肘関節UCL損傷に対する収束型対外衝撃波療法（ESWT）の臨床成績を調査した．対象は野球選手15例15肘で，初診時年齢は平均18.2歳，全例男性で，ESWT照射回数野は平均4.1回で，経過観察期間は平均10.3か月であった．投球時痛VASが照射前68±13点から最終観察時12±9点，JOA-JES肘スポーツスコアが42±12点から84±11点，quick DASH sportsが65±22点から9±15点，投球パフォーマンスは22±8%から89±10％へと有意に改善した．治療開始から投球再開までの期間は平均4.2±0.8週，試合復帰時期は治療開始後平均1.9±1.4か月だった．JOA...
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| Published in | 日本肘関節学会雑誌 Vol. 26; no. 2; pp. 178 - 180 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本肘関節学会
2019
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1349-7324 2434-2262 |
| DOI | 10.24810/jelbow.26.2_178 |
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| Abstract | 野球選手の肘関節UCL損傷に対する収束型対外衝撃波療法（ESWT）の臨床成績を調査した．対象は野球選手15例15肘で，初診時年齢は平均18.2歳，全例男性で，ESWT照射回数野は平均4.1回で，経過観察期間は平均10.3か月であった．投球時痛VASが照射前68±13点から最終観察時12±9点，JOA-JES肘スポーツスコアが42±12点から84±11点，quick DASH sportsが65±22点から9±15点，投球パフォーマンスは22±8%から89±10％へと有意に改善した．治療開始から投球再開までの期間は平均4.2±0.8週，試合復帰時期は治療開始後平均1.9±1.4か月だった．JOA-JES肘スポーツスコアのスポーツ能力は24.7±8.2点で，完全復帰は10例（63%）で得られた．収束型ESWTは野球選手の肘関節UCL損傷の有用な局所療法の一つになりうると考えられた． |
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| AbstractList | 野球選手の肘関節UCL損傷に対する収束型対外衝撃波療法（ESWT）の臨床成績を調査した．対象は野球選手15例15肘で，初診時年齢は平均18.2歳，全例男性で，ESWT照射回数野は平均4.1回で，経過観察期間は平均10.3か月であった．投球時痛VASが照射前68±13点から最終観察時12±9点，JOA-JES肘スポーツスコアが42±12点から84±11点，quick DASH sportsが65±22点から9±15点，投球パフォーマンスは22±8%から89±10％へと有意に改善した．治療開始から投球再開までの期間は平均4.2±0.8週，試合復帰時期は治療開始後平均1.9±1.4か月だった．JOA-JES肘スポーツスコアのスポーツ能力は24.7±8.2点で，完全復帰は10例（63%）で得られた．収束型ESWTは野球選手の肘関節UCL損傷の有用な局所療法の一つになりうると考えられた． |
| Author | 梶田, 幸宏 伊藤, 岳史 筒井, 求 岩堀, 裕介 原田, 洋平 |
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| References | 14) Takahashi N, Wada Y, Ohtori S, et al.: Application of shock waves to rat skin decreases calcitonin gene-related peptide immunoreactivity in dorsal root ganglion neurons. Auton Nerurosci. 2003; 107: 81-84. 2) Podesta L, Crow SA, Volkmer D, et al.: Treatment of partial ulnar collateral ligament tears in the elbow with platelet-rich plasma. Am J Sports Med. 2013; 41: 1689-1694. 17) Chen YJ, Wang CJ, Yang KD, et al.: Extracorporeal shock waves promote healing of collagenase-induced Achilles tendinitis and increase TGF-beta 1 and IGF-1 expression. J Orthop Res. 2004; 22: 854-861. 19) Qin J, Dong Q, Fan Z: Extracorporeal shock wave therapy for the ankle ligament injuries in athletes: A prospective study. Chin J Reha Med. 2015; 30: 355-358. 5) Rompe JD, Hopf C, Nafe B, et al.: Low energy extracorporeal shock wave therapy for painful heel: a prospective controlled single-blind study. Arch Orthop Trauma Surg. 1996; 115: 75-79. 9) Wang CJ, Chen HS: Shock wave therapy for patients with lateral epicondylitis of the elbow: a one-to two-year follow-up study. Am J Sports Med. 2002; 30: 422-425. 7) Mani-Babu S, Morrissey D, Waugh C, et al.: The effectiveness of extracorporeal shock wave in lower limb tendinopathy: A systemic review. Am J Sports Med. 2015; 43: 752-761. 8) Rompe JD, Hopf C, Kullmer K, et al.: Low-energy extracorporeal shock wave therapy for persistent tennis elbow. Int Orthop. 1996; 20: 23-27. 12) Ohtori S, Inoue G, Mannoji C, et al.: Shock wave application to rat skin induces degeneration and re-innervation of sensory nerve fibers. Neurosci Lett. 2001; 15: 57-60. 3) 岩堀裕介：投球による肘関節尺側側副靱帯損傷に対する多血小板血漿療法．MB Orthopaedics. 2018; 31: 79-84 20) Tanaka K, Kanamori A, Yamamoto Y, et al.: Extracorporeal shock wave therapy for avulsion fractures of the sublime tubercle of the ulna in high school baseball players: A report of two cases. Asia Pacific J Sports Med Arthroscopy Reha Tech. 2017; 10: 1-3. 13) Hausdorf J, Lemmens MAM, Heck KDW, et al.: Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system. Neuroscience. 2008; 155: 138-144. 1) 岩堀裕介：投球による肘関節内側不安定症に対する保存的治療．臨床スポーツ医学．2011; 28: 509-518. 16) Hsu RW, Hsu WH, Tai CL, et al.: Effect on shock-wave therapy on patellar tendinopathy in a rabbit model. J Orhop Res. 2004; 22: 221-227. 18) Han SH, Lee JW, Guyton GP, et al.: Effect of extracorporeal shock wave therapy on cultured tenocytes. Foot Ankle Int. 2008; 30: 93-98. 10) 落合信靖，西須孝：上腕骨外側上顆炎に対する対外衝撃波療法の短期成績．日肘会誌．2010; 17: 7-9. 11) 高橋謙二，高橋憲正，蟹沢泉，ほか：難治性足底腱膜炎に対する対外衝撃波治療．運動療法と物理療法．2012; 23: 391-398. 6) Aqil A, Siddiqui MR, Solan M et al.: Extracoropreal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs. Clin Orthop Relat Res. 2013; 471: 3645-3652. 4) Valchaunou VD, Michailov P: Hig energy shock waves in the treatment of delayed and nonunion of fractures. Int Orthop. 1991; 15: 181-184. 15) Wang CJ, Wang SH, Yang KD, et al.: Shock wave therapy induces neovascularization at the tendon-bone junction; a study in rabbits. J Orhop Res. 2003; 21: 984-989. |
| References_xml | – reference: 13) Hausdorf J, Lemmens MAM, Heck KDW, et al.: Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system. Neuroscience. 2008; 155: 138-144. – reference: 2) Podesta L, Crow SA, Volkmer D, et al.: Treatment of partial ulnar collateral ligament tears in the elbow with platelet-rich plasma. Am J Sports Med. 2013; 41: 1689-1694. – reference: 3) 岩堀裕介：投球による肘関節尺側側副靱帯損傷に対する多血小板血漿療法．MB Orthopaedics. 2018; 31: 79-84． – reference: 10) 落合信靖，西須孝：上腕骨外側上顆炎に対する対外衝撃波療法の短期成績．日肘会誌．2010; 17: 7-9. – reference: 14) Takahashi N, Wada Y, Ohtori S, et al.: Application of shock waves to rat skin decreases calcitonin gene-related peptide immunoreactivity in dorsal root ganglion neurons. Auton Nerurosci. 2003; 107: 81-84. – reference: 15) Wang CJ, Wang SH, Yang KD, et al.: Shock wave therapy induces neovascularization at the tendon-bone junction; a study in rabbits. J Orhop Res. 2003; 21: 984-989. – reference: 5) Rompe JD, Hopf C, Nafe B, et al.: Low energy extracorporeal shock wave therapy for painful heel: a prospective controlled single-blind study. Arch Orthop Trauma Surg. 1996; 115: 75-79. – reference: 11) 高橋謙二，高橋憲正，蟹沢泉，ほか：難治性足底腱膜炎に対する対外衝撃波治療．運動療法と物理療法．2012; 23: 391-398. – reference: 7) Mani-Babu S, Morrissey D, Waugh C, et al.: The effectiveness of extracorporeal shock wave in lower limb tendinopathy: A systemic review. Am J Sports Med. 2015; 43: 752-761. – reference: 16) Hsu RW, Hsu WH, Tai CL, et al.: Effect on shock-wave therapy on patellar tendinopathy in a rabbit model. J Orhop Res. 2004; 22: 221-227. – reference: 8) Rompe JD, Hopf C, Kullmer K, et al.: Low-energy extracorporeal shock wave therapy for persistent tennis elbow. Int Orthop. 1996; 20: 23-27. – reference: 17) Chen YJ, Wang CJ, Yang KD, et al.: Extracorporeal shock waves promote healing of collagenase-induced Achilles tendinitis and increase TGF-beta 1 and IGF-1 expression. J Orthop Res. 2004; 22: 854-861. – reference: 1) 岩堀裕介：投球による肘関節内側不安定症に対する保存的治療．臨床スポーツ医学．2011; 28: 509-518. – reference: 6) Aqil A, Siddiqui MR, Solan M et al.: Extracoropreal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs. Clin Orthop Relat Res. 2013; 471: 3645-3652. – reference: 18) Han SH, Lee JW, Guyton GP, et al.: Effect of extracorporeal shock wave therapy on cultured tenocytes. Foot Ankle Int. 2008; 30: 93-98. – reference: 19) Qin J, Dong Q, Fan Z: Extracorporeal shock wave therapy for the ankle ligament injuries in athletes: A prospective study. Chin J Reha Med. 2015; 30: 355-358. – reference: 9) Wang CJ, Chen HS: Shock wave therapy for patients with lateral epicondylitis of the elbow: a one-to two-year follow-up study. Am J Sports Med. 2002; 30: 422-425. – reference: 4) Valchaunou VD, Michailov P: Hig energy shock waves in the treatment of delayed and nonunion of fractures. Int Orthop. 1991; 15: 181-184. – reference: 20) Tanaka K, Kanamori A, Yamamoto Y, et al.: Extracorporeal shock wave therapy for avulsion fractures of the sublime tubercle of the ulna in high school baseball players: A report of two cases. Asia Pacific J Sports Med Arthroscopy Reha Tech. 2017; 10: 1-3. – reference: 12) Ohtori S, Inoue G, Mannoji C, et al.: Shock wave application to rat skin induces degeneration and re-innervation of sensory nerve fibers. Neurosci Lett. 2001; 15: 57-60. |
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| SubjectTerms | 体外衝撃波 尺側側副靱帯損傷 肘関節 |
| Title | 野球選手の肘関節尺側側副靱帯損傷に対する収束型体外衝撃波療法を併用した保存療法の臨床成績 |
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