肘関節拘縮に対する拡散型圧力波療法を併用した保存療法の治療成績
軟部組織要素による肘関節拘縮例に対して従来の理学療法と拡散型圧力波療法（RPW）を併用し，その臨床効果を調査した． 肘関節拘縮10例10肘（年齢は平均18.8歳，男性8例・女性2例，外傷後3肘・術後7肘 ）を対象とした．RPWの治療期間は平均3.3ヶ月であった． 合併症は皮下出血1肘のみであった．治療前/後の平均肘関節可動域は，屈曲102/129，伸展 -37/-15，回外88/89，回内 84/85と屈曲と伸展が有意に改善し，平均疼痛VASは夜間 34/12，安静時 18/15，運動時 58/18と夜間と運動時が有意に軽減し，JOA-JESスコアは64/88と有意に改善した．RPWは従来...
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| Published in | 日本肘関節学会雑誌 Vol. 28; no. 2; pp. 176 - 179 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本肘関節学会
2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1349-7324 2434-2262 |
| DOI | 10.24810/jelbow.28.2_176 |
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| Abstract | 軟部組織要素による肘関節拘縮例に対して従来の理学療法と拡散型圧力波療法（RPW）を併用し，その臨床効果を調査した． 肘関節拘縮10例10肘（年齢は平均18.8歳，男性8例・女性2例，外傷後3肘・術後7肘 ）を対象とした．RPWの治療期間は平均3.3ヶ月であった． 合併症は皮下出血1肘のみであった．治療前/後の平均肘関節可動域は，屈曲102/129，伸展 -37/-15，回外88/89，回内 84/85と屈曲と伸展が有意に改善し，平均疼痛VASは夜間 34/12，安静時 18/15，運動時 58/18と夜間と運動時が有意に軽減し，JOA-JESスコアは64/88と有意に改善した．RPWは従来の理学療法と併用することにより肘関節拘縮の疼痛や可動域制限の改善に有用な可能性が示唆された保存療法になりうる． |
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| AbstractList | 軟部組織要素による肘関節拘縮例に対して従来の理学療法と拡散型圧力波療法（RPW）を併用し，その臨床効果を調査した． 肘関節拘縮10例10肘（年齢は平均18.8歳，男性8例・女性2例，外傷後3肘・術後7肘 ）を対象とした．RPWの治療期間は平均3.3ヶ月であった． 合併症は皮下出血1肘のみであった．治療前/後の平均肘関節可動域は，屈曲102/129，伸展 -37/-15，回外88/89，回内 84/85と屈曲と伸展が有意に改善し，平均疼痛VASは夜間 34/12，安静時 18/15，運動時 58/18と夜間と運動時が有意に軽減し，JOA-JESスコアは64/88と有意に改善した．RPWは従来の理学療法と併用することにより肘関節拘縮の疼痛や可動域制限の改善に有用な可能性が示唆された保存療法になりうる． |
| Author | 梶田, 幸宏 伊藤, 岳史 岩堀, 裕介 原田, 洋平 |
| Author_xml | – sequence: 1 fullname: 梶田, 幸宏 organization: 愛知医科大学医学部整形外科 – sequence: 1 fullname: 岩堀, 裕介 organization: あさひ病院 スポーツ医学・関節センター – sequence: 1 fullname: 伊藤, 岳史 organization: あさひ病院 スポーツ医学・関節センター – sequence: 1 fullname: 原田, 洋平 organization: 広島大学医学部整形外科 |
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| References | 4) Han SH, Lee J-W, Guyton GP, et al 2009, Effect of Extracorporeal Shockwave Therapy on Cultured Tenocytes, Foot and Ankle International, 30: 93-98. 7) Tomonori Kenmoku, Noriko Nemoto, Nahoko Iwakura, et al: Extracorporeal shock wave treatment can selectively destroy endplates in neuromuscular junctions: ESWT can destroy endplates in NMJs. Muscle and Nerve. 2017; 57: 1-7. 2) 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. 9) Park C, Lee S, Woo C, et al: The effects of extracorporeal shock wave therapy on frozen shoulder patients' pain and functions. J Phys Ther Sci. 2015; 27: 3659-3661. 3) 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. 5) Wang CJ, Wang FS, Yang KD: Biological effects of extracorporeal shockwave in bone healing: a study in rabbits. Arch Orthop Trauma Surg. 2008;128: 879-84. 6) Tomonori Kenmoku, Nobuyasu Ochiai, Seiji Ohtori, et al: Degeneration and recovery of the neuromuscular junction after application of extracorporeal shock wave therapy. J Orthop Res.2012; 30: 1660-65. 1) 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. 8) Vahdatpour B, Taheri P, Zare A, et al: Efficacy of extracorporeal shockwave therapy in frozen shoulder. Int J Prev Med. 2014; 5: 875-881. 10) O'Driscoll SW，Savoie III FH: Arthroscopy of the elbow. In: Morrey BF, ed. The elbow. Lippincott Williamas & Wilkins, Philadelphia. 2002; 27-45. |
| References_xml | – reference: 5) Wang CJ, Wang FS, Yang KD: Biological effects of extracorporeal shockwave in bone healing: a study in rabbits. Arch Orthop Trauma Surg. 2008;128: 879-84. – reference: 1) 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. – reference: 10) O'Driscoll SW，Savoie III FH: Arthroscopy of the elbow. In: Morrey BF, ed. The elbow. Lippincott Williamas & Wilkins, Philadelphia. 2002; 27-45. – reference: 4) Han SH, Lee J-W, Guyton GP, et al 2009, Effect of Extracorporeal Shockwave Therapy on Cultured Tenocytes, Foot and Ankle International, 30: 93-98. – reference: 3) 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: 9) Park C, Lee S, Woo C, et al: The effects of extracorporeal shock wave therapy on frozen shoulder patients' pain and functions. J Phys Ther Sci. 2015; 27: 3659-3661. – reference: 7) Tomonori Kenmoku, Noriko Nemoto, Nahoko Iwakura, et al: Extracorporeal shock wave treatment can selectively destroy endplates in neuromuscular junctions: ESWT can destroy endplates in NMJs. Muscle and Nerve. 2017; 57: 1-7. – reference: 8) Vahdatpour B, Taheri P, Zare A, et al: Efficacy of extracorporeal shockwave therapy in frozen shoulder. Int J Prev Med. 2014; 5: 875-881. – reference: 6) Tomonori Kenmoku, Nobuyasu Ochiai, Seiji Ohtori, et al: Degeneration and recovery of the neuromuscular junction after application of extracorporeal shock wave therapy. J Orthop Res.2012; 30: 1660-65. – reference: 2) 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. |
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| SubjectTerms | 保存療法 拡散型圧力波療法 肘関節拘縮 |
| Title | 肘関節拘縮に対する拡散型圧力波療法を併用した保存療法の治療成績 |
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