Radial pressure wave therapy in patients with lateral and medial epicondylitis
上腕骨外側（L群18例18肘）・内側上顆炎（M群8例12肘）（平均年齢52.8歳）に対する拡散型体外衝撃波（RPW）療法の短期成績を調査し，MRI画像所見との関係を検討した．RPW療法は理学療法を併用し，明らかな外傷機転，側副靱帯不全は適応外とした．照射期間は中央値3か月，照射回数は中央値12回で，JOA scoreはL群平均34.9点が76.5点，M群平均35.1点が76.3点に有意に改善した．VAS改善率はL群平均71.1%，,M群平均78.2%で，L群ECRB腱起始部STIR高信号有り群は無し群に比べて有意に高かった（86.5%vs39.6%）．幅5.4mm以上の滑膜ヒダ有り群は無し群に...
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| Published in | Journal of Japan Elbow Society Vol. 29; no. 2; pp. 228 - 231 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Elbow Society
2022
日本肘関節学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1349-7324 2434-2262 |
| DOI | 10.24810/jelbow.29.2_228 |
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| Abstract | 上腕骨外側（L群18例18肘）・内側上顆炎（M群8例12肘）（平均年齢52.8歳）に対する拡散型体外衝撃波（RPW）療法の短期成績を調査し，MRI画像所見との関係を検討した．RPW療法は理学療法を併用し，明らかな外傷機転，側副靱帯不全は適応外とした．照射期間は中央値3か月，照射回数は中央値12回で，JOA scoreはL群平均34.9点が76.5点，M群平均35.1点が76.3点に有意に改善した．VAS改善率はL群平均71.1%，,M群平均78.2%で，L群ECRB腱起始部STIR高信号有り群は無し群に比べて有意に高かった（86.5%vs39.6%）．幅5.4mm以上の滑膜ヒダ有り群は無し群に比べて若干劣っていた（62.9%vs81.5%: P =0.28））．L群・M群に対するRPW療法の短期成績は良好であった．RPWの筋・筋膜の滑走性改善，緊張緩和効果も関与したと考える． |
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| AbstractList | 上腕骨外側（L群18例18肘）・内側上顆炎（M群8例12肘）（平均年齢52.8歳）に対する拡散型体外衝撃波（RPW）療法の短期成績を調査し，MRI画像所見との関係を検討した．RPW療法は理学療法を併用し，明らかな外傷機転，側副靱帯不全は適応外とした．照射期間は中央値3か月，照射回数は中央値12回で，JOA scoreはL群平均34.9点が76.5点，M群平均35.1点が76.3点に有意に改善した．VAS改善率はL群平均71.1%，,M群平均78.2%で，L群ECRB腱起始部STIR高信号有り群は無し群に比べて有意に高かった（86.5%vs39.6%）．幅5.4mm以上の滑膜ヒダ有り群は無し群に比べて若干劣っていた（62.9%vs81.5%: P =0.28））．L群・M群に対するRPW療法の短期成績は良好であった．RPWの筋・筋膜の滑走性改善，緊張緩和効果も関与したと考える． |
| Author | Onda, Kazunori Tsuji, Hideki |
| Author_FL | 恩田 和範 辻 英樹 |
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| Author_xml | – sequence: 1 fullname: Tsuji, Hideki organization: Division of Orthopaedic Surgery, Hitsujigaoka Hospital – sequence: 1 fullname: Onda, Kazunori organization: Division of Orthopaedic Surgery, Asahikawa-Kosei General Hospital |
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| References | 10) 熊井 司：体外衝撃波治療（ESWT）．福林 徹編．運動器スポーツ外傷・障害の保存療法．下肢．南江堂，東京．2020；56-66. 2) Gosens T, Peerbooms JC, van Laar W, et al: Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: a double-blind randomized controlled trial with 2-year follow-up. Am J Sports Med 2011; 39: 1200-1208. 4) Husarik DB, Saupe N, Pfirrmann CWA, et al.: Ligaments and plicae of the elbow: normal MR imaging variability in 60 asymptomatic subjects. Radiology 2010; 257: 185-94. 7) Capan N, Esmaeilzadeh S, Oral A, et al: Radial extracorporeal shock wave therapy is not more effective than placebo in the management of lateral epicondylitis: A double-blind, randomized, placebo-controlled trial. Am J Phys Med Rehabil 2016; 95: 495-506. 9) Auersperg V, Trieb K: Extracorporeal shock wave therapy: an update. EFFORT Open Rev. 2020; 5: 584-592. 11) Maier M, Steinborn M, Schmitz C et al.: Extracorpareal shock-wave therapy for chronic lateral tennis elbow-prediction of outcome by imaging. Arch Orrhop Trauma Surg 2001; 121: 379-384. 6) Haake M, Konig R, Decker T, et al: Extracorporeal shock wave therapy in the treatment of lateral epicondylitis: a randomized multicenter trial. J Bone Joint Surg Am 2002; 84: 1982-1991. 1) Ruiz AG, Diaz GV, Fernandez BR, et al: Effects of Ultrasound-Guided Administration of Botulinum Toxin (IncobotulinumtoxinA) in Patients with Lateral Epicondylitis. Toxins (Basel) 2019; 11:46. doi: 10.3390/ toxins11010046. 3) 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. 5) d'Agostino MC, Craig K, Tibait E, et al: Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg 2015; 24: 147-153. 8) Ahadi T, Jamkarani ME, Raissi GR, et al: Prolotherapy vs radial extracorporeal shock wave therapy in the short-term treatment of lateral epicondylosis: A randomized clinical trial. Pain Med 2019; 20: 1745-1749. |
| References_xml | – reference: 2) Gosens T, Peerbooms JC, van Laar W, et al: Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: a double-blind randomized controlled trial with 2-year follow-up. Am J Sports Med 2011; 39: 1200-1208. – reference: 5) d'Agostino MC, Craig K, Tibait E, et al: Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg 2015; 24: 147-153. – reference: 10) 熊井 司：体外衝撃波治療（ESWT）．福林 徹編．運動器スポーツ外傷・障害の保存療法．下肢．南江堂，東京．2020；56-66. – reference: 4) Husarik DB, Saupe N, Pfirrmann CWA, et al.: Ligaments and plicae of the elbow: normal MR imaging variability in 60 asymptomatic subjects. Radiology 2010; 257: 185-94. – reference: 7) Capan N, Esmaeilzadeh S, Oral A, et al: Radial extracorporeal shock wave therapy is not more effective than placebo in the management of lateral epicondylitis: A double-blind, randomized, placebo-controlled trial. Am J Phys Med Rehabil 2016; 95: 495-506. – reference: 9) Auersperg V, Trieb K: Extracorporeal shock wave therapy: an update. EFFORT Open Rev. 2020; 5: 584-592. – reference: 11) Maier M, Steinborn M, Schmitz C et al.: Extracorpareal shock-wave therapy for chronic lateral tennis elbow-prediction of outcome by imaging. Arch Orrhop Trauma Surg 2001; 121: 379-384. – reference: 6) Haake M, Konig R, Decker T, et al: Extracorporeal shock wave therapy in the treatment of lateral epicondylitis: a randomized multicenter trial. J Bone Joint Surg Am 2002; 84: 1982-1991. – reference: 8) Ahadi T, Jamkarani ME, Raissi GR, et al: Prolotherapy vs radial extracorporeal shock wave therapy in the short-term treatment of lateral epicondylosis: A randomized clinical trial. Pain Med 2019; 20: 1745-1749. – reference: 1) Ruiz AG, Diaz GV, Fernandez BR, et al: Effects of Ultrasound-Guided Administration of Botulinum Toxin (IncobotulinumtoxinA) in Patients with Lateral Epicondylitis. Toxins (Basel) 2019; 11:46. doi: 10.3390/ toxins11010046. – reference: 3) 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. |
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| Snippet | 上腕骨外側（L群18例18肘）・内側上顆炎（M群8例12肘）（平均年齢52.8歳）に対する拡散型体外衝撃波（RPW）療法の短期成績を調査し，MRI画像所見との関係を検討した．RPW... |
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| SubjectTerms | Lateral epicondylitis Medial epicondylitis Radial pressure wave therapy 上腕骨内側上顆炎 上腕骨外側上顆炎 拡散型体外衝撃波療法 |
| Title | Radial pressure wave therapy in patients with lateral and medial epicondylitis |
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