A randomized controlled trial: comparing extracorporeal shock wave therapy versus local corticosteroid injection for the treatment of carpal tunnel syndrome
| Autor: | Yang Wang, Zhenqi Lou, Weihu Ma, Weiyu Jiang, Kaifeng Gan, Xundong Hu, Fangqian Jiang, Ni Luo, Chengli Mao, Dingli Xu, Lingyan Fang, Haojie Li |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Extracorporeal Shockwave Therapy Male medicine.medical_specialty Visual analogue scale medicine.drug_class Betamethasone Injections law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Carpal tunnel Prospective Studies Carpal tunnel syndrome Glucocorticoids 030203 arthritis & rheumatology 030222 orthopedics medicine.diagnostic_test business.industry Middle Aged medicine.disease Carpal Tunnel Syndrome Median nerve Median Nerve Treatment Outcome medicine.anatomical_structure Anesthesia Orthopedic surgery Nerve conduction study Corticosteroid Female Surgery business |
| Zdroj: | International Orthopaedics. 44:141-146 |
| ISSN: | 1432-5195 0341-2695 |
| Popis: | Extracorporeal shock wave therapy (ESWT) has been reported as a new therapy for carpal tunnel syndrome (CTS). However, few studies have compared ESWT with the local corticosteroid injection (LCI). In this study, a randomized controlled trial comparing 30 patients with ESWT and 25 patients treated with LCI was conducted. The clinical outcomes were obtained with tests including the visual analog scale (VAS) for pain and paresthesia, the Boston Carpal Tunnel Questionnaire (BQ), and a nerve conduction study, before the study started and at three, nine, and 12 weeks after the start of the treatment. Significantly greater improvement in the VAS and BQ scores was noted for the ESWT group than for the LCI group (P < 0.05). For the nerve conduction study, there was a significant improvement in the median nerve sensory nerve action potential distal latency at the nine and 12-week follow-ups for the ESWT group. ESWT is a useful noninvasive short-term treatment for mild to moderate carpal tunnel syndrome and elicits a better recovery than LCI does, but more research is needed to test the clinical outcomes of ESWT. |
| Databáze: | OpenAIRE |
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