지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 88 - 97 (10page)
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초록· 키워드
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Objective To investigate the short-term effects and advantages of sono-guided capsular distension, compared with fl uoroscopically guided capsular distension in adhesive capsulitis of shoulder.
Method In this prospective, randomized, and controlled trial, 23 patients (group A) were given an intra-articular injection of a mixture of 0.5% lidocaine (9 ml), contrast dye (10 ml), and triamcinolone (20 mg); they received the injection once every 2 weeks, for a total of 6 weeks, under sono-guidance. Twenty-five patients (group B)were treated similarly, under fl uoroscopic guidance. Instructions for the self-exercise program were given to all subjects, without physiotherapy and medication. Eff ects were then assessed using a visual numeric scale (VNS),and the shoulder pain and disability index (SPADI), as well as a range of shoulder motion examinations which took place at the beginning of the study and 2 and 6 weeks after the last injection. Incremental cost-eff ective ratio (ICER), eff ectiveness, preference, and procedure duration were evaluated 6 weeks post-injection.
Results The VNS, SPADI, and shoulder motion range improved 2 weeks after the last injection and continued to improve until 6 weeks, in both groups. However, no statistical differences in changes of VNS, SPADI, ROM, and eff ectiveness were found between these groups. Patients preferred sono-guided capsular distension to fl uoroscopically guided capsular distension due to diff erences in radiation hazards and positional convenience. Procedure time was shorter for sono-guided capsular distension than for fl uoroscopically guided capsular distension.
Conclusion Sono-guided capsular distension has comparable effects with fluoroscopically guided capsular distension for treatment of adhesive capsulitis of the shoulder. Sono-guided capsular distension can be substituted for fl uoroscopic capsular distension and can be advantageous from the viewpoint of radiation hazard mitigation,time, cost-eff ectiveness and convenience.
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참고문헌 (25)
참고문헌 신청
Andersen NH / 1998 / Frozen shoulder: arthroscopy and manipulation under general anesthesia and early passive motion / J Shoulder Elbow Surg 7 : 218 ~ 222
Arslan S / 2001 / Comparison of the effi cacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis / Rheumatol Int 21 : 20 ~ 23
Binder AI / 1984 / Frozen shoulder: a long-term prospective study / Ann Rheum Dis 43 : 361 ~ 364
Bulgen DY / 1984 / Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens / Ann Rheum Dis 43 : 353 ~ 360
Calis M / 2006 / Is intraarticular sodium hyaluronate injection an alternative treatment in patients with adhesive capsulitis? / Rheumatol Int 26 : 536 ~ 540
Arslan S / 2001 / Comparison of the effi cacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis / Rheumatol Int 21 : 20 ~ 23
Binder AI / 1984 / Frozen shoulder: a long-term prospective study / Ann Rheum Dis 43 : 361 ~ 364
Bulgen DY / 1984 / Frozen shoulder: prospective clinical study with an evaluation of three treatment regimens / Ann Rheum Dis 43 : 353 ~ 360
Calis M / 2006 / Is intraarticular sodium hyaluronate injection an alternative treatment in patients with adhesive capsulitis? / Rheumatol Int 26 : 536 ~ 540
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