|
KMID : 0948920140130020076
|
|
Clinical Pain
2014 Volume.13 No. 2 p.76 ~ p.83
|
|
|
Management of Cubital Tunnel Syndrome:a Comparative Study of ExtracorporealShock Wave Therapy and Local SteroidInjection, a Pilot Study
|
|
Kim Eun-Young
Cho Sung-Jun
Lee Seung-Hwa
Lee Woo-Seung
Lee Won-Jae
|
|
|
Abstract
|
|
|
Objective: To evaluate the efficacy of extracorporeal shockwave therapy (ESWT), compared with local steroid injection,in treating cubital tunnel syndrome.
Methods: A total 26patients with cubital tunnel syndrome were randomly dividedinto 2 groups, the ESWT group (n=13) and steroid injectiongroup (n=13). Outcome measures, including visual analoguescale (VAS), Self-administered Questionnaire of the UlnarNeuropathy at the Elbow (SQUNE), the electrophysiologicalseverity score (ESS), and cross-sectional areas (CSAs) ofulnar nerve, were obtained before treatment and at 1 monthafter treatment.
Results: Both groups showed a significantimprovement in the VAS and SQUNE at after-treatmentcompared with before-treatment (p＜0.05). In injectiongroup, the CSAs, total ESS and MCV across elbow weresignificantly improved at after-treatment compared withbefore-treatment (p＜0.05). In ESWT group, however, theCSAs and total ESS showed decreasing tendency, however,statistical significances were not observed. When comparingthe differences between pre- and post-intervention, thedegree of decrease in the VAS and SQUNE was notsignificantly different, however, CSAs, total ESS, and MCVacross elbow were more significantly improved in injectiongroup than ESWT group (p＜0.05).
Conclusion: ESWTcan be as useful as steroid injection for producingsignificant pain reduction in patients with cubital tunnelsyndrome. (Clinical Pain 2014;13:76-83)
|
|
|
KEYWORD
|
|
|
Low-energy shock wave therapy, Injections, Cubital tunnel syndrome, Ulnar nerve
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|
|