Učinkovitost terapijskog ultrazvuka energije 4500 Joula u liječenju kalcificirajućeg tendinitisa ramena

doctoral thesis

• Title (english): The effectiveness of 4500 Joule therapeutic ultrasound in the treatment of calcific tendinitis of the shoulder
• Author: Stjepan Čota
• Mentor: Nadica Laktašić Žerjavić (mentor)
• Committee member: Simeon Grazio (predsjednik povjerenstva)
• Committee member: Ana Aljinović (član povjerenstva)
• Committee member: Tomislav Smoljanović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2024-05-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Physical Medicine and Rehabilitation
• Universal decimal classification (UDC): 616 - Pathology. Clinical medicine

Abstract

Kalcificirajući tendinitis ramena (KT) karakteriziran je odlaganjem kalcijevih depozita u tetive rotatorne manžete. Individualna medicinska gimnastika smatra se osnovnom u liječenju, dok su dokazi o učinkovitosti terapijskog ultrazvuka (T-UZV) nedostatni. Ovo dvostruko slijepo randomizirano (placebom kontrolirano) istraživanje imalo je cilj dokazati utječe li dodatak T-UZV-a jačine 4500 J individualnoj medicinskoj gimnastici u liječenju simptomatskog KT-a ramena na ishod rehabilitacije (smanjenje veličine kalcifikata, bol, pokretljivost, funkcionalna sposobnost i zadovoljstvo ispitanika ishodom) u odnosu na liječenje samo individualnom medicinskom gimnastikom. Ukupno 46 ispitanika s ultrazvučno dokazanim KT-om ramena podijeljeno je u dvije skupine (52 ispitivana ramena, 26 po skupini). Individualna medicinska gimnastika u obje skupine provodila se pola sata po pojedinačnoj terapijskoj intervenciji. U ispitivanoj skupini T-UZV (intenziteta 1,5 W/cm2, frekvencije 1 MHz, trajanja 10 min) se aplicirao 4 tjedna,
dok je kontrolna skupina dobivala tzv. ''sham'' T-UZV. Svi parametri ishoda rehabilitacije poboljšali su se nakon terapijske intervencije u obje skupine. Nakon terapijske intervencije zabilježeno je značajno smanjenje veličine kalcifikata u ispitivanoj skupini u odnosu na kontrolu: -10,92% (IQR 4,61% to 19,38%) vs. -5,04% (2,30% to 7,22%), P=0,008, kao i poboljšanje snage stiska šake. U drugim mjerenim pokazateljima ishoda rehabilitacije nisu zabilježene značajne razlike između skupina.

Abstract (english)

Calcific shoulder tendinitis (CST) is characterized by carbonate apatite crystal deposition in the rotator cuff tendons. Therapeutic exercises have been the mainstay of CST treatment, and evidence for therapeutic ultrasound (T-US) utilization and efficacy is lacking. This double-blind, placebo-controlled study aimed to determine whether 4500 J T-US combined with therapeutic exercises is superior to therapeutic exercises alone regarding calcification size reduction, pain, shoulder mobility, handgrip strength, functional status (SPADI), and overall rehabilitation satisfaction in chronic symptomatic CST. 46 patients with sonographically confirmed CST were divided into two groups (52 shoulders, 26 per group) and performed the same therapeutic exercises for half an hour. In the treatment group T-US (an intensity of 1,5 W/cm2, 1 MHz frequency, 10 minutes per session), and in the control group, sham T-US was applied for 4 weeks. All assessed variables improved in both groups after the treatment. A significantly greater reduction in calcification size was recorded in the treatment group compared to control: -10,92% (IQR 4,61% to 19,38%) versus -5,04% (2,30% to 7,22%), P=0.008. An increase in hand grip strength was also observed in the treatment group compared to control while no significant differences were observed for other evaluated parameters.

• Keywords: Rame; Snaga ruke; Rotatorska manžeta; Karboapatit; Ultrazvučna terapija; Tendinopatija; Bol
• Keywords (english): Shoulder; Hand Strength; Rotator Cuff; Carboapatite; Ultrasonic Therapy; Tendinopathy; Pain
• Language: croatian
• URN:NBN: urn:nbn:hr:105:277519
• Study programme: Title: Biomedicine and Health Sciences; Study programme type: university; Study level: postgraduate; Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
• Type of resource: Text
• Extent: 92 str.
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-05-24 10:51:53