Objective:The purpose of the study is to evaluate whether the clinical effects of focused extracorporeal shockwave therapy(f-ESWT)and acupuncture anticipate the clinical response in patients with rotator cuff tendinop...Objective:The purpose of the study is to evaluate whether the clinical effects of focused extracorporeal shockwave therapy(f-ESWT)and acupuncture anticipate the clinical response in patients with rotator cuff tendinopathy in the short term.Design:An observational retrospective clinical study.Setting/Location:Physical Medicine and Rehabilitation Unit,Sant’Andrea University Hospital in Rome,Italy.Subjects/Interventions:We analyzed retrospectively thirty patients(22 females and 8 males)with rotator cuff tendinopathy.Fifteen patients underwent f-ESWT and acupuncture combined therapy(Group A)and fifteen patients underwent only f-ESWT therapy(Group B).Outcome measures:The outcome measures were the Visual Analogic Scale(VAS),Assessment Shoulder and Elbow Scale(ASES)and Roles and Maudsley Score(RMS).The follow-ups were T0(pre-treatment),T1(3 weeks after the start of the treatment),and T2(at 8 weeks).In order to compare groups,the ANOVA and Friedman tests were adopted.Group A patients had a more rapid and statistically significant improvement trend in VAS(P<0.001),ASES scale(P<0.001),and a higher level of satisfaction to treatment assessed by RMS(P<0.001)than group B in the short term.Conclusions:The study showed that combined treatment decreases the recovery time of the shoulder involved in terms of pain and motor function in the short term.However,these results shall be confirmed by controlled randomized studies.展开更多
Patients with chronic cancer pain frequently suffer from severe pain intensity exacerbations.A 60-years old woman had been experiencing Breakthrough Cancer Pain(BTCP) mostly concentrated on shoulders since the resecti...Patients with chronic cancer pain frequently suffer from severe pain intensity exacerbations.A 60-years old woman had been experiencing Breakthrough Cancer Pain(BTCP) mostly concentrated on shoulders since the resection of the upper right lung lobe one year before,reason why she underwent Traditional Chinese Medicine treatment(TCM).She was diagnosed with BTCP.Despite strong opioids intake during radiotherapy and chemotherapy,she continued to suffer from pain without benefiting from these medications.She was treated with somatic and auricular acupuncture and cupping technique for 10 sessions,2-3 sessions per week,30 min per session.After five/six sessions of treatment the patient felt much better,relieved from the pain with an improving Numeric rating Scale(NRS) and an important improving of Breakthrough Pain Assessment Tool-BAT and Constant-Murley Score.In cancer patients,acupuncture could represent an effective treatment option.展开更多
文摘Objective:The purpose of the study is to evaluate whether the clinical effects of focused extracorporeal shockwave therapy(f-ESWT)and acupuncture anticipate the clinical response in patients with rotator cuff tendinopathy in the short term.Design:An observational retrospective clinical study.Setting/Location:Physical Medicine and Rehabilitation Unit,Sant’Andrea University Hospital in Rome,Italy.Subjects/Interventions:We analyzed retrospectively thirty patients(22 females and 8 males)with rotator cuff tendinopathy.Fifteen patients underwent f-ESWT and acupuncture combined therapy(Group A)and fifteen patients underwent only f-ESWT therapy(Group B).Outcome measures:The outcome measures were the Visual Analogic Scale(VAS),Assessment Shoulder and Elbow Scale(ASES)and Roles and Maudsley Score(RMS).The follow-ups were T0(pre-treatment),T1(3 weeks after the start of the treatment),and T2(at 8 weeks).In order to compare groups,the ANOVA and Friedman tests were adopted.Group A patients had a more rapid and statistically significant improvement trend in VAS(P<0.001),ASES scale(P<0.001),and a higher level of satisfaction to treatment assessed by RMS(P<0.001)than group B in the short term.Conclusions:The study showed that combined treatment decreases the recovery time of the shoulder involved in terms of pain and motor function in the short term.However,these results shall be confirmed by controlled randomized studies.
文摘Patients with chronic cancer pain frequently suffer from severe pain intensity exacerbations.A 60-years old woman had been experiencing Breakthrough Cancer Pain(BTCP) mostly concentrated on shoulders since the resection of the upper right lung lobe one year before,reason why she underwent Traditional Chinese Medicine treatment(TCM).She was diagnosed with BTCP.Despite strong opioids intake during radiotherapy and chemotherapy,she continued to suffer from pain without benefiting from these medications.She was treated with somatic and auricular acupuncture and cupping technique for 10 sessions,2-3 sessions per week,30 min per session.After five/six sessions of treatment the patient felt much better,relieved from the pain with an improving Numeric rating Scale(NRS) and an important improving of Breakthrough Pain Assessment Tool-BAT and Constant-Murley Score.In cancer patients,acupuncture could represent an effective treatment option.
