การฉีดน้ำเกลือแยกชั้นเยื่อพังผืดระหว่างกล้ามเนื้อโดยใช้เครื่องอัลตราซาวนด์นำเพื่อเป็นทางเลือกหนึ่งในการบำบัดไหล่ติด: การศึกษาย้อนหลัง
การฉีดน้ำเกลือแยกชั้นเยื่อพังผืดระหว่างกล้ามเนื้อโดยใช้เครื่องอัลตราซาวนด์นำเพื่อเป็นทางเลือกหนึ่งในการบำบัดไหล่ติด: การศึกษาย้อนหลัง
Keywords:
adhesive capsulitis, ultrasonography, fascial release with normal saline injectionAbstract
Objective: To report the effect of treating adhesive capsulitis with ultrasound guided fascial release with normal saline.
Study design: Retrospective study.
Setting: Department of Physical Medicine and Rehabilitation, Lerdsin Hospital, Bangkok
Subjects: Twenty-one patients diagnosed with adhesive capsulitis who underwent fascial release by normal saline injection with ultrasound guidance at 4 sites: 1) between levator scapulae and trapezius, 2) between rhomboid major and trapezius, 3) between teres minor and deltoid, and 4) between pectoralis major and deltoid muscles.
Method: Outpatient medical records of the patients were retrospectively reviewed. The outcome measurement was passive range of motions (PROMs) of the affected shoulder before and after injections.
Results: After injections, the shoulder mean PROMs (SD) was statistically significant increased in all directions (flexion: before 125.71 (21.93), after 154.52 (11.06); abduction: before 118.81 (24.64), after 150.95 (18.75); external rotation: before 56.90 (13.37), after 73.10 (9.55); internal rotation: before 24.52 (10.48), after 51.67 (7.30); p<0.001, Wilcoxon signed rank test).
Conclusion: Ultrasound guided fascial release with normal saline could increase shoulder range of motion and be considered as a potential treatment option for adhesive capsulitis.
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