Abstract

Introduction

Shoulder pain is one of the common musculoskeletal complaints of the patients with spinal cord injury. Corticosteroid injection to the subacromial bursa is one of the confirmed therapies which can be guided by anatomic landmarks or ultrasound. This study is aimed to compare these two methods to find the one with the highest therapeutic impact.

Materials and methods

In this study, 30 patients with paraplegic SCI suffering from shoulder pain were enrolled. They were divided into 2 groups based on 4-block randomization sampling. The first group received subacromial corticosteroid injection through anatomic landmarks; while in the second group, the injection was guided by ultrasound. VAS criterion was employed for investigation of pain severity; while the constant score was used to study the shoulder pain and function. BREF questionnaire was also applied to examine the quality of life.

Findings

The mean scores of VAS and Constant in both groups showed a significant improvement two months after intervention when compared with their condition before the intervention. This improvement was significantly higher in the ultrasound group. The physical, physiological and environmental health scores of BREF questionnaire as well as their total score showed a significant improvement in both groups two months after intervention. But this improvement was not significantly different between the two groups in terms of any of the items.

Discussion

Hence, although ultrasound-guided injection is more costly and requires higher skills in comparison with blind injection, it is significantly more effective in controlling the pain and improving the shoulder function.

中文翻译：

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超声引导下与盲顶法氏囊皮质类固醇激素注射治疗截瘫性脊髓损伤伴肩袖肌腱病的患者：一项随机，单盲临床研究

摘要

介绍

肩痛是脊髓损伤患者常见的骨骼肌主诉之一。将皮质类固醇注射到肩峰下囊是公认的治疗方法之一，可以通过解剖学标志或超声进行指导。这项研究旨在比较这两种方法，以找到治疗效果最高的方法。

材料和方法

在这项研究中，招募了30名患有肩痛的截瘫SCI患者。根据4块随机抽样将它们分为2组。第一组通过解剖学界标接受肩峰下皮质类固醇注射。而在第二组中，注射是在超声引导下进行的。采用VAS标准调查疼痛的严重程度；而恒定分数用于研究肩部疼痛和功能。BREF问卷也用于检查生活质量。

发现

与干预前相比，两组在干预后两个月的VAS和Constant的平均得分均显示出显着改善。在超声治疗组中，这种改善显着更高。BREF问卷的物理，生理和环境健康评分及其总评分显示，干预后两个月，两组均显着改善。但是，在任何一项方面，两组之间的改善没有显着差异。

讨论

因此，尽管与盲注注射相比，超声引导注射更昂贵并且需要更高的技能，但在控制疼痛和改善肩部功能方面，超声治疗更为有效。