Abstract:
Objective To summarize the clinical outcomes of shock wave combined with portable thermal shoulder physiotherapy for treatment to tendinitis of long head of biceps. Methods From June 2014 to June 2016, 58 patients with tendinitis of long head of biceps were treated in our hospital, with an average age of (49.0±5.8) years, and they were randomly divided into treatment group (n=29) and control group (n=29). Patients in treatment group were treated by shockwave combined with portable thermal shoulder physiotherapy, and the control group by shockwave combined with infrared lamp treatment. Comparation was conducted before treatment and at 1 month and 3 months after treatment.
Results All patients were followed up for at least 3 months, and there was no complication during the treatment. The visual analogue scale (VAS) and constant-murley score (CMS) improved significantly after treatment in both two groups. At 1 month after treatment, VAS of treatment group was 2.8±1.6 and control group was 4.2±1.3 (
P< 0.05), CMS of treatment group was 82.3±8.6 and control group was 72.7±8.8 (
P< 0.05), with statistically significant difference between two groups. At 3 months after treatment, VAS of treatment group was 1.5±1.9 and control group was 2.3±1.6 with no significant difference (
P=0.185). CMS of treatment group was 93.4±9.2 and control group was 81.8±10.1, with statistically difference between two groups (
P< 0.05).
Conclusion Shock wave combined with portable thermal shoulder physiotherapy can effectively relieve pain at early stage, as well as improve shoulder joint function recovery in late stage in patients with tendinitis of long head of biceps.