Articles Tập 67 Số CĐ16 03/11/2026

ADDITIONAL EFFECTIVENESS OF THERAPEUTIC ULTRASOUND IN FUNCTIONAL REHABILITATION FOR SIMPLE SHOULDER PERIARTHRITIS

To Thi Thu Phuong, Do Quoc Huong, Phi Thi Ngoc, Bui Quoc Hung
DOI: 10.52163/yhc.v67iCD16.6945
32 Views
0 Downloads
Abstract

Objective: To evaluate the additional effectiveness of therapeutic ultrasound in the rehabilitation of patients with simple shoulder periarthritis treated with electroacupuncture and Quyen ty decoction.

Methods: An open-label, controlled clinical intervention study included 60 matched patients. The intervention group (n = 30) received electroacupuncture and Quyen ty decoction plus therapeutic ultrasound, while the control group (n = 30) received electroacupuncture and Quyen ty decoction alone. Treatment lasted 15 days. Outcomes were assessed at pre-treatment, day 7, and day 15 using SPADI, McROMI, TCMSS, and overall response.

Results: Baseline total SPADI scores were comparable (69.90 ± 6.09 versus 69.70 ± 5.56; p = 0.895). Total SPADI was lower in the intervention group at day 7 (25.10 ± 14.82 versus 37.43 ± 16.38; p = 0.003) and day 15 (6.40 ± 9.00 versus 16.60 ± 15.20; p = 0.002). The before treatment-day 15 reduction was greater with ultrasound (63.50 ± 7.15 versus 53.10 ± 12.00; p < 0.05). At day 15, normal abduction, internal rotation, and external rotation were achieved by 86.7%, 86.7%, and 90% of the intervention group, compared with 53.3%, 50%, and 60% of controls (p < 0.05). Good overall response occurred in 83.3% versus 46.7% (p = 0.012).

Conclusion: Adding therapeutic ultrasound resulted in earlier and greater improvements in pain, shoulder function, and range of motion. Larger randomized studies with longer follow-up are warranted.

Keywords
Shoulder periarthritis, therapeutic ultrasound, electroacupuncture, Quyen ty decoction, rehabilitation.
References
[1]
[1] Luime J.J, Koes B.W, Hendriksen I.J.M et al. Prevalence and incidence of shoulder pain in the general population: a systematic review. Scand J Rheumatol, 2004, 33 (2): 73-81. doi: 10.1080/03009740310004667. Google Scholar
[2]
[2] Linsell L, Dawson J, Zondervan K et al. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care: patterns of diagnosis and referral. Rheumatology (Oxford), 2006, 45 (2): 215-221. doi: 10.1093/rheumatology/kei139. Google Scholar
[3]
[3] Roach K.E, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. Arthritis Care Res, 1991, 4 (4): 143-149. doi: 10.1002/art.1790040403. Google Scholar
[4]
[4] Page M.J, Green S, Mrocki M.A et al. Electrotherapy modalities for rotator cuff disease. Cochrane Database Syst Rev, 2016, 2016 (6): CD012225. doi: 10.1002/14651858.CD012225. Google Scholar
[5]
[5] Ebenbichler G.R, Erdogmus C.B, Resch K.L et al. Ultrasound therapy for calcific tendinitis of the shoulder. N Engl J Med, 1999, 340 (20): 1533-1538. doi: 10.1056/NEJM199905203402002. Google Scholar
[6]
[6] Green S, Buchbinder R, Hetrick S. Acupuncture for shoulder pain. Cochrane Database Syst Rev, 2005 (2): CD005319. doi: 10.1002/14651858.CD005319. Google Scholar
[7]
[7] Des Jarlais D.C, Lyles C, Crepaz N. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health, 2004, 94 (3): 361-366. doi: 10.2105/AJPH.94.3.361. Google Scholar
[8]
[8] Bộ Y tế. Thông tư số 23/2024/TT-BYT, ngày 18 tháng 10 năm 2024, ban hành danh mục kỹ thuật trong khám bệnh, chữa bệnh. Google Scholar
[9]
[9] Bộ Y tế. Dược điển Việt Nam V. Nhà xuất bản Y học, Hà Nội, 2017. Google Scholar
[10]
[10] Bộ Y tế. Hướng dẫn quy trình kỹ thuật khám bệnh, chữa bệnh chuyên ngành phục hồi chức năng. Nhà xuất bản Y học, Hà Nội, 2015. Google Scholar
[11]
[11] World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA, 2013, 310 (20): 2191-2194. doi: 10.1001/jama.2013.281053. Google Scholar
[12]
[12] Tveitå E.K, Ekeberg O.M, Juel N.G, Bautz-Holter E. Responsiveness of the shoulder pain and disability index in patients with adhesive capsulitis. BMC Musculoskelet Disord, 2008, 9: 161. doi: 10.1186/1471-2474-9-161. Google Scholar
[13]
[13] Roy J.S, MacDermid J.C, Woodhouse L.J. Measuring shoulder function: a systematic review of four questionnaires. Arthritis Rheum, 2009, 61 (5): 623-632. doi: 10.1002/art.24396. Google Scholar
[14]
[14] Baker K.G, Robertson V.J, Duck F.A. A review of therapeutic ultrasound: biophysical effects. Phys Ther, 2001, 81 (7): 1351-1358. doi: 10.1093/ptj/81.7.1351. Google Scholar
[15]
[15] Zhao Z.Q. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol, 2008, 85 (4): 355-375. doi: 10.1016/j.pneurobio.2008.05.004. Google Scholar