The efficacy of shockwave therapy for secondary hand tendon adhesions under musculoskeletal ultrasound-guided localization
ZHANG Qi-fu
ZHOU Kai-bin
LONG Yao-bin
CHEN Zai-juan
CHEN Yao-zhi
Abstract：Objective To investigate the efficacy of shockwave therapy for secondary hand tendon adhesions fol-lowing palm,wrist,and forearm injuries under musculoskeletal ultrasound-guided localization.Methods Eighty pa-tients with secondary hand tendon adhesions after palm,wrist,and forearm injuries were randomly divided into treatment group and control group,with 40 cases in each group.Both groups received conventional rehabilitation treatments for hand tendon adhesions,such as wax therapy,joint mobilization,and occupational therapy.Patients in the control group under-went shockwave therapy based on manual examination to determine the sites of tendon adhesions according to joint mobility limitations.Patients in the treatment group underwent musculoskeletal ultrasound examination to identify the sites of tendon adhesions,followed by marking and localization,before receiving shockwave therapy.Both groups underwent rehabilitation treatment for 4 weeks.Musculoskeletal ultrasound assessment,total active motion(TAM)of hand tendons,Visual Analog Scale(VAS)pain score,and Disabilities of the Arm,Shoulder and Hand(DASH)questionnaire scores were evaluated before and after treatment.Results There were no statistically significant differences in hand tendon adhesion degree,TAM,VAS pain score,and DASH scores between the two groups before treatment(P＞0.05),demonstrating compara-bility.After 4 weeks of treatment,both groups showed significant improvement in hand tendon adhesion degree,increased TAM,reduced VAS pain score,and improved DASH scores.However,the treatment group exhibited more significant im-provements in hand tendon adhesion degree,greater increase in TAM,more pronounced decrease in VAS pain score,and greater improvement in DASH scores compared to the control group,with statistically significant differences(P＜0.01).Conclusion Shockwave therapy guided by musculoskeletal ultrasound localization combined with conventional rehabilita-tion treatment can significantly improve secondary hand tendon adhesions and restore partial hand function.
Keywords：ultrasound guidanceshock waverehabilitation treatmenttendon adhesion of hand
Publication Date：2024-03-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 318-323 )