Ultrasound-Guided Infiltrative Treatment Associated with Early Rehabilitation in Adhesive Capsulitis Developed in Post-COVID-19 Syndrome

被引：14

作者：

Donati, Danilo ^{[1
,2
]}

Vita, Fabio ^{[3
]}

Tedeschi, Roberto ^{[4
]}

Galletti, Stefano ^{[5
]}

Biglia, Alessandro ^{[6
]}

Gistri, Tommaso ^{[7
]}

Arcuri, Pasquale ^{[4
]}

Origlio, Flavio ^{[8
]}

Castagnini, Francesco ^{[3
]}

Faldini, Cesare ^{[3
]}

Pederiva, Davide ^{[3
]}

Benedetti, Maria Grazia ^{[8
]}

机构：

[1] Policlin Modena, Phys Therapy & Rehabil Unit, I-41125 Modena, Italy

[2] Univ Modena & Reggio Emilia, Clin & Expt Med PhD Program, I-41121 Modena, Italy

[3] Univ Bologna, IRCCS Ist Ortoped Rizzoli, Dept Orthoped & Traumatol Surg, I-40136 Bologna, Italy

[4] Univ Bologna, Alma Mater Studiorum, Dept Biomed & Neuromotor Sci, I-40136 Bologna, Italy

[5] Italian Soc Ultrasound Med & Biol, Musculoskeletal Ultrasound Sch, I-40136 Bologna, Italy

[6] Univ Pavia, Fdn IRCCS Policlin San Matteo, Rheumatol Dept, I-27100 Pavia, Italy

[7] ASL Tuscany, Family Med Dept, I-55049 Viareggio, Italy

[8] Univ Bologna, IRCCS Ist Ortoped Rizzoli, Phys Therapy & Rehabil Unit, I-40136 Bologna, Italy

来源：

MEDICINA-LITHUANIA | 2023年 / 59卷 / 07期

关键词：

ultrasound infiltrative treatment; early rehabilitation; adhesive capsulitis; post-COVID-19; syndrome; FROZEN SHOULDER; PHYSIOTHERAPY; CYTOKINES;

D O I：

10.3390/medicina59071211

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background and Objectives: Post-COVID-19 syndrome is commonly used to describe signs and symptoms that continue or develop after acute COVID-19 for more than 12 weeks. The study aimed to evaluate a treatment strategy in patients with adhesive capsulitis (phase 1) developed in post-COVID-19 syndrome. Materials and Methods: The method used was an interventional pilot study in which 16 vaccinated patients presenting with the clinical and ultrasound features of adhesive capsulitis (phase 1) developed during post-COVID-19 syndrome were treated with infiltrative hydrodistension therapy under ultrasound guidance associated with early rehabilitation treatment. Results: Sixteen patients with post-COVID-19 syndrome treated with ultrasound-guided infiltration and early rehabilitation treatment showed an important improvement in active joint ROM after 10 weeks, especially in shoulder elevation and abduction movements. The VAS mean score before the treatment was 6.9 & PLUSMN; 1.66. After 10 weeks of treatment, the VAS score was 1 & PLUSMN; 0.63. Conclusions: The study demonstrated that the management of adhesive capsulitis (phase 1) developed in post-COVID-19 syndrome, as conducted by physiotherapists in a primary care setting using hydrodistension and a rehabilitation protocol, represented an effective treatment strategy.

引用

页数：11

共 40 条

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