건침과 체외충격파-요상과염 치료 비교

실험적: 초음파 유도 건침 시술

참가자들은 5주 동안 매주 1회씩 총 5회 세션으로 공통 신전건에 초음파 유도 건침술을 받게 됩니다. 모든 참가자는 표준화된 가정 운동 프로그램도 수행합니다.

절차: 초음파 유도 건칩 치료

건침 요법은 초음파 유도 하에 총신전근 힘줄의 건증 부위를 대상으로 시행됩니다. 이 시술은 주 1회씩 총 5회 진행됩니다.

활성 비교기: 체외 충격파 치료

참가자는 5주 동안 일주일에 한 번씩 측상과에 방사형 체외충격파 치료를 받게 됩니다. 모든 참가자는 표준화된 가정 운동 프로그램도 수행합니다.

장치: 체외 충격파 치료

방사형 체외충격파 치료가 표준 파라미터(10-15 Hz, 1.5-2.5 bar, 2000 펄스)를 사용하여 주 1회, 총 5회 적용됩니다.

Change in pain intensity measured by Visual Analog Scale (VAS)

Pain intensity will be assessed using a 10-cm visual analog scale. Change from baseline to immediate post-treatment, upto 3 months, and upto 6 months will be analyzed. The Visual Analogue Scale (VAS) was used to assess the severity of elbow pain during activity. Scores range from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain severity and therefore a worse outcome.

악력 변화

악력은 손 동력계를 사용하여 킬로그램 단위로 측정됩니다.

압력 통증 역치의 변화

압력 통증 역치는 외측 상과(lateral epicondyle)에서 휴대용 알곤미터(handheld algometer)를 사용하여 측정됩니다.

초음파 건 두께 변화

공통 신전건 두께는 근골격계 초음파를 사용하여 측정될 것입니다.

Change in Patient-Rated Tennis Elbow Evaluation (PRTEE) score

PRTEE questionnaire will be used to evaluate pain and functional disability in lateral epicondylitis. The Patient-Rated Tennis Elbow Evaluation (PRTEE) is a 15-item, elbow-specific questionnaire assessing pain and functional disability. It comprises a Pain subscale (5 items; score range, 0-50) and a Function subscale (10 items; converted score range, 0-50). The total PRTEE score ranges from 0 to 100, where 0 indicates no pain or functional disability and 100 indicates the greatest possible pain and disability. Higher scores indicate a worse outcome.

Change in quality of life measured by SF-12

Quality of life will be assessed using the Short Form-12 questionnaire. The 12-Item Short Form Health Survey (SF-12) was used to assess health-related quality of life. It generates two separate summary scores: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). Each component score ranges from 0 to 100, where 0 represents the worst health status and 100 represents the best health status. Higher scores indicate better physical or mental health and therefore a better outcome. The PCS and MCS scores were evaluated separately; no overall SF-12 total score was calculated.

Change in Power Doppler neovascularization score

Neovascularization will be evaluated using semi-quantitative Power Doppler scoring. The Color Doppler Ultrasound Neovascularization Score was used to grade vascular activity within the common extensor tendon. Scores range from 0 to 4: grade 0 indicates no Doppler activity; grade 1 indicates a single vessel; grade 2 indicates Doppler activity occupying less than 25% of the region of interest; grade 3 indicates activity occupying 25%-50% of the region of interest; and grade 4 indicates activity occupying more than 50% of the region of interest. Higher scores indicate greater neovascularization and a worse ultrasonographic tendon outcome.