Outcomes of Ultrasound-Guided Extracorporeal Shock Wave Therapy for Painful Stump Neuroma
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Á¤¿¬Àç(Jung Yun-Jae) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Rehabilitation Medicine
¹Ú¿ø¿ë(Park Won-Yong) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Rehabilitation Medicine
ÀüÁ¾Çö(Jeon Jong-Hyun) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Rehabilitation Medicine
¹®Á¤Çö(Mun Jeong-Hyeon) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Rehabilitation Medicine
Á¶À±¼ö(Cho Yoon-Soo) - Hallym University College of Medicine Hangang Sacred-Heart Hospital Department of Rehabilitation Medicine
Àü¾Æ¿µ(Jun Ah-Young) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Rehabilitation Medicine
Àå±â¾ð(Jang Ki-Un) - Hallym University College of Medicine Dongtan Sacred Heart Hospital Department of Rehabilitation Medicine
¼Á¤ÈÆ(Seo Cheong-Hoon) - Hallym University College of Medicine Hangang Sacred-Heart Hospital Department of Rehabilitation Medicine
Abstract
Objective: To investigate the effect of extracorporeal shock wave therapy (ESWT) on painful stump neuroma.
Methods: Thirty patients with stump neuroma at the distal end of an amputation site were assigned randomly to the ESWT group (n=15) and the transcutaneous electrical nerve stimulation (TENS)+desensitization+pharmacolo¡©gical treatment group (n=15). For 3 weeks, the ESWT group received a weekly session involving 1,500 pulses at 0.10 mJ/mm2, while the control group was treated 10 times each, 40 minutes per day with TENS and desensitization treatment, and daily medication for 3 weeks. ESWT stimulation was given by focusing on the area at the neuroma site clearly identified by ultrasound.
Results: The changes in the McGill pain questionnaire were 38.8¡¾9.0 prior to treatment and 11.8¡¾3.1 following the treatment. The corresponding values for the control group were 37.2¡¾7.7 and 28.5¡¾10.3. The changes between groups were significantly different (p=0.035). The change in visual analog scale prior to and after treatment was 7.0¡¾1.5 and 2.8¡¾0.8 in the ESWT group, respectively, and 7.2¡¾1.4 and 5.8¡¾2.0 in the control group. These changes between the groups were also significantly different (p=0.010). The outcome in the pain rating scale also showed significant differences between groups (p<0.001). Changes in neuroma size and pain pressure threshold (lb/cm2) were not significantly different between groups (p>0.05).
Conclusion: The study findings imply that ESWT for stump neuroma is superior to conventional therapy.
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Amputation stumps, Neuroma, Extracorporeal shock wave therapy, Ultrasonography, Visual analogue scale
KMID :
0361420140380040523
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