Efficacy of hypertonic dextrose proliferation therapy in the treatment of rotator cuff lesions: a meta-analysis
omuz Journal of orthopaedic surgery and research 2024 · PMID 38750541
One of the most prevalent illnesses of the shoulder is rotator cuff tendinosis, which is also a major contributor to shoulder discomfort and shoulder joint dysfunction. According to statistics, rotator cuff tendinosis occurs in 0.3-5.5% of cases and affects 0.5-7.4% of people annually. It will be necessary to conduct a meta-analysis to evaluate the efficacy of hypertonic glucose proliferation therapy in the treatment of rotator cuff problems. The databases Cochrane PubMed, Library, Web of Science and EMbase, are retrieved by the computer. Individuals with rotator cuff lesions in the intervention group were treated with hypertonic dextrose proliferation therapy, whereas individuals in the control condition were treated with a placebo. Outcome markers for rotator cuff lesions patients; Pursuant to studies, the visual analogue scale (VAS) score, the shoulder pain & disability index (SPADI), & other metrics are used to evaluate the effects of hypertonic dextrose proliferation treatment on individuals with rotator cuff diseases. After carefully evaluating the calibre of the literature, data analysis was performed utilising the RevMan 5.3 programme. Meta-analysis finally contained 6 papers. In six investigations, the test & control group's VAS scores improved, with the test team's score considerably outperforming the control team [standardized mean difference (SMD): 1.10; 95% Cl: 0.37,1.83; P < 0.01], shoulder pain and disability index (SPADI) score (SMD:8.13; 95% Cl: 5.34,10.91; P < 0.01), Flexion (SMD:5.73; 95% Cl: 0.99,10.47; P < 0.05), Abduction (SMD:6.49; 95% Cl: 0.66,12.31; P < 0.05), Internal rotation (SMD:-1.74; 95% Cl: -4.25,0.78; P = 0.176) and External rotation (SMD:2.78; 95% Cl: -0.13,5.69; P = 0.062). The findings of this study suggest that individuals with rotator cuff injuries may benefit from hypertonic dextrose proliferation treatment based on the visual analogue scale (VAS) score, the Shoulder Pain and Disability Index (SPADI) score, Flexion, & Abduction. These results must, nevertheless, be supported by high-caliber follow-up research.
bu makaleden üretilen sorular (3)
omuz orta
Zhang ve ekibinin plasebo kontrollu meta-analizi inceleniyor.
Zhang meta-analizine gore dekstroz proloterapisi plaseboya kiyasla omuz hareket acikliginin hangi bilesenlerinde anlamli iyilesme saglayamamistir?
cevabı gör
doğru cevap: Ic ve dis rotasyon
açıklama: Zhang meta-analizinde dekstroz VAS agri, SPADI ve fleksiyon/abduksiyon aciklinda anlamli iyilesme saglamis, ancak ic ve dis rotasyonda anlamli fark bulunmamistir.
Zhang T, Wang YF, Ding L, Ma CY. J Orthop Surg Res 2024;19:299 PMID 38750541
omuz zor
Zhang meta-analizinin kisitliliklari degerlendiriliyor.
Zhang meta-analizinin en onemli metodolojik kisitliligi neydi?
cevabı gör
doğru cevap: Yalnizca 6 calisma icermesi ve yazarlarin yuksek kaliteli takip calismasi ihtiyacini vurgulamasi
açıklama: Meta-analiz yalnizca 6 calisma icermekteydi; ic/dis rotasyonda yarar yoktu ve yazarlar yuksek kaliteli takip calismasi ihtiyacini vurguladi.
Zhang T, Wang YF, Ding L, Ma CY. J Orthop Surg Res 2024;19:299 PMID 38750541
omuz orta
Zhang meta-analizinde omuz hareket acikliginin belirli bilesenlerindeki degisim degerlendiriliyor.
Zhang meta-analizine gore dekstroz proloterapisi plaseboya kiyasla asagidaki hangi ROM bilesenlerinde anlamli iyilesme saglamistir?
cevabı gör
doğru cevap: Fleksiyon ve abduksiyon
açıklama: Zhang meta-analizinde dekstroz VAS agri, SPADI ve omuz fleksiyon/abduksiyon aciklinda anlamli iyilesme saglamis (fleksiyon SMD 5.73; abduksiyon SMD 6.49), ancak ic/dis rotasyonda anlamli fark bulunmamistir.
Zhang T, Wang YF, Ding L, Ma CY. J Orthop Surg Res 2024;19:299 PMID 38750541
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