Partial Rotator Cuff Tear outcome between prolotherapy with physical rehabilitation compared to physical rehabilitation only: A Meta-analysis approach
Article Sidebar
-
Partial Tear Rotator Cuff Tendinopathy, Prolotherapy, Dextrose, Physical Rehabilitation, Meta-analyses
Abstract
Partial Tear Rotator Cuff Tendinopathy (PTRCT) impacts 15% to 50% of the population and increases in prevalence with individuals' age. Several first-line management strategies for treating rotator cuff disease, such as physical rehabilitation and/or injection, have been reported. However, optimum management is debatable. This study aims to explore the outcome management combination of prolotherapy and physical rehabilitation with physical rehabilitation only for PTRCT. Randomized Control Trial (RCT) studies From PubMed, Cochrane Library, ScienceDirect, ProQuest, And Google Scholar were included. Two independent reviewers evaluated the quality of RCTs using the Cochrane Risk of Bias Tool. The primary result was pain reduction, with functional improvement as a secondary outcome. Meta-analysis was performed using Review Manager 5.4 software. Our meta-analysis included 5 RCT studies involving 263 patients. Standardized mean difference (SMD) was collected from all of the studies. In this study, pain reduction was significantly decreased in the prolotherapy group compared with physical rehabilitation only during 12 weeks follow-up (-0.97 (95% -1.63 to -0.31) with p: 0.0004) and obtained I2Â 57 % that, representing moderate heterogeneity. In contrast, Functional improvement did not significantly reduce (-1.04 (95% -5.45 to 3.317) with p: 0.64. In conclusion, Prolotherapy with physical rehabilitation can reduce pain in long-term (12 weeks) patients with PTRCT compared to physical rehabilitation only but give no significant effect in improving functional outcomes.
Full text article
References
Ainsworth, R., & Lewis, J. S. (2007). Exercise therapy for the conservative management of full thickness tears of the rotator cuff: A systematic review. British Journal of Sports Medicine, 41(4), 200–210. https://doi.org/10.1136/bjsm.2006.032524
Akpancar, S., Örsçelik, A., Seven, M. M., & Koca, K. (2019). The effectiveness of prolotherapy on failed rotator cuff repair surgery. Turkish Journal of Physical Medicine and Rehabilitation, 65(4), 394–401. https://doi.org/10.5606/TFTRD.2020.3222
Bertrand, H., Reeves, K. D., Bennett, C. J., Bicknell, S., & Cheng, A. L. (2016). Dextrose prolotherapy versus control injections in painful rotator cuff tendinopathy. Archives of Physical Medicine and Rehabilitation, 97(1), 17–25. https://doi.org/10.1016/j.apmr.2015.08.412
Catapano, M., Zhang, K., Mittal, N., Sangha, H., Onishi, K., & de SA, D. (2020). Effectiveness of Dextrose Prolotherapy for Rotator Cuff Tendinopathy: A Systematic Review. PM and R, 12(3), 288–300. https://doi.org/10.1002/pmrj.12268
Chou, W. Y., Ko, J. Y., Wang, F. S., Huang, C. C., Wong, T.,
Wang, C. J., & Chang, H. E. (2010). Effect of sodium hyaluronate treatment on rotator cuff lesions without complete tears: A randomized, double-blind, placebo-controlled study. Journal of Shoulder and Elbow Surgery, 19(4), 557–563. https://doi.org/10.1016/j.jse.2009.08.006
D. Bang. (2000). Michael D. Bang PT1 Gail D. Deyle, MP7; 0CS2. Journal of Orthopaedic & Sports Physical Therapy, 30(3), 126–137.
de Sanctis, E. G., Franceschetti, E., De Dona, F., Palumbo, A., Paciotti, M., & Franceschi, F. (2021). The efficacy of injections for partial rotator cuff tears: A systematic review. Journal of Clinical Medicine, 10(1), 1–15. https://doi.org/10.3390/jcm10010051
Desjardins-Charbonneau, A., Roy, J. S., Dionne, C. E., Frémont, P., Macdermid, J. C., & Desmeules, F. (2015). The efficacy of manual therapy for rotator cuff tendinopathy: a systematic review and meta-analysis. The Journal of Orthopaedic and Sports Physical Therapy, 45(5), 330–350. https://doi.org/10.2519/JOSPT.2015.5455
Di Paolo, S., Gesualdo, L., Ranieri, E., Grandaliano, G., & Schena, F. P. (1996). High glucose concentration induces the overexpression of transforming growth factor-beta through the activation of a platelet-derived growth factor loop in human mesangial cells. The American Journal of Pathology, 149(6), 2095–2106.
Dorman, T. A. (1993). Prolotherapy: A Survey. Journal of Orthopaedic Medicine, 15(2), 49–50. https://doi.org/10.1080/1355297X.1993.11719720
Ersen, Ö., Koca, K., Akpancar, S., Seven, M. M., Akyıldız, F., Yıldız, Y., & Özkan, H. (2018). A randomized-controlled trial of prolotherapy injections in the treatment of plantar fasciitis. Turkish Journal of Physical Medicine and Rehabilitation, 64(1), 59–65. https://doi.org/10.5606/tftrd.2018.944
Gartsman, G. M., Brinker, M. R., Khan, M., & Karahan, M. (1998). Self-assessment of general health status in patients with five common shoulder conditions. Journal of Shoulder and Elbow Surgery, 7(3), 228–237. https://doi.org/10.1016/S1058-2746(98)90050-7
George, J., Li, S. C. N., Jaafar, Z., & Hamid, M. S. A. (2018). Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis. Scientifica, 2018. https://doi.org/10.1155/2018/4384159
Glazier, R. H., Dalby, D. M., Badley, E. M., Hawker, G. A., Bell, M. J., Buchbinder, R., & Lineker, S. C. (1998). Management of common musculoskeletal problems: A survey of Ontario primary care physicians. Cmaj, 158(8), 1037–1040.
Hauser, R. A., Lackner, J. B., Steilen-Matias, D., & Harris, D. K. (2016). A systematic review of dextrose prolotherapy for chronic musculoskeletal pain. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, 9, 139–159. https://doi.org/10.4137/CMAMD.S39160
Hong, J. Y., Yoon, S. H., Moon, D. J., Kwack, K. S., Joen, B., & Lee, H. Y. (2011). Comparison of high- and low-dose corticosteroid in subacromial injection for periarticular shoulder disorder: A randomized, triple-blind, placebo-controlled trial. Archives of Physical Medicine and Rehabilitation, 92(12), 1951–1960. https://doi.org/10.1016/j.apmr.2011.06.033
Hutton, B., Salanti, G., Caldwell, D. M., Chaimani, A., Schmid, C. H., Cameron, C., Ioannidis, J. P. A., Straus, S., Thorlund, K., Jansen, J. P., Mulrow, C., Catala-Lopez, F., Gotzsche, P. C., Dickersin, K., Boutron, I., Altman, D. G., & Moher, D. (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Annals of Internal Medicine, 162(11), 777–784. https://doi.org/10.7326/M14-2385
Kazempour Mofrad, M., Rezasoltani, Z., Dadarkhah, A., Kazempour Mofrad, R., Abdorrazaghi, F., & Azizi, S. (2021). Periarticular Neurofascial Dextrose Prolotherapy Versus Physiotherapy for the Treatment of Chronic Rotator Cuff Tendinopathy: Randomized Clinical Trial. Journal of Clinical Rheumatology, 27(4), 136–142. https://doi.org/10.1097/RHU.0000000000001218
Kesikburun, S., Tan, A. K., Yilmaz, B., Yaşar, E., & Yazicioǧlu, K. (2013). Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: A randomized controlled trial with 1-year follow-up. American Journal of Sports Medicine, 41(11), 2609–2615. https://doi.org/10.1177/0363546513496542
Kim, Y. S., Park, J. Y., Lee, C. S., & Lee, S. J. (2012). Does hyaluronate injection work in shoulder disease in early stage? A multicenter, randomized, single blind and open comparative clinical study. Journal of Shoulder and Elbow Surgery, 21(6), 722–727. https://doi.org/10.1016/j.jse.2011.11.009
Kuhn, J. E. (2009). Exercise in the treatment of rotator cuff impingement: A systematic review and a synthesized evidence-based rehabilitation protocol. Journal of Shoulder and Elbow Surgery, 18(1), 138–160. https://doi.org/10.1016/j.jse.2008.06.004
Lin, C. L., Huang, C. C., & Huang, S. W. (2019). Effects of hypertonic dextrose injection in chronic supraspinatus tendinopathy of the shoulder: A randomized placebo-controlled trial. European Journal of Physical and Rehabilitation Medicine, 55(4), 480–487. https://doi.org/10.23736/S1973-9087.18.05379-0
Lin, K. M., Wang, D., & Dines, J. S. (2018). Injection Therapies for Rotator Cuff Disease. Orthopedic Clinics of North America, 49(2), 231–239. https://doi.org/10.1016/j.ocl.2017.11.010
Lin, M. T., Chiang, C. F., Wu, C. H., Huang, Y. T., Tu, Y. K., & Wang, T. G. (2019). Comparative Effectiveness of Injection Therapies in Rotator Cuff Tendinopathy: A Systematic Review, Pairwise and Network Meta-analysis of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation, 100(2), 336-349.e15. https://doi.org/10.1016/j.apmr.2018.06.028
Matthewson, G., Beach, C. J., Nelson, A. A., Woodmass, J. M., Ono, Y., Boorman, R. S., Lo, I. K. Y., & Thornton, G. M. (2015). Partial Thickness Rotator Cuff Tears: Current Concepts. Advances in Orthopedics, 2015. https://doi.org/10.1155/2015/458786
Min, K. S., St. Pierre, P., Ryan, P. M., Marchant, B. G., Wilson, C. J., & Arrington, E. D. (2013). A double-blind randomized controlled trial comparing the effects of subacromial injection with corticosteroid versus NSAID in patients with shoulder impingement syndrome. Journal of Shoulder and Elbow Surgery, 22(5), 595–601. https://doi.org/10.1016/j.jse.2012.08.026
Park, H.-S., Choi, K.-H., Lee, H.-J., & Kim, Y.-S. (2020). Rotator cuff tear with joint stiffness: a review of current treatment and rehabilitation. Clinics in Shoulder and Elbow, 23(2), 109–117. https://doi.org/10.5397/cise.2020.00143
Penning, L. I. F., De Bie, R. A., & Walenkamp, G. H. I. M. (2012). The effectiveness of injections of hyaluronic acid or corticosteroid in patients with subacromial impingement: A three-arm randomised controlled trial. Journal of Bone and Joint Surgery - Series B, 94 B(9), 1246–1252. https://doi.org/10.1302/0301-620X.94B9.28750
Rashid, M. S., Cooper, C., Cook, J., Cooper, D., Dakin, S. G., Snelling, S., & Carr, A. J. (2017). Increasing age and tear size reduce rotator cuff repair healing rate at 1 year: Data from a large randomized controlled trial. Acta Orthopaedica, 88(6), 606–611. https://doi.org/10.1080/17453674.2017.1370844
Ryösä, A., Laimi, K., Äärimaa, V., Lehtimäki, K., Kukkonen, J., & Saltychev, M. (2017). Surgery or conservative treatment for rotator cuff tear: a meta-analysis. Disability and Rehabilitation, 39(14), 1357–1363. https://doi.org/10.1080/09638288.2016.1198431
Sambandam, S. N., Khanna, V., Gul, A., & Mounasamy, V. (2015). Rotator cuff tears: An evidence based approach. World Journal of Orthopedics, 6(11), 902–918. https://doi.org/10.5312/wjo.v6.i11.902
Sari, A., & Eroglu, A. (2020). Comparison of ultrasound-guided platelet-rich plasma, prolotherapy, and corticosteroid injections in rotator cuff lesions. Journal of Back and Musculoskeletal Rehabilitation, 33(3), 387–396. https://doi.org/10.3233/BMR-191519
Schmidt, C. C., Jarrett, C. D., & Brown, B. T. (2015). Management of rotator cuff tears. Journal of Hand Surgery, 40(2), 399–408. https://doi.org/10.1016/j.jhsa.2014.06.122
Seven, M. M., Ersen, O., Akpancar, S., Ozkan, H., Turkkan, S., Yıldız, Y., & Koca, K. (2017). Effectiveness of prolotherapy in the treatment of chronic rotator cuff lesions. Orthopaedics and Traumatology: Surgery and Research, 103(3), 427–433. https://doi.org/10.1016/j.otsr.2017.01.003
Smith, K., Ii, D. T. H., Antonlou, J., Sidles, J. A., Iii, F. A. M., & Campbell, B. (n.d.). Multipractice and Health Status in Patients Rotator Cuff Tears Study of Shoulder With Documented Function.
Authors
Copyright (c) 2023 Galuh Ayu Ratna Savitri, Thomas Erwin Christian Junus Huwae
This work is licensed under a Creative Commons Attribution 4.0 International License.
Qanun Medika by FK UM Surabaya is liscence under Lisensi Creative Commons Atribusi 4.0 Internasional.