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The effect of postoperatively applied far-infrared radiation on pain and tendon-to-bone healing after arthroscopic rotator cuff repair: a clinical prospective randomized comparative study

Korean Journal of Pain 2020년 33권 4호 p.344 ~ 351
윤지영, 박주현, 이광진, 김형숙, Rhee Sung-Min, 오주한,
소속 상세정보
윤지영 ( Yoon Ji-Young ) - National Police Hospital Department of Orthopedic Surgery
박주현 ( Park Joo-Hyun ) - Bundang Jesaeng General Hospital Department of Orthopaedic Surgery
이광진 ( Lee Kwang-Jin ) - Sun’s Hospital Department of Orthopaedic Surgery
김형숙 ( Kim Hyong-Suk ) - Incheon Sarang Hospital Department of Orthopaedic Surgery
 ( Rhee Sung-Min ) - Kyung Hee University College of Medicine Kyung Hee University Hospital Department of Orthopedic Surgery
오주한 ( Oh Joo-Han ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Orthopaedic Surgery

Abstract


Background: The effects of far-infrared radiation (FIR) on the treatment of rotator cuff diseases remains unknown. We evaluated the safety and efficacy of FIR after arthroscopic rotator cuff repair with regard to postoperative pain and healing.

Methods: This prospective randomized comparative study included 38 patients who underwent arthroscopic rotator cuff repair due to a medium-sized tear. Patients were randomly divided into the FIR or control group (n = 19 per group). In the FIR group, FIR with an FIR radiator started 1 week postoperatively for 30 minutes per session twice daily. It lasted until abduction brace weaning at 5 weeks postoperatively. We assessed pain using a pain visual analogue scale (pVAS) and measured the range of motion (ROM) of the shoulder at 5 weeks, and 3 and 6 months, postoperatively. The anatomical outcome was evaluated using magnetic resonance imaging at 6 months postoperatively.

Results: At 5 weeks postoperatively, the average pVAS score was lower in the FIR group than in the control group (1.5 ± 0.8 vs. 2.7 ± 1.7; P = 0.019). At 3 months postoperatively, the average forward flexion was higher in the FIR group (151.6° ± 15.3° vs. 132.9° ± 27.8°; P = 0.045), but there was no significant difference at 6 months postoperatively. There was no significant difference in healing failure between the groups (P = 0.999).

Conclusions: FIR after arthroscopic rotator cuff repair could be an effective and safe procedure to reduce postoperative pain, thereby facilitating rehabilitation and better ROM in the early postoperative period.

키워드

Far-infrared Radiation; Pain Visual Analog Scale; Postoperative Pain; Range of Motion; Rehabilitation; Rotator Cuff Repair; Rotator Cuff Tears; Shoulder Pain

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