Effectiveness of Ultrasound-Guided Platelet-Rich Plasma Injections in Relieving Sacroiliac Joint Dysfunction.

Szczegóły
Abstrakt

Tytuł:: Effectiveness of Ultrasound-Guided Platelet-Rich Plasma Injections in Relieving Sacroiliac Joint Dysfunction.
Autorzy:: Wallace P; From the Rocky Vista University College of Osteopathic Medicine, Parker, Colorado (PW, LBW); Department of Emergency Medicine, University Nevada Las Vegas, Las Vegas, Nevada (PW); Department of Family Medicine, Mike O'Callaghan Military Medical Center, Las Vegas, Nevada (LBW); and Star Spine and Sport, Golden, Colorado (ST, KP, KM, DH).
Bezjian Wallace L
Tamura S
Prochnio K
Morgan K
Hemler D
Źródło:: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2020 Aug; Vol. 99 (8), pp. 689-693.
Typ publikacji:: Clinical Trial; Journal Article
Język:: English
Imprint Name(s):: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Baltimore, MD] : Published by Williams & Wilkins for the Association of Academic Physiatrists, [c1988-
MeSH Terms:: Platelet-Rich Plasma*
Low Back Pain/*therapy
Sacroiliac Joint/*physiopathology
Disability Evaluation ; Female ; Humans ; Injections, Intra-Articular ; Low Back Pain/physiopathology ; Male ; Middle Aged ; Pain Measurement ; Prospective Studies ; Sacroiliac Joint/diagnostic imaging ; Ultrasonography, Interventional
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Meheux CJ, Mcculloch PC, Lintner DM, et al.: Efficacy of intra-articular platelet-rich plasma injections in knee osteoarthritis: a systematic review. Arthroscopy 2016;32:495–505.
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Klauser A, Zordo T, Feuchtner G, et al.: Feasibility of ultrasound-guided sacroiliac joint injection considering sonoanatomic landmarks at two different levels in cadavers and patients. Arthritis Rheum 2008;59:1618–24.
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Entry Date(s):: Date Created: 20200124 Date Completed: 20200727 Latest Revision: 20210202
Update Code:: 20240105
DOI:: 10.1097/PHM.0000000000001389
PMID:: 31972616
: Czasopismo naukowe

Objective: The aim of the study was to investigate the efficacy of ultrasound-guided platelet-rich plasma in reducing sacroiliac joint disability and pain.
Design: Prospective nonrandomized interventional study analyzing 50 patients with low back pain secondary to sacroiliac joint dysfunction. Platelet-rich plasma was injected into the sacroiliac joint under ultrasound guidance. Oswestry Disability Index and Numeric Rating Scale were measured at baseline, 2 wks, 4 wks, 3 mos, and 6 mos after injection.
Results: The mean reduction in Oswestry Disability Index and Numeric Rating Scale scores were significantly reduced at 6 mos after injection compared with baseline values (mean = -9.79%, 95% CI = -6.06 to -13.52) and (mean = -1.94, 95% CI = -1.14 to -2.78), respectively. All timeframes showed significant mean reduction compared with baseline, but overall improvement tapers off after 4 wks with no statistically significant reduction from 4 wks to 3 mos or 3 to 6 mos.
Conclusions: Ultrasound-guided platelet-rich plasma injections in the sacroiliac joint are effective at reducing disability and pain with most improvement seen within 4 wks after injection and with sustained reduction at 6 mos.

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