Effectiveness of Ultrasound Guidance on Intraarticular and Periarticular Joint Injections: Systematic Review and Meta-analysis of Randomized Trials.

Abstract:

OBJECTIVE:The aim of this study was to evaluate the effectiveness and accuracy of ultrasound-guided intraarticular and periarticular joint injections as compared with landmark-guided injections technique. METHODS:A systematic literature search was performed in Medline, Web of Science, Embase, the Cochrane Central Register of Controlled Trials, reference lists of articles, and other sources. Only randomized controlled trials were included. Two reviewers independently selected and assessed each study for quality and extracted data. RESULTS:Twelve randomized controlled trials were included in the meta-analysis. The results indicated that ultrasound-guided intraarticular and periarticular joint injections were more accurate than the landmark-guided injections (odds ratio, 0.36; 95% confidence interval, 0.22-0.60). Ultrasound-guided joint injections significantly decreased the visual analog scale scores at both 2 wks (mean difference, -9.57; 95% confidence interval, -13.14 to -5.99) (P < 0.00001) and 6 wks (mean difference, -14.21; 95% confidence interval, -18.20 to -10.21) (P < 0.00001) after injection. There was no statistically significant difference in visual analog scale score at 12 wks between ultrasound-guided and landmark-guided intraarticular and periarticular joint injections (mean difference, -4.42; 95% confidence interval, -11.71 to 2.87) (P = 0.23). CONCLUSIONS:Intraarticular and periarticular injections using ultrasound guidance significantly improves the accuracy of joint injections, and there is a significant decrease in visual analog scale scores for up to 6 wks after injection. The effect of ultrasound guidance on the long-term outcome of joint injections is inconclusive. The improved accuracy of injections was associated with pain relief. The authors recommend routine ultrasound guidance for intraarticular and periarticular injections.

journal_name

Am J Phys Med Rehabil

authors

Huang Z,Du S,Qi Y,Chen G,Yan W

doi

10.1097/PHM.0000000000000260

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

775-83

issue

10

eissn

0894-9115

issn

1537-7385

journal_volume

94

pub_type

杂志文章,meta分析,评审
  • Association between body mass index and response to a brief interdisciplinary treatment program in fibromyalgia.

    abstract:OBJECTIVE:The aim of this study was to evaluate the association between baseline body mass index (BMI) and treatment outcome after a brief interdisciplinary fibromyalgia treatment program. DESIGN:Subjects (n = 477) with fibromyalgia participated in the fibromyalgia treatment program. They completed the Fibromyalgia Im...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e318255665c

    authors: Kim CH,Luedtke CA,Vincent A,Thompson JM,Oh TH

    更新日期:2012-07-01 00:00:00

  • Functional neuroimaging and cognitive rehabilitation for people with traumatic brain injury.

    abstract::Cognitive deficits are a common consequence of traumatic brain injury. Although such deficits are amenable to rehabilitation, methods for individualizing cognitive interventions are still unrefined. Functional neuroimaging methods such as positron emission tomography and functional magnetic resonance imaging are emerg...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000150787.26860.12

    authors: Strangman G,O'Neil-Pirozzi TM,Burke D,Cristina D,Goldstein R,Rauch SL,Savage CR,Glenn MB

    更新日期:2005-01-01 00:00:00

  • Robotic approaches for rehabilitation of hand function after stroke.

    abstract::The goal of this review was to discuss the impairments in hand function after stroke and present previous work on robot-assisted approaches to movement neurorehabilitation. Robotic devices offer a unique training environment that may enhance outcomes beyond what is possible with conventional means. Robots apply forces...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0b013e31826bcedb

    authors: Lum PS,Godfrey SB,Brokaw EB,Holley RJ,Nichols D

    更新日期:2012-11-01 00:00:00

  • Painful lateral knee condyle bone marrow edema after treatment with lateral wedged insole.

    abstract::A 50-yr-old man arrived at our department for a rehabilitation prescription after a right knee medial collateral ligament sprain. Magnetic resonance imaging showed medial collateral ligament partial rupture and medial femoral condyle increased signal intensity indicating bone edema. After treatment, the patient still ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181d8d2ae

    authors: Chaler J,Torra M,Dolz JL,Müller B,Garreta R

    更新日期:2010-05-01 00:00:00

  • Complications Associated With Electromyography: A Systematic Review.

    abstract:OBJECTIVES:The aims of the study were to systematically review the available literature concerning complications due to electromyography and to review those associated with nerve conduction studies. DESIGN:A systematic review was undertaken of Medline and Cochrane Central Register of Controlled Trials. Any complicatio...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001304

    authors: Cushman DM,Strenn Q,Elmer A,Yang AJ,Onofrei L

    更新日期:2020-02-01 00:00:00

  • The painful hemiplegic shoulder: effects of intra-articular triamcinolone acetonide.

    abstract::Effects of intra-articular triamcinolone acetonide on pain and passive range of motion (ROM) in the painful hemiplegic shoulder were studied. A Multiple baseline (or AB) design across seven subjects was used. The length of the baseline condition (or A phase) was either 2 or 3 wk, and randomized across subjects. Subseq...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00002060-199701000-00008

    authors: Dekker JH,Wagenaar RC,Lankhorst GJ,de Jong BA

    更新日期:1997-01-01 00:00:00

  • Amantadine for adynamic speech: possible benefit for aphasia?

    abstract:OBJECTIVE:Dopaminergic agents may stimulate behavior and verbal expression after frontal lobe dysfunction. Although amantadine is used in neurorehabilitation of motivational disorders and head injury, it is not commonly prescribed to improve aphasia. This pilot study examined verbal fluency on and off amantadine for no...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31811473b3

    authors: Barrett AM,Eslinger PJ

    更新日期:2007-08-01 00:00:00

  • Research agenda for geriatric rehabilitation.

    abstract::The Research Agenda Setting Process is a joint endeavor by the American Geriatrics Society and the Hartford Foundation to increase geriatric expertise in the surgical and related specialties. This article provides the results of the Research Agenda Setting Process project on research needs in geriatric rehabilitation,...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000143435.79146.9f

    authors: Hoenig H,Siebens H

    更新日期:2004-11-01 00:00:00

  • Lower gastrointestinal bleeding associated with diclofenac topical patch in a patient with colonic mass and on antiplatelet therapy for atrial fibrillation.

    abstract::Topical formulations of diclofenac, a nonsteroidal anti-inflammatory drug commonly prescribed to treat musculoskeletal complaints such as osteoarthritis, low back pain, and myofascial pain, are available in the form of a solution, gel, and patch. The topical application of diclofenac results in substantially lower sys...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000172

    authors: Lee J,Burke DT

    更新日期:2014-11-01 00:00:00

  • Physiological basis of fatigue.

    abstract::This work summarizes our knowledge of the physiological basis of fatigue and the effects of exercise and pharmacological interventions on fatigue. Fatigue may be defined as physical and/or mental weariness resulting from exertion, that is, an inability to continue exercise at the same intensity with a resultant deteri...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/phm.0b013e31802ba53c

    authors: Evans WJ,Lambert CP

    更新日期:2007-01-01 00:00:00

  • Association of Participation in the American Board of Physical Medicine and Rehabilitation Maintenance of Certification Program and Physician Disciplinary Actions.

    abstract:OBJECTIVE:The study analyzed the relationship between participation in the American Board of Physical Medicine and Rehabilitation maintenance of certification program and the incidence of disciplinary actions by state medical boards over a physician's career. The hypothesis is that physicians who do not maintain their ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001331

    authors: Kinney CL,Raddatz MM,Sliwa JA,Driscoll SW,Robinson LR

    更新日期:2020-04-01 00:00:00

  • Integration of Chronic Disability Management in a Medical Student Curriculum.

    abstract:ABSTRACT:Increasing exposure to the needs of patients with chronic disability is important in fostering confidence and comfort in disability knowledge and management among medical students and residents of all disciplines. The 2013 Association of American Medical Colleges Graduation Survey of graduating medical student...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001590

    authors: Bosques G,Philip K,Francisco GE

    更新日期:2021-02-01 00:00:00

  • Publish or perish?: physician research productivity during residency training.

    abstract:OBJECTIVE:The aim of this study was to describe the rate and the types of resident physician peer-reviewed publications. Variables of interest include the type of publications, subject matter, external funding, study design, and quality of research by resident physicians published while in training. DESIGN:This is a r...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3182876197

    authors: Gaught AM,Cleveland CA,Hill JJ 3rd

    更新日期:2013-08-01 00:00:00

  • Development and evaluation of a new taxonomy of mobility-related assistive technology devices.

    abstract:OBJECTIVE:This article reports on the development of a new taxonomy for mobility-related assistive technology devices. DESIGN:A prototype taxonomy was created based on the extant literature. Five mobility device experts were engaged in a modified Delphi process to evaluate and refine the taxonomy. RESULTS:Multiple it...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181f1bbcd

    authors: Shoemaker LL,Lenker JA,Fuhrer MJ,Jutai JW,Demers L,DeRuyter F

    更新日期:2010-10-01 00:00:00

  • Use of power assist wheels results in increased distance traveled compared with conventional manual wheeling.

    abstract:OBJECTIVE:To evaluate the impact of power assist wheels on the distance traveled by manual wheelchair users and analyze potential cofactors in the magnitude of response and to test the hypothesis that wheelers would travel significantly further with power assist wheels. DESIGN:A 16-wk A (Preintervention)-B (Interventi...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181e72286

    authors: Levy CE,Buman MP,Chow JW,Tillman MD,Fournier KA,Giacobbi P Jr

    更新日期:2010-08-01 00:00:00

  • Hemipelvectomy: high-level amputation surgery and prosthetic rehabilitation.

    abstract::The hemipelvectomy, most commonly performed for pelvic tumor resection, is one of the most technically demanding and invasive surgical procedures performed today. Adequate soft tissue coverage and wound complications after hemipelvectomy are important considerations. Rehabilitation after hemipelvectomy is optimally ma...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0000000000000068

    authors: Houdek MT,Kralovec ME,Andrews KL

    更新日期:2014-07-01 00:00:00

  • Activation of the quadriceps muscle during semisquatting with different hip and knee positions in patients with anterior knee pain.

    abstract:OBJECTIVE:We measured the surface electromyographic activities of vastus medialis obliquus and vastus lateralis in 16 subjects with patellofemoral joint pain syndrome. DESIGN:Each subject performed bilateral static knee extension exercises at 60% of his or her maximal voluntary effort under different combinations of h...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00002060-200111000-00003

    authors: Lam PL,Ng GY

    更新日期:2001-11-01 00:00:00

  • Effectiveness of device-assisted ultrasound-guided steroid injection for treating plantar fasciitis.

    abstract:OBJECTIVE:The aim of this study was to investigate the effectiveness of device-assisted ultrasound-guided steroid injection for treating plantar fasciitis. DESIGN:An ultrasound-guided injection device designed with space for securing a transducer and syringe was used to guide steroid injection. Patients with unilatera...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PHM.0b013e318278a831

    authors: Chen CM,Chen JS,Tsai WC,Hsu HC,Chen KH,Lin CH

    更新日期:2013-07-01 00:00:00

  • Dynamic postural control in patients with hemiparesis.

    abstract:OBJECTIVE:Decreased postural stability is a common problem associated with hemiparesis secondary to stroke. The purpose of this study was to evaluate dynamic postural control in patients with hemiparesis and in normal subjects matched for age. DESIGN:Quantitative posturography (EquiTest System) was performed to assess...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Ikai T,Kamikubo T,Takehara I,Nishi M,Miyano S

    更新日期:2003-06-01 00:00:00

  • Diagnostic peripheral nerve block resulting in compartment syndrome. Case report.

    abstract::A hemiplegic patient with severe upper extremity spasticity 2 years after a cerebrovascular accident received a diagnostic median nerve block below the elbow with bupivacaine. He had been placed on Coumadin as prophylaxis for cerebrovascular arteriosclerotic disease, and prothrombin time was kept at twice the control ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-198804000-00009

    authors: Parziale JR,Marino AR,Herndon JH

    更新日期:1988-04-01 00:00:00

  • The impact of the inpatient rehabilitation facility prospective payment system on stroke program outcomes.

    abstract:OBJECTIVE:To examine the impact of the Medicare inpatient rehabilitation facility (IRF) prospective payment system (PPS) on outcomes in a stroke rehabilitation program. DESIGN:An analysis was performed on a database including 945 stroke patients admitted to an inpatient stroke rehabilitation program 5 yrs before imple...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31804a7e2f

    authors: Gillen R,Tennen H,McKee T

    更新日期:2007-05-01 00:00:00

  • Cardiorespiratory function of pediatric heart transplant recipients in the early postoperative period.

    abstract::In this study, we sought to assess the cardiopulmonary functions in three pediatric heart transplant recipients, two of whom are with dilated cardiomyopathy, whereas one is with cyanotic heart disease, in early postoperative period. Cardiopulmonary exercise testing was performed using an incremental cycling at 1 mo af...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e318238a0b1

    authors: Chiu HH,Wu MH,Wang SS,Lan C,Chou NK,Chen SY,Lai JS

    更新日期:2012-02-01 00:00:00

  • Comparison of torque and discomfort produced by sinusoidal and rectangular alternating current electrical stimulation in the quadriceps muscle at variable burst duty cycles.

    abstract:OBJECTIVE:The aim of this study was to investigate the effect of neuromuscular electrical stimulation burst duty cycle (BDC) and current type (sinusoidal alternating current [sAC] vs. rectangular alternating current [rAC]) on the electrically induced isometric torque (EIT) and discomfort. Pulsed current (PC) stimulatio...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000008

    authors: Szecsi J,Fornusek C

    更新日期:2014-02-01 00:00:00

  • Low-intensity, alternate-day exercise improves muscle performance without apparent adverse effect in postpolio patients.

    abstract::The purpose of this study was to examine the effect of a low-intensity, alternate-day, 12 wk quadriceps muscle-strengthening exercise program on muscle strength and muscle and motor unit integrity in 12 postpolio patients. Patients performed six to ten repetitions of a 5-s duration knee extension exercise with ankle w...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199601000-00014

    authors: Agre JC,Rodriquez AA,Franke TM,Swiggum ER,Harmon RL,Curt JT

    更新日期:1996-01-01 00:00:00

  • The Swedish SPinal Cord Injury Study on Cardiopulmonary and Autonomic Impairment: Methodology, Cohort Demographics, and Initial Results.

    abstract:OBJECTIVE:The aim of the study was to present the methodology, cohort demographics, and initial results of the Swedish SPinal Cord Injury Study on Cardiopulmonary and Autonomic Impairment (SPICA). DESIGN:The SPICA is based on the Swedish CArdioPulmonary BioImage Study, a study on cardiopulmonary diseases in a cohort o...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001365

    authors: Hill M,Jörgensen S,Engström G,Persson M,Lexell J

    更新日期:2020-06-01 00:00:00

  • Chief residency in PM&R. A balance of education and administration.

    abstract::The role of the Physical Medicine and Rehabilitation (PM&R) chief resident (CR) in physiatry residency education programs is the subject of annual deliberation in many academic centers. A national survey of PM&R programs was conducted to determine CR number, selection method, responsibilities, duration of service, and...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199607000-00003

    authors: Young MA,Stiens SA,Hsu P

    更新日期:1996-07-01 00:00:00

  • Restoration of Vision After Brain Injury Using Magnet Glasses.

    abstract::Visual impairments are common after traumatic brain injury (TBI) and negatively affect quality of life. We describe a 39-year-old woman with a severe TBI who was evaluated by the inpatient optometry and vision rehabilitation service with findings of complete right homonymous hemianopia and right cranial nerve III pals...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000592

    authors: Houston KE,Paschalis EI,Angueira DC,Bronstad PM,Barrett AM,Iaccarino MA

    更新日期:2017-04-01 00:00:00

  • Revisiting physiologic and psychologic triggers that increase spasticity.

    abstract:OBJECTIVE:The aims of this study were to systematically identify and summarize the literature examining the impact of physiologic and psychologic triggers on spasticity and discuss the evidence supporting various types of triggers. DESIGN:PubMed, EMBASE, CINAHL, and PEDro databases were searched using specific keyword...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/phm.0b013e31827d68a4

    authors: Phadke CP,Balasubramanian CK,Ismail F,Boulias C

    更新日期:2013-04-01 00:00:00

  • The beneficial role of intensive exercise on Parkinson disease progression.

    abstract::In the last decade, a considerable number of articles has shown that exercise is effective in improving motor performance in Parkinson disease. In particular, recent studies have focused on the efficacy of intensive exercise in achieving optimal results in the rehabilitation of patients with Parkinson disease. The eff...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0b013e31828cd254

    authors: Frazzitta G,Balbi P,Maestri R,Bertotti G,Boveri N,Pezzoli G

    更新日期:2013-06-01 00:00:00

  • Gait and balance performance improvements attributable to ankle-foot orthosis in subjects with hemiparesis.

    abstract:OBJECTIVE:To assess the change in the balance performance and the improvement in the gait performance of subjects with hemiparesis, as a result of their wearing an ankle-foot orthosis. DESIGN:This was a cross-sectional control trial. Fifty-eight subjects with hemiparesis of a duration of less than 6 mos participated i...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/PHM.0b013e31806dd0d3

    authors: Wang RY,Lin PY,Lee CC,Yang YR

    更新日期:2007-07-01 00:00:00