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2016, Number 3-4

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Rev Mex Med Fis Rehab 2016; 28 (3-4)

Comparision of peritendinous platelet rich plasma injection versus the peritendinous corticosteroid injection for the treatment of the chronic tendinopathy of the long head of the biceps brachii: Non randomized clinical study

Coria SL, Villaseñor MJC, Sánchez OÁÓ, Herrera FR, Escobar RVH

Language: Spanish
References: 26
Page: 42-48
PDF size: 191.56 Kb.


ABSTRACT

Objective: To determine the efficacy of a single injection of platelet rich plasma (PRP) in the treatment of the chronic tendinopathy of the long portion of the brachial biceps. Design: Non-randomized clinical trial. Location: Ambulatory setting of the Physical Medicine and Rehabilitation Service of the Hospital Regional 1o de Octubre, ISSSTE. Participants: Adults (n = 26) with chronic tendinopathy of the long portion of brachial biceps refractory to pharmacological treatment and physical therapy. Intervention: Single peritendinous PRP injection versus single peritendinous injection of methylprednisolone acetate plus home physical therapy program for both groups. Main output measurements: Visual analog pain scale (VAS), disability questionnaire (DASH), functional scale (Constant). Results: In the PRP group a final mean EVA of 1 (initial EVA of 8) was obtained for the final EVA corticosteroid group 8 (initial EVA 9) at week 6 with a difference between groups of 6 (p ‹ 0.0001 U of Mann-Whitney). DASH with an initial median of 57.5% and final 9.3% for the PRP group; initial median 58.3% and final 67.5% for the control group with a difference between groups of 57.4% (p ‹ 0.0001 with Mann-Whitney U test). Constant with initial median 32 and final 70 for PRP group and initial median of 38 and final of 38 in methylprednisolone acetate group with difference between groups of 38 points (p ‹ 0.0001 with U of Mann-Whitney). Conclusions: The peritendinous injection of PRP showed superiority in the decrease of pain and disability, as well as increase in the functionality of the affected shoulder.


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