Faber Elske, Kuiper Judith I, Burdorf Alex, Miedema Harald S, Verhaar Jan A N
Netherlands Expert Centre for Work Related Musculoskeletal Disorders, Erasmus MC, Rotterdam, The Netherlands.
J Occup Rehabil. 2006 Mar;16(1):7-25. doi: 10.1007/s10926-005-9003-2.
The goal of this systematic review is to evaluate the effectiveness of different treatments for impingement syndrome and rotator cuff tear on the improvement in functional limitations and concomitant duration of sick leave. A systematic search for clinical trials or controlled studies was conducted with the following text words: should*, rotator cuff, impingement, work, sick leave, disabilit*, function*. Nineteen articles were included in this review. For functional limitations, there is strong evidence that extracorporeal shock-wave therapy is not effective, moderate evidence that exercise combined with manual therapy is more effective than exercise alone, that ultrasound is not effective, and that open and arthroscopic acromioplasty are equally effective on the long term. For all other interventions there is only limited evidence. We found many studies using range of motion and pain as outcome measures but functional limitations were less often used as an outcome measure in this type of research. Duration of sick leave was seldom included as an outcome measure.
本系统评价的目的是评估针对撞击综合征和肩袖撕裂的不同治疗方法在改善功能受限以及病假持续时间方面的有效性。使用以下关键词对临床试验或对照研究进行了系统检索：should*、肩袖、撞击、工作、病假、残疾*、功能*。本评价纳入了19篇文章。对于功能受限，有强有力的证据表明体外冲击波疗法无效，有中等证据表明运动联合手法治疗比单纯运动更有效，超声治疗无效，并且开放和关节镜下肩峰成形术长期效果相当。对于所有其他干预措施，仅有有限的证据。我们发现许多研究将关节活动度和疼痛作为结局指标，但在这类研究中较少将功能受限作为结局指标。病假持续时间很少被纳入结局指标。
