Leung May S F, Cheing Gladys L Y
Physiotherapy Department, Our Lady of Maryknoll Hospital, Hong Kong.
J Rehabil Med. 2008 Feb;40(2):145-50. doi: 10.2340/16501977-0146.
To determine whether the addition of deep or superficial heating to stretching produces better clinical outcomes than stretching alone in the management of frozen shoulder.
A single-blinded, randomized controlled study.
Thirty subjects suffering from the stiffness phase of frozen shoulder.
Subjects were randomly allocated to receive: (i) deep heating plus stretching; (ii) superficial heating plus stretching; or (iii) stretching alone. Both heating groups received the respective treatments 3 times per week for 4 weeks. All groups received a standard set of shoulder stretching exercises. The American Shoulder and Elbow Surgeons assessment form was recorded at the baseline, sessions 6 and 12, and at the 4-week follow-up session.
A significant improvement was seen in all groups in all outcome measures except for that of shoulder flexion range. The improvement in the shoulder score index and in the range of motion was significantly better in the deep heating group than in the superficial heating group.
The addition of deep heating to stretching exercises produced a greater improvement in pain relief, and resulted in better performance in the activities of daily living and in range of motion than did superficial heating.
确定在肩周炎的治疗中，在拉伸基础上增加深部或浅表加热是否比单纯拉伸产生更好的临床效果。
单盲随机对照研究。
30名处于肩周炎僵硬期的受试者。
受试者被随机分配接受：（i）深部加热加拉伸；（ii）浅表加热加拉伸；或（iii）单纯拉伸。两个加热组每周接受各自的治疗3次，共4周。所有组都接受一组标准的肩部拉伸练习。在基线、第6次和第12次治疗时以及4周随访时记录美国肩肘外科医生评估表。
除肩部前屈范围外，所有组在所有结局指标上均有显著改善。深部加热组的肩部评分指数和活动范围的改善明显优于浅表加热组。
在拉伸练习中增加深部加热比浅表加热在缓解疼痛方面有更大改善，并且在日常生活活动和活动范围方面表现更好。
