1Gaspar Doctors of Physical Therapy, 981 Lomas Santa Fe, Ste A Solana Beach, CA 92075, USA.
BMC Musculoskelet Disord. 2009 Sep 7;10:111. doi: 10.1186/1471-2474-10-111.
Adhesive Capsulitis (AC) affects patient of all ages, and stretching protocols are commonly prescribed for this condition. Dynamic splinting has been shown effective in contracture reduction from pathologies including Trismus to plantar fasciitis. The purpose of this study was to examine the efficacy of dynamic splinting on patients with AC.
This controlled, cohort study, was conducted at four physical therapy, sports medicine clinics in Texas and California. Sixty-two patients diagnosed with Stage II Adhesive Capsulitis were grouped by intervention. The intervention categories were as follows: Group I (Control); Group II (Physical Therapy exclusively with standardized protocols); Group III; (Shoulder Dynasplint system exclusively); Group IV (Combined treatment with Shoulder Dynasplint and standardized Physical Therapy). The duration of this study was 90 days for all groups, and the main outcome measures were change in active, external rotation.
Significant difference was found for all treatment groups (p < 0.001) following a one-way ANOVA. The greatest change with the smallest standard deviation was for the combined treatment group IV, (mean change of 29 degrees ).
The difference for the combined treatment group was attributed to patients' receiving the best PT combined with structured "home therapy" that contributed an additional 90 hours of end-range stretching. This adjunct should be included in the standard of care for adhesive Capsulitis.
NCT00873158.
粘连性肩关节囊炎（AC）影响所有年龄段的患者，通常为这种疾病开拉伸方案。动态夹板已被证明可有效减少包括牙关紧闭到足底筋膜炎等疾病的挛缩。本研究的目的是研究动态夹板对粘连性肩关节囊炎患者的疗效。
这项对照、队列研究在德克萨斯州和加利福尼亚州的四个物理治疗、运动医学诊所进行。62 名被诊断为 II 期粘连性肩关节囊炎的患者按干预分组。干预类别如下：第 I 组（对照组）；第 II 组（仅接受标准化方案的物理治疗）；第 III 组（仅使用肩 Dynasplint 系统）；第 IV 组（肩 Dynasplint 和标准化物理治疗联合治疗）。所有组的研究持续时间均为 90 天，主要结局指标为主动外旋的变化。
单因素方差分析显示，所有治疗组均有显著差异（p < 0.001）。联合治疗组 IV 的变化最大，标准差最小（平均变化 29 度）。
联合治疗组的差异归因于患者接受了最好的物理治疗，并结合了结构化的“家庭治疗”，这额外增加了 90 小时的末端范围伸展。这种附加治疗应包含在粘连性肩关节囊炎的标准治疗中。
NCT00873158。
