监督下的物理治疗对肩周炎的治疗效果。

The efficacy of supervised physiotherapy for the treatment of adhesive capsulitis.

作者信息

Ulusoy H, Sarica N, Arslan S, Olcay C, Erkorkmaz U

机构信息

Gaziosmanpasa University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Tokat, Turkey.

出版信息

Bratisl Lek Listy. 2011;112(4):204-7.

PMID:21585129

Abstract

OBJECTIVES

The aim of this study was to evaluate the efficacy of supervised physiotherapy supplemented with non-steroidal antiinflammatory drugs (NSAIDs) for treating adhesive capsulitis.

BACKGROUND

Even though adhesive capsulitis is a common disorder, literature on its treatment is still limited.

METHODS

Forty-five patients with adhesive capsulitis treated between 2004 and 2007 were reviewed retrospectively and 29 patients were enrolled in the study. All patients received a supervised physiotherapy program supplemented with NSAIDs. The outcome variables were determined as passive range of motion (ROM) values and intensity of shoulder pain. The clinical assessment was performed at the initial visit and immediately after physiotherapy. One to four years after the supervised physiotherapy, the resolved patients were reevaluated.

RESULTS

The mean age of patients was 55.4+/-9.2 years. Fifteen patients (51.7 %) were women and 14 (48.3 %) were men. The average length of supervised physiotherapy was 3.5+/-0.5 weeks. After physiotherapy, the shoulder flexion, abduction and external rotation significantly increased (p<0.001) compared with the initial values. Additionally, shoulder pain significantly decreased (p<0.001). In the follow-up, 25 (86.2 %) of 29 patients were resolved with physiotherapy, whereas 4 (13.8 %) patients required capsular release operation because of residual functional impairment. As to long-term results of patients resolved with physiotherapy, 45.4 % of cases were cured with less than a 10 % loss in total passive ROM of the shoulder, 22.7 % of cases with a total ROM loss between 10 and 20 %, 18.1 % of cases with a total ROM loss from 20 to 30 %, and lastly, 13.6% of cases with a total ROM loss up to 40 %.

CONCLUSIONS

Supervised physiotherapy supplemented with NSAIDs improves the ROM values in most of patients with adhesive capsulitis. A small percentage of patients may require operative treatment (Tab. 2, Fig. 1, Ref. 23). Full Text in free PDF www.bmj.sk.

摘要

目的

本研究旨在评估在非甾体类抗炎药（NSAIDs）辅助下的监督式物理治疗对治疗肩周炎的疗效。

背景

尽管肩周炎是一种常见疾病，但其治疗方面的文献仍然有限。

方法

回顾性分析2004年至2007年间接受治疗的45例肩周炎患者，其中29例纳入研究。所有患者均接受了在NSAIDs辅助下的监督式物理治疗方案。将被动活动范围（ROM）值和肩部疼痛强度确定为结局变量。在初次就诊时和物理治疗后立即进行临床评估。在监督式物理治疗1至4年后，对康复的患者进行重新评估。

结果

患者的平均年龄为55.4±9.2岁。15例（51.7%）为女性，14例（48.3%）为男性。监督式物理治疗的平均时长为3.5±0.5周。物理治疗后，与初始值相比，肩部前屈、外展和外旋显著增加（p<0.001）。此外，肩部疼痛显著减轻（p<0.001）。在随访中，29例患者中有25例（86.2%）通过物理治疗康复，而4例（13.8%）患者因残留功能障碍需要进行关节囊松解手术。至于通过物理治疗康复的患者的长期结果，45.4%的病例治愈，肩部总被动ROM损失小于10%，22.7%的病例ROM总损失在10%至20%之间，18.1%的病例ROM总损失在20%至30%之间，最后，13.6%的病例ROM总损失高达40%。