Djordjevic Olivera C, Vukicevic Danijela, Katunac Ljiljana, Jovic Stevan
Clinic for Rehabilitation Dr Miroslav Zotovic, Belgrade, Serbia.
J Manipulative Physiol Ther. 2012 Jul;35(6):454-63. doi: 10.1016/j.jmpt.2012.07.006. Epub 2012 Aug 24.
The purpose of this study was to compare the efficacy of Mobilization with Movement (MWM) and kinesiotaping (KT) techniques with a supervised exercise program in participants with patients with shoulder pain.
Twenty subjects with shoulder pain were included if subjects were diagnosed by the referring physician with either rotator cuff lesion with impingement syndrome or impingement shoulder syndrome. Participants were randomly assigned to 1 of 2 groups after clinical and radiologic assessment: group 1 was treated with MWM and KT techniques, whereas group 2 was treated with a supervised exercise program. The main outcome measures were active pain-free shoulder abduction and flexion tested on days 0, 5, and 10.
Improvement in active pain-free shoulder range of motion was significantly higher in the group treated with MWM and KT. Repeated-measures analysis of variance indicated significant effects of treatment, time, and treatment×time interaction.
This study suggests that MWM and KT may be an effective and useful treatment in range of motion augmentation of subjects with rotator cuff lesion and impingement syndrome or impingement shoulder syndrome.
本研究旨在比较活动中松动术（MWM）和肌内效贴扎（KT）技术联合监督下的运动计划，对肩痛患者的疗效。
纳入20例肩痛患者，这些患者由转诊医生诊断为伴有撞击综合征的肩袖损伤或撞击性肩部综合征。在临床和放射学评估后，参与者被随机分配到2组中的1组：第1组采用MWM和KT技术治疗，而第2组采用监督下的运动计划治疗。主要结局指标是在第0、5和10天测试的主动无痛肩关节外展和屈曲。
采用MWM和KT治疗的组中，主动无痛肩关节活动范围的改善明显更高。重复测量方差分析表明治疗、时间和治疗×时间交互作用有显著影响。
本研究表明，MWM和KT可能是增加肩袖损伤和撞击综合征或撞击性肩部综合征患者活动范围的一种有效且有用的治疗方法。
