Walmsley Sarah, Osmotherly Peter G, Rivett Darren A
School of Health Sciences, Faculty of Health, The University of Newcastle, University Drive, Callaghan, NSW, 2308 Newcastle, Australia.
Physiotherapy. 2014 Dec;100(4):336-43. doi: 10.1016/j.physio.2014.02.001. Epub 2014 Mar 12.
To evaluate patients clinically diagnosed with early stage primary/idiopathic adhesive capsulitis to determine the existence of any pattern of movement loss and associated pain that may facilitate early recognition.
Cross-sectional study.
Private upper limb specialty clinic, Newcastle, Australia.
Fifty-two patients clinically diagnosed with early stage adhesive capsulitis by a medical practitioner or physiotherapist.
Percentage loss of active and passive ranges of eight shoulder movements and the pain level at the end of each movement. The reason for limitation of movement was also recorded.
Factor analysis clearly identified two groups for percentage loss of active range of movement. Notably external rotation movements grouped separately from other movements. A single group emerged for percentage loss of passive range of movement suggesting a non-specific global loss. For both pain at the end of active range of movement and passive range of movement two groups emerged, however the delineation between the groups was less clear than for percentage loss of active range of movement suggesting a pattern of end range pain may be less useful in identifying patients in this stage.
External rotation movements in neutral and abduction generally group together and behave differently to other shoulder movements in patients clinically diagnosed with early stage primary/idiopathic adhesive capsulitis. In particular external rotation in abduction has emerged as the most painfully limited movement in this sample. This study provides preliminary evidence of patterns of range of movement and end range pain that require testing in a population of mixed shoulder diagnoses to determine their diagnostic utility for early stage adhesive capsulitis.
评估临床诊断为早期原发性/特发性粘连性关节囊炎的患者，以确定是否存在任何可能有助于早期识别的运动丧失模式和相关疼痛。
横断面研究。
澳大利亚纽卡斯尔的私立上肢专科诊所。
52名经医生或物理治疗师临床诊断为早期粘连性关节囊炎的患者。
八个肩部运动的主动和被动活动范围的丧失百分比以及每个运动结束时的疼痛程度。还记录了运动受限的原因。
因子分析清楚地确定了主动运动范围丧失百分比的两组。值得注意的是，外旋运动与其他运动分开分组。被动运动范围丧失百分比出现了单一组，表明是一种非特异性的整体丧失。对于主动运动范围结束时的疼痛和被动运动范围结束时的疼痛，出现了两组，然而两组之间的划分不如主动运动范围丧失百分比那么清晰，这表明终末范围疼痛模式在识别该阶段患者时可能不太有用。
在临床诊断为早期原发性/特发性粘连性关节囊炎的患者中，中立位和外展位的外旋运动通常聚集在一起，其表现与其他肩部运动不同。特别是在外展位的外旋已成为该样本中最受疼痛限制的运动。本研究提供了运动范围和终末范围疼痛模式的初步证据，需要在混合肩部诊断人群中进行测试，以确定它们对早期粘连性关节囊炎的诊断效用。
