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特定运动策略对肩峰下撞击综合征患者手术需求的影响:随机对照研究。

Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study.

机构信息

Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, SE-581 83, Linköping, Sweden.

Department of Orthopaedics, University Hospital, SE-581 85, Linköping.

出版信息

Br J Sports Med. 2014 Oct;48(19):1456-7. doi: 10.1136/bjsports-2014-e787rep.

DOI:10.1136/bjsports-2014-e787rep
PMID:25213604
Abstract

STUDY QUESTION

Can a specific exercise strategy improve shoulder function and pain in patients with subacromial impingement syndrome, thereby decreasing the need for arthroscopic subacromial decompression?

SUMMARY ANSWER

Compared with a control exercise group, patients in the specific exercise group had significantly greater improvements in shoulder function and pain and fewer patients needed surgery at the three month assessment.

WHAT IS KNOWN AND WHAT THIS PAPER ADDS

Different exercise programmes are used as first line treatment in patients with subacromial impingement syndrome, but conclusive evidence to support the efficacy for these programmes is lacking. This specific exercise strategy proved effective in improving shoulder function and pain in patients in whom earlier conservative treatment had failed.

摘要

研究问题

特定的运动疗法能否改善肩峰下撞击综合征患者的肩部功能和疼痛,从而减少关节镜下肩峰下减压术的需求?

总结答案

与对照组相比,特定运动组患者的肩部功能和疼痛有显著改善,且在三个月评估时,需要手术的患者更少。

已知和本研究新增内容

不同的运动方案被用于肩峰下撞击综合征患者的一线治疗,但缺乏这些方案疗效的确凿证据。对于先前保守治疗失败的患者,这种特定的运动疗法在改善肩部功能和疼痛方面被证明是有效的。

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Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study.特定运动策略对肩峰下撞击综合征患者手术需求的影响:随机对照研究。
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Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study.特定运动策略对肩峰下撞击综合征患者手术需求的影响:随机对照研究。
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