van den Dolder Paul A, Ferreira Paulo H, Refshauge Kathryn M
P.A. van den Dolder, PhD, Illawarra Shoalhaven Local Health District, Wollongong, Australia. Mailing address: 43 Rosewall Dr, Menai, New South Wales, 2234, Australia.
P.H. Ferreira, PhD, Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
Phys Ther. 2015 Nov;95(11):1467-77. doi: 10.2522/ptj.20140350. Epub 2015 May 28.
Soft tissue massage and exercise are commonly used to treat episodes of shoulder pain.
The study objective was to compare the effects of soft tissue massage and exercise with those of exercise alone on pain, disability, and range of motion in people with nonspecific shoulder pain.
This was a randomized controlled trial.
The study was conducted in public hospital physical therapy clinics in Sydney, New South Wales, Australia.
The study participants were 80 people with an average age of 62.6 years (SD=12.2) who were referred to physical therapists for treatment of nonspecific shoulder pain.
Participants were randomly assigned to either a group that received soft tissue massage around the shoulder and exercises (n=40) or a group that received exercise only (n=40) for 4 weeks.
The primary outcome was improvement in pain, as measured on a 100-mm visual analog scale, 1 week after the cessation of treatment. Secondary outcomes were disability and active flexion, abduction, and hand-behind-back range of motion. Measurements were obtained at baseline, 1 week after the cessation of treatment, and 12 weeks after the cessation of treatment.
The between-group difference in pain scores from the baseline to 12 weeks after the cessation of treatment demonstrated a small significant difference in favor of the group receiving exercise only (mean difference=14.7 mm). There were no significant differences between groups in any other variable.
It was not possible to mask therapists or participants to group allocation. Diagnostic tests were not used on participants to determine specific shoulder pathology.
The addition of soft tissue massage to an exercise program for the shoulder conferred no additional benefit for improving pain, disability, or range of motion in people with nonspecific shoulder pain.
软组织按摩和运动常用于治疗肩部疼痛发作。
本研究的目的是比较软组织按摩和运动与单纯运动对非特异性肩部疼痛患者疼痛、功能障碍和活动范围的影响。
这是一项随机对照试验。
该研究在澳大利亚新南威尔士州悉尼的公立医院物理治疗诊所进行。
研究参与者为80名平均年龄62.6岁（标准差=12.2）的患者，他们因非特异性肩部疼痛被转介给物理治疗师进行治疗。
参与者被随机分配到一组接受肩部周围软组织按摩和运动（n=40）或一组仅接受运动（n=40），为期4周。
主要结局是治疗停止后1周，用100毫米视觉模拟量表测量的疼痛改善情况。次要结局是功能障碍以及主动屈曲、外展和手背后活动范围。在基线、治疗停止后1周和治疗停止后12周进行测量。
从基线到治疗停止后12周，两组之间的疼痛评分差异显示，仅接受运动的组有微小但显著的差异（平均差异=14.7毫米）。其他任何变量在两组之间均无显著差异。
无法对治疗师或参与者隐瞒分组情况。未对参与者进行诊断测试以确定具体的肩部病理情况。
在肩部运动计划中添加软组织按摩对改善非特异性肩部疼痛患者的疼痛、功能障碍或活动范围没有额外益处。
