Bateman Marcus, Adams Nicola
Physiotherapy Department (Level 3), London Road Community Hospital, Derby Hospitals NHS Foundation Trust, Derby, UK.
Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UK.
SAGE Open Med. 2014 Jan 28;2:2050312113520151. doi: 10.1177/2050312113520151. eCollection 2014.
To conduct a feasibility study to compare concentric and eccentric rotator cuff strengthening exercises for rotator cuff tendinopathy.
A total of 11 patients with rotator cuff tendinopathy who were on the waiting list for arthroscopic subacromial decompression surgery were randomised to perform eccentric rotator cuff strengthening exercises, concentric strengthening exercises or no exercises. Patients were evaluated in terms of levels of pain and function using the Oxford Shoulder Score and a Visual Analogue Scale initially, at 4 weeks and at 8 weeks.
The study design was found to be acceptable to patients and achieved a high level of 86% compliance. The drop-out rate was 0%. Two patients performing eccentric strengthening exercises improved sufficiently to cancel their planned surgery.
Further research in this area is recommended. The study design was feasible and power calculations have been conducted to aid future research planning.
开展一项可行性研究，比较用于肩袖肌腱病的向心和离心肩袖强化练习。
总共11名等待关节镜下肩峰下减压手术的肩袖肌腱病患者被随机分为三组，分别进行离心肩袖强化练习、向心强化练习或不进行练习。最初、4周和8周时，使用牛津肩部评分和视觉模拟量表对患者的疼痛程度和功能进行评估。
研究设计被患者接受，依从性高达86%。脱落率为0%。两名进行离心强化练习的患者改善明显，取消了计划中的手术。
建议在该领域开展进一步研究。该研究设计可行，已进行功效计算以辅助未来的研究规划。
