肩袖强化作为粘连性关节囊炎患者标准治疗辅助手段的效果：一项随机对照试验。
Effect of rotator cuff strengthening as an adjunct to standard care in subjects with adhesive capsulitis: A randomized controlled trial.
作者信息
Rawat Pallavi, Eapen Charu, Seema Kulathuran Pillai
机构信息
Department of Physiotherapy, Manipal University, KMC Hospital, Mangalore, Karnataka, India.
Department of Physiotherapy, Manipal University, KMC Hospital, Mangalore, Karnataka, India.
出版信息
J Hand Ther. 2017 Jul-Sep;30(3):235-241.e8. doi: 10.1016/j.jht.2016.10.007. Epub 2016 Nov 21.
STUDY DESIGN
Randomized controlled trial.
PURPOSE OF THE STUDY
To study the effect of adding rotator cuff (RC) muscles strengthening to joint mobilization and transcutaneous electrical nerve stimulation (TENS) in patients with adhesive capsulitis.
METHODS
A prospective, parallel-group, randomised clinical trial was conducted on 42 patients. One group received TENS and joint mobilization and in the other group RC muscles strengthening was added. Treatment was given for 12 sessions within 4 weeks.
RESULTS
When compared between the groups statistically significant changes were seen in all the outcome measures in the group that received RC muscle strengthening exercises vs TENS and mobilization. VAS 12.76 ± 1.04 vs 4.05 ± 1.32; SPADI 34.66 ± 6.69 vs 54.29 ± 12.17; PFPS 3.06 ± 0.80 vs 4.70 ± 0.81; and ROM (elevation >125 vs >110 degrees and rotations >70 vs >48 degrees).
CONCLUSIONS
Addition of a structured RC strengthening program to TENS and joint mobilization in the treatment of adhesive capsulitis resulted in improvement in pain, ROM and function.
LEVEL OF EVIDENCE
1b.
研究设计
随机对照试验。
研究目的
探讨在肩周炎患者中，在关节松动术和经皮电刺激神经疗法（TENS）基础上增加肩袖（RC）肌肉强化训练的效果。
方法
对42例患者进行前瞻性、平行组、随机临床试验。一组接受TENS和关节松动术，另一组增加RC肌肉强化训练。在4周内进行12次治疗。
结果
两组比较时，接受RC肌肉强化训练的组在所有结局指标上均出现统计学显著变化，而另一组接受TENS和关节松动术。视觉模拟评分（VAS）：12.76±1.04 vs 4.05±1.32；肩关节功能障碍指数（SPADI）：34.66±6.69 vs 54.29±12.17；疼痛性肩峰下撞击综合征评分（PFPS）：3.06±0.80 vs 4.70±0.81；关节活动度（前屈>125° vs >110°，旋转>70° vs >48°）。
结论
在肩周炎治疗中，在TENS和关节松动术基础上增加结构化的RC强化训练可改善疼痛、关节活动度和功能。
证据级别
1b。
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