Zaruba Richard A, Wilson Eric
Physical Therapy Program, University of Jamestown, Fargo, ND, USA.
Tactical Sports OMPT Fellowship, United States Airforce Academy, Colorado SpringsCO, USA.
Int J Sports Phys Ther. 2017 Jun;12(3):458-467.
Costochondritis is commonly encountered in primary care, but is not routinely referred to PT. Costochondritis can last from several weeks to several months, limiting the patient's ability to perform tasks at work and home.
Identify common impairments and examine the effects of treatment in subjects with costochondritis.
Retrospective case series.
Eight subjects were referred to physical therapy for costochondritis (mean duration of condition 6.3 ± 1.3 months) and reported that their condition restricted their ability to participate in occupational and fitness activities. The numerical pain rating scale (NPRS) and patient-specific functional scale (PSFS) were administered at the initial evaluation and at discharge. The Global Rating of Change (GROC) scale was only administered at discharge. All subjects received treatment directed at the cervicothoracic spine and ribcage and consisting of manual therapy and exercise.
Subjects were seen 4.8 ± 0.9 (mean±standard deviation) times. All subjects showed clinically meaningful changes at discharge. The mean NPRS decreased by 5.1 ± 1.7 points; the mean PSFS increased by 5.3 ± 1.4 points; and the mean GROC was 5.9 ± 1.1 points. All subjects were able to return to participation in previous activities without restrictions at discharge.
DISCUSSION - CONCLUSION: The results of this case series suggests that PT utilizing an impairment based examination and treatment approach including manual therapy and therapeutic exercise may facilitate the resolution of costochondritis.
Level IV.
肋软骨炎在初级保健中很常见，但通常不会常规转诊至物理治疗（PT）。肋软骨炎可持续数周或数月，限制患者在工作和家庭中执行任务的能力。
确定肋软骨炎患者的常见功能障碍，并检查治疗效果。
回顾性病例系列。
八名肋软骨炎患者被转诊至物理治疗（病情平均持续时间6.3±1.3个月），并报告其病情限制了他们参与职业和健身活动的能力。在初始评估和出院时使用数字疼痛评分量表（NPRS）和患者特定功能量表（PSFS）。全球变化评分（GROC）量表仅在出院时使用。所有受试者均接受针对颈胸椎和胸廓的治疗，包括手法治疗和运动治疗。
受试者接受治疗4.8±0.9（平均值±标准差）次。所有受试者在出院时均显示出具有临床意义的变化。NPRS平均值下降5.1±1.7分；PSFS平均值增加5.3±1.4分；GROC平均值为5.9±1.1分。所有受试者在出院时均能够不受限制地恢复参与先前的活动。
讨论 - 结论：该病例系列结果表明，采用基于功能障碍的检查和治疗方法（包括手法治疗和治疗性运动）的物理治疗可能有助于肋软骨炎的康复。
四级。
