团体物理治疗干预非创伤性、不可手术性肩部疼痛的有效性：一项随机临床试验。

Effectiveness of a Group Physiotherapy Intervention in Nontraumatic, Inoperable Painful Shoulder: A Randomized Clinical Trial.

机构信息

From the Rehabilitation Service, University Hospital of San Juan de Alicante, Alicante, Spain (MRA-G, RCB-C, RN-G); Department of Pathology and Surgery, Miguel Hernández University, Alicante, Spain (MRA-G, RCB-C, MIT-R); and Department of Clinical Medicine, Miguel Hernández University, Alicante, Spain (AP-B).

出版信息

Am J Phys Med Rehabil. 2018 Feb;97(2):110-115. doi: 10.1097/PHM.0000000000000817.

DOI:10.1097/PHM.0000000000000817

PMID:28857770

Abstract

PURPOSE

The aim of the study was to assess the effectiveness of a group intervention in painful shoulder.

DESIGN

This was a two-arm controlled clinical trial with a 5-wk follow-up and 1:1 allocation ratio with pretreatment and posttreatment assessments in a Spanish hospital in 2015-2016. This study comprised 74 patients with nontraumatic, inoperable painful shoulder. Patients were randomized into two groups: (1) in intervention, patients underwent group rehabilitation exercises supervised by a physical therapist and (2) in control, patients performed the same exercises as the intervention group but in their own home. The main variables were the differences preintervention and postintervention between scores on the visual analog scale, Constant-Murley scale, and Disabilities of the Arm, Shoulder and Hand scale. The mean differences in the main variables were compared between the two interventions (t test). Registration code is NCT02541279 (clinicaltrials.gov).

RESULTS

Differences were found in favor of the intervention group: (1) visual analog scale = -0.1 (P = 0.723), (2) Constant-Murley = 4.1 (P = 0.085), and (3) Disabilities of the Arm, Shoulder and Hand = 14.7 (P < 0.001).

CONCLUSIONS

Relevant improvements were obtained with our intervention in the Disabilities of the Arm, Shoulder and Hand scale.

摘要

目的

本研究旨在评估肩部疼痛的小组干预的效果。

设计

这是一项 2015-2016 年在西班牙一家医院进行的双臂对照临床试验，有 5 周的随访和 1:1 的分配比例，治疗前和治疗后均进行评估。本研究包括 74 名非创伤性、不可手术的肩部疼痛患者。患者被随机分为两组：（1）干预组，患者接受物理治疗师监督的小组康复锻炼；（2）对照组，患者在家中进行与干预组相同的锻炼。主要变量是视觉模拟量表、Constant-Murley 量表和上肢功能障碍评分（DASH）的评分在干预前后的差异。主要变量的平均差异在两种干预之间进行了比较（t 检验）。注册号为 NCT02541279（clinicaltrials.gov）。