Haider Rizwan, Bashir Muhammad Salman, Adeel Muhammad, Ijaz Muhammad Junaid, Ayub Azhar
Department of Physiotherapy, Mayo Hospital.
Associate Professor, UIPT, FAHS, UOL.
J Pak Med Assoc. 2018 Mar;68(3):381-387.
To determine the effect of conservative exercise therapy with and without Maitland thoracic manipulation in patients with subacromial pain.
The randomised controlled trial study was conducted at the Mayo Hospital, Lahore, Pakistan, from June 2015 to February 2016, and comprised patients with subacromial pain (group 1) and controls (group 2).Pre-assessment was done by using numeric pain rating scale and shoulder pain and disability index as subjective measurements, while range of motion was taken as objective measurement. SPSS version 21 was used for data analysis.
Of the 40 participants, there were 20(50%) in each group. The baseline pain intensity on numeric pain rating scale for group 1 was 5.05±1.538 and for group 2 was 5.35±1.137; the values later changed to 0.70±0.923 and 2.30±0.979, respectively. The baseline functional status score according to shoulder pain and disability index for group 1 and 2 was 40.25±12.354 and 43.15±7.343 that changed to 12.30±4.714 and 22.55±5.577, respectively.
Maitland thoracic spinal manipulation with conservative exercise therapy was more effective than conservative exercise therapy alone.
确定在肩峰下疼痛患者中，进行保守运动疗法联合与不联合梅特兰胸椎手法治疗的效果。
2015年6月至2016年2月在巴基斯坦拉合尔的梅奥医院开展了一项随机对照试验研究，纳入肩峰下疼痛患者（第1组）和对照组（第2组）。通过使用数字疼痛评分量表和肩痛与功能障碍指数进行主观测量来进行预评估，同时将活动范围作为客观测量指标。使用SPSS 21版进行数据分析。
40名参与者中，每组各有20名（50%）。第1组在数字疼痛评分量表上的基线疼痛强度为5.05±1.538，第2组为5.35±1.137；这些值后来分别变为0.70±0.923和2.30±0.979。根据肩痛与功能障碍指数，第1组和第2组的基线功能状态评分分别为40.25±12.354和43.15±7.343，后来分别变为12.30±4.714和22.55±5.577。
梅特兰胸椎手法联合保守运动疗法比单纯保守运动疗法更有效。
