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非创伤性慢性肩部疼痛与肩袖间隙肌腱厚度的变化无关。

Non-traumatic chronic shoulder pain is not associated with changes in rotator cuff interval tendon thickness.

作者信息

Navarro-Ledesma S, Struyf F, Falla D, Luque-Suarez A

机构信息

Department of Physiotherapy, University of Granada, Melilla, Querol Street, 5, 52004 Melilla, Spain; Department of Physiotherapy, University of Malaga, Spain.

Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Belgium.

出版信息

Clin Biomech (Bristol). 2019 Mar;63:147-152. doi: 10.1016/j.clinbiomech.2019.02.011. Epub 2019 Mar 2.

Abstract

OBJECTIVE

To determine whether the thickness of the rotator interval tendons is different when comparing both symptomatic and non-symptomatic sides in people with chronic shoulder pain, and to those free of pain. Furthermore, to calculate the level of association between the rotator interval tendon thicknesses and perceived shoulder pain-function.

DESIGN

A cross-sectional, observational study.

METHOD

The supraspinatus, subscapularis and biceps brachii tendon thickness of sixty two patients with chronic shoulder pain were determined from standardized ultrasonography measures performed on both shoulders, whereas only the dominant arm was measured for the control subjects.

FINDINGS

Supraspinatus, subscapularis and biceps brachii tendon thickness was comparable between sides in the symptomatic group and was also comparable between the symptomatic and asymptomatic participants. In addition, the correlation between the tendon thickness and shoulder pain-function was non-significant.

INTERPRETATIONS

Tendon thickness was unaltered in people with chronic shoulder pain. These findings do not rule out the possibility that other changes in the tendon are present such as changes in the elastic properties and cell population and this should be explored in future studies.

摘要

目的

比较慢性肩痛患者有症状一侧与无症状一侧以及无痛者双侧的旋转间隙肌腱厚度是否存在差异。此外,计算旋转间隙肌腱厚度与感知到的肩部疼痛-功能之间的关联程度。

设计

横断面观察性研究。

方法

通过对62例慢性肩痛患者的双肩进行标准化超声测量,确定冈上肌、肩胛下肌和肱二头肌肌腱的厚度,而对照组仅测量优势手臂。

结果

有症状组双侧的冈上肌、肩胛下肌和肱二头肌肌腱厚度相当,有症状参与者与无症状参与者之间的厚度也相当。此外,肌腱厚度与肩部疼痛-功能之间的相关性不显著。

解读

慢性肩痛患者的肌腱厚度未改变。这些发现不排除肌腱存在其他变化(如弹性特性和细胞数量的变化)的可能性,未来研究应探索这一点。

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