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斯宾塞肌肉能量技术与被动拉伸治疗肩周炎的比较:一项单盲随机对照试验

Comparison of Spencer muscle energy technique and Passive stretching in adhesive capsulitis: A single blind randomized control trial.

作者信息

Iqbal Mushyyaida, Riaz Huma, Ghous Misbah, Masood Kanza

机构信息

Sargodha Institute of Health Sciences, Sargodha, Pakistan.

Riphah International University, Islamabad, Pakistan.

出版信息

J Pak Med Assoc. 2020 Dec;70(12(A)):2113-2118. doi: 10.5455/JPMA.23971.

Abstract

OBJECTIVE

To compare the effects of Spencer muscle energy technique and passive stretching in adhesive capsulitis.

METHODS

The single-blind randomised control trial was conducted at the District Headquarter Hospital and Fatima Hospital, Sargodha, Pakistan, from February to May 2018, and comprised patients of either gender aged 30-55 years with idiopathic frozen shoulder stage 1 and 2 or stiff painful shoulder joint for at least 3 months. They were randomised into two equal groups using the sealed envelope method. Group 1 was exposed to muscle energy technique, while group 2 was exposed to passive stretching. Pain, shoulder range of motion and function were assessed by numeric pain rating scale, goniometer, shoulder pain and disability index and the quick version of the disabilities of the arm, shoulder and hand questionnaire. Measurements were taken at baseline, 2nd and 4th week. Data was analysed using SPSS 20.

RESULTS

Of the 60 patients, there were 30(50%) in each of the two groups. There were 39(65%) females and 21(35%) males with an overall mean age of 45.84±5.88 years. All parameters significantly improved in group 1 compared to group 2 t post-intervention (p<0.001).

CONCLUSIONS

Spencer technique was found to be more effective than passive stretching in treating patients with adhesive capsulitis.

摘要

目的

比较斯宾塞肌肉能量技术与被动拉伸对粘连性关节囊炎的治疗效果。

方法

2018年2月至5月在巴基斯坦萨戈达地区总部医院和法蒂玛医院开展单盲随机对照试验,纳入年龄在30 - 55岁之间、患有1期和2期特发性肩周炎或肩关节僵硬疼痛至少3个月的患者,无论性别。采用密封信封法将他们随机分为两组。第1组接受肌肉能量技术治疗,第2组接受被动拉伸治疗。采用数字疼痛评分量表、量角器、肩部疼痛和功能障碍指数以及手臂、肩部和手部功能障碍快速问卷评估疼痛、肩关节活动范围和功能。在基线、第2周和第4周进行测量。使用SPSS 20对数据进行分析。

结果

60例患者中,两组各30例(50%)。女性39例(65%),男性21例(35%),总体平均年龄为45.84±5.88岁。干预后第1组所有参数较第2组均有显著改善(p<0.001)。

结论

在治疗粘连性关节囊炎患者方面,发现斯宾塞技术比被动拉伸更有效。

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