Escola Superior Saúde-Instituto Politécnico de Setúbal, 2910-761 Setúbal, Portugal.
Escola Superior de Saúde do Alcoitão, 2649-506 Alcabideche, Portugal.
Sensors (Basel). 2021 Apr 20;21(8):2888. doi: 10.3390/s21082888.
Current clinical practice lacks consistent evidence in the management of scapular dyskinesis. This study aims to determine the short- and long-term effects of a scapular-focused exercise protocol facilitated by real-time electromyographic biofeedback (EMGBF) on pain and function, in individuals with rotator cuff related pain syndrome (RCS) and anterior shoulder instability (ASI). One-hundred and eighty-three patients were divided into two groups ( = 117 RCS and = 66 ASI) and guided through a structured exercise protocol, focusing on scapular dynamic control. Values of pain and function (shoulder pain and disability index (SPADI) questionnaire, complemented by the numeric pain rating scale (NPRS) and disabilities of the arm, shoulder, and hand (DASH) questionnaire) were assessed at the initial, 4-week, and 2-year follow-up and compared within and between. There were significant differences in pain and function improvement between the initial and 4-week assessments. There were no differences in the values of DASH 1st part and SPADI between the 4-week and 2-year follow-up. There were no differences between groups at the baseline and long-term, except for DASH 1st part and SPADI ( < 0.05). Only 29 patients (15.8%) had a recurrence episode at follow-up. These results provide valuable information on the positive results of the protocol in the short- and long-term.
目前，在肩胛运动障碍的管理中，临床实践缺乏一致性的证据。本研究旨在确定肩胛聚焦运动方案在实时肌电图生物反馈（EMGBF）辅助下对肩袖相关疼痛综合征（RCS）和前肩不稳定（ASI）患者疼痛和功能的短期和长期效果。183 名患者分为两组（=117 名 RCS 和=66 名 ASI），并通过一个侧重于肩胛动态控制的结构化运动方案进行指导。在初始、4 周和 2 年随访时评估疼痛和功能（肩痛和残疾指数（SPADI）问卷，辅以数字疼痛评分量表（NPRS）和手臂、肩部和手残疾（DASH）问卷），并在内部和组间进行比较。在初始和 4 周评估之间，疼痛和功能改善有显著差异。在 4 周和 2 年随访之间，DASH 第一部分和 SPADI 的数值没有差异。除了 DASH 第一部分和 SPADI（<0.05）外，基线和长期时组间没有差异。随访时仅有 29 名患者（15.8%）出现复发。这些结果提供了关于方案在短期和长期内的积极结果的有价值信息。
