Dr. İsmail Atabek Physical Therapy and Rehabilitation Center, İzmir.
Faculty of Physical Therapy and Rehabilitation, Dokuz Eylül University, İzmir.
Int J Rehabil Res. 2022 Jun 1;45(2):146-153. doi: 10.1097/MRR.0000000000000521. Epub 2022 Feb 7.
We evaluated the efficacy of adding balance training to a physical therapy program on postural control and health-related quality of life in patients with rotator cuff disease. Forty-two participants were randomly allocated to the control and intervention groups. Both groups received physical therapy (education, stretching, supervised strength training, and home exercise program) 3 days/week for 6 weeks. The intervention group was instructed to perform balance exercises at home. The primary outcomes were the stability index, the Fourier transformation (F5 and F6), the weight distribution index, and the fall index, as assessed by the posturography during eight conditions with different combinations of standing (solid surface, pillows, and different head positions) and vision (eyes open/closed). The secondary outcomes included the Western Ontario Rotator Cuff Index to assess the health-related quality of life, the Shoulder Pain and Disability Index, and the Numeric Pain Rating Scale. The adherence to in-person and home-based therapy was high (>83%). The intervention group significantly improved the stability index, F5, and F6 parameters but each in only one condition (P < 0.05). No significant improvement was found in the conditions for the other primary outcomes and in the health-related quality of life. (P > 0.05). We conclude that adding the balance training protocol to the physical therapy program does not improve postural control and health-related quality of life in patients with rotator cuff disease.
我们评估了在肩袖疾病患者的物理治疗方案中增加平衡训练对姿势控制和健康相关生活质量的疗效。42 名参与者被随机分配到对照组和干预组。两组均接受每周 3 天、共 6 周的物理治疗（教育、伸展、监督力量训练和家庭运动计划）。干预组被指示在家中进行平衡练习。主要结局指标是通过不同组合的站立（固体表面、枕头和不同头部位置）和视觉（睁眼/闭眼）的 8 种条件下的姿势描记术评估的稳定性指数、傅立叶变换（F5 和 F6）、重量分布指数和跌倒指数。次要结局指标包括 Western Ontario Rotator Cuff Index 评估健康相关生活质量、肩痛和残疾指数以及数字疼痛评分量表。面对面和家庭治疗的依从性很高（>83%）。干预组在仅一个条件下显著改善了稳定性指数、F5 和 F6 参数（P<0.05）。在其他主要结局和健康相关生活质量方面未发现显著改善（P>0.05）。我们得出结论，在肩袖疾病患者的物理治疗方案中增加平衡训练方案并不能改善姿势控制和健康相关生活质量。
