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筋膜松解术对关节镜肩袖修复术后患者的急性影响研究:一项随机对照试验。

The investigation of acute effects of fascial release technique in patients with arthroscopic rotator cuff repair: A randomized controlled trial.

机构信息

Department of Physiotherapy and Rehabilitation, Gazi University, Institute of Graduate Education, Ankara, Turkey.

Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara Yildirim Beyazit University, Ankara, Turkey.

出版信息

Complement Ther Clin Pract. 2022 Aug;48:101573. doi: 10.1016/j.ctcp.2022.101573. Epub 2022 Mar 21.

Abstract

BACKGROUND

Fascial release technique is used for releasing fascial tissue to decrease pain, to increase range of motion, and to improve functional level.

OBJECTIVE

To investigate the acute effects of fascial release technique on pain, range of motion, upper extremity functional level, and fear of movement in individuals with arthroscopic rotator cuff repair.

METHODS

Thirty volunteers with an arthroscopic rotator cuff repair were included in the study. The individuals were randomly divided into two groups. One group received only conventional physiotherapy including hot pack, interferential current, and exercise program, while the fascial release technique was applied to the other group in addition to the conventional physiotherapy program for 2 weeks with 2 sessions per week. Individuals were assessed for pain intensity, range of motion, functional level, fear of movement before and after treatment, and satisfaction level after treatment.

RESULTS

Demographic and clinical characteristics of the groups were similar (p > 0.05). Both groups showed improvement in pain, range of motion, and upper extremity functions (p < 0.05). Improvements in the treatment group were better than the conventional physiotherapy group (p < 0.05). Fear of movement was significantly decreased in the treatment group (p < 0.05). Both groups were similar in terms of satisfaction level (p > 0.05).

CONCLUSION

Fascial release technique is acutely effective on the pain, joint range of motion and upper extremity functions in the treatment of individuals with arthroscopic rotator cuff repair and more successful results can be obtained by including it in the early rehabilitation program after arthroscopic rotator cuff surgery.

摘要

背景

筋膜松解技术用于松解筋膜组织,以减轻疼痛、增加活动范围并提高功能水平。

目的

研究筋膜松解技术对关节镜肩袖修复术后患者疼痛、活动范围、上肢功能水平和运动恐惧的急性影响。

方法

本研究纳入 30 名接受关节镜肩袖修复术的志愿者。将这些个体随机分为两组,一组仅接受常规物理治疗,包括热敷、干扰电流和运动方案,另一组除了常规物理治疗方案外,还在 2 周内接受 2 次筋膜松解技术治疗。在治疗前后评估个体的疼痛强度、活动范围、功能水平、运动恐惧以及治疗后的满意度。

结果

两组的人口统计学和临床特征相似(p>0.05)。两组在疼痛、活动范围和上肢功能方面均有改善(p<0.05)。治疗组的改善优于常规物理治疗组(p<0.05)。治疗组的运动恐惧显著降低(p<0.05)。两组在满意度方面相似(p>0.05)。

结论

筋膜松解技术对关节镜肩袖修复术后患者的疼痛、关节活动范围和上肢功能具有急性疗效,在关节镜肩袖手术后的早期康复计划中加入筋膜松解技术可以获得更好的效果。

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