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Int J Environ Res Public Health. 2020 Oct 14;17(20):7464. doi: 10.3390/ijerph17207464.
2
Is implicit motor imagery altered in people with shoulder pain? The shoulder left/right judgement task.有肩部疼痛的人是否存在内隐运动意象改变？肩部左右判断任务。
Musculoskelet Sci Pract. 2020 Aug;48:102159. doi: 10.1016/j.msksp.2020.102159. Epub 2020 Mar 21.
3
Laterality judgement and tactile acuity in patients with frozen shoulder: A cross-sectional study.冻结肩患者的偏侧性判断和触觉敏锐度：一项横断面研究。
Musculoskelet Sci Pract. 2020 Jun;47:102136. doi: 10.1016/j.msksp.2020.102136. Epub 2020 Feb 24.
4
A functional Magnetic Resonance Imaging study of patients with Polar Type II/III complex shoulder instability.一项针对 Polar 型 II/III 复杂肩不稳患者的功能磁共振成像研究。
Sci Rep. 2019 Apr 18;9(1):6271. doi: 10.1038/s41598-019-42754-1.
5
BESS/BOA patient care pathways: Atraumatic shoulder instability.BESS/BOA患者护理路径：非创伤性肩关节不稳
Shoulder Elbow. 2019 Feb;11(1):60-70. doi: 10.1177/1758573218815002. Epub 2018 Dec 10.
6
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J Pain. 2019 Feb;20(2):119-132. doi: 10.1016/j.jpain.2018.07.004. Epub 2018 Aug 9.
7
Pain Neuroimaging in Humans: A Primer for Beginners and Non-Imagers.人类疼痛神经影像学：初学者和非影像科医生入门指南。
J Pain. 2018 Sep;19(9):961.e1-961.e21. doi: 10.1016/j.jpain.2018.03.011. Epub 2018 Mar 30.
8
Tactile acuity is reduced in people with chronic neck pain.慢性颈痛患者的触觉敏锐度降低。
Musculoskelet Sci Pract. 2018 Feb;33:61-66. doi: 10.1016/j.msksp.2017.11.009. Epub 2017 Nov 21.
9
Association Between Sensorimotor Impairments and Functional Brain Changes in Patients With Low Back Pain: A Critical Review.下腰痛患者感觉运动障碍与功能性脑变化的相关性：一项关键性综述。
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10
In the spine or in the brain? Recent advances in pain neuroscience applied in the intervention for low back pain.是在脊柱还是在大脑？疼痛神经科学的最新进展在腰痛干预中的应用。
Clin Exp Rheumatol. 2017 Sep-Oct;35 Suppl 107(5):108-115. Epub 2017 Sep 29.

与肩关节不稳相关的功能性皮质改变——一项系统综述

Functional cortical changes associated with shoulder instability - a systematic review.

作者信息

Livett Morissa F, Williams Deborah, Potter Hayley, Cairns Melinda

机构信息

School of Health and Social Work, University of Hertfordshire, Hatfield, UK.

The Royal National Orthopaedic Hospital, Stanmore, UK.

出版信息

Shoulder Elbow. 2022 Aug;14(4):452-464. doi: 10.1177/17585732211019016. Epub 2021 Jun 10.

DOI:10.1177/17585732211019016
PMID:35846404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9284298/
Abstract

BACKGROUND

Glenohumeral joint instability is associated with structural deficits and/or alterations in sensory and motor processing; however, a proportion of patients with glenohumeral joint instability fail to respond to surgical and rehabilitative measures. This systematic review aimed to establish if functional cortical changes occur in patients with glenohumeral joint instability.

METHODS

AMED, CINAHL, Cochrane Central Register of Controlled Trials, Embase, Medline, PEDro, Pubmed, PsychINFO and Scopus were searched from inception to 17 March 2021. Randomised controlled trials and non-randomised trials were included and quality was appraised using the Downs and Black tool.

RESULTS

One thousand two hundred seventy-nine records were identified of which five were included in the review. All studies showed altered cortical function when comparing instability patients with healthy controls and included areas associated with higher cortical functions.

DISCUSSION

The findings of this systematic review offer some insight as to why interventions addressing peripheral pathoanatomical factors in patients with glenohumeral joint instability may fail in some cases due to functional cortical changes. However, data are of moderate to high risk of bias. Further high-quality research is required to ascertain the degree of functional cortical changes associated with the type and duration of glenohumeral joint instability.

摘要

背景

肩肱关节不稳与结构缺陷和/或感觉及运动处理方面的改变有关；然而，一部分肩肱关节不稳患者对手术和康复措施无反应。本系统评价旨在确定肩肱关节不稳患者是否会出现功能性皮质改变。

方法

检索了AMED、CINAHL、Cochrane对照试验中央注册库、Embase、Medline、PEDro、Pubmed、PsychINFO和Scopus，检索时间从建库至2021年3月17日。纳入随机对照试验和非随机试验，并使用唐斯和布莱克工具评估质量。

结果

共识别出1279条记录，其中5条纳入本评价。所有研究均显示，将不稳患者与健康对照进行比较时，皮质功能发生改变，且涉及与高级皮质功能相关的区域。

讨论

本系统评价的结果为以下问题提供了一些见解，即为何针对肩肱关节不稳患者外周病理解剖因素的干预措施在某些情况下可能因功能性皮质改变而失败。然而，数据存在中度至高度偏倚风险。需要进一步开展高质量研究，以确定与肩肱关节不稳的类型和持续时间相关的功能性皮质改变程度。