Vocelle Amber R, Weidig Garrett, Bush Tamara R
Physical Medicine and Rehabilitation Department, E.W. Sparrow Hospital, Lansing, MI, USA; Physical Medicine and Rehabilitation Department, Michigan State University, East Lansing, MI, USA.
Mechanical Engineering Department, Michigan State University, East Lansing, MI, USA.
J Hand Ther. 2022 Jul-Sep;35(3):377-387. doi: 10.1016/j.jht.2022.06.008. Epub 2022 Jul 30.
Invited review.
Shoulder osteoarthritis can result in significant functional deficits. To improve diagnosis and treatment, we must better understand the impact of osteoarthritis on shoulder biomechanics and the known mechanical benefits of currently available treatments.
The purpose of this paper is to present up-to-date data on the effects of osteoarthritis and rehabilitation on the biomechanical parameters contributing to shoulder function. With this goal, we also reviewed the anatomy and the ranges of motion of the shoulder.
A search of electronic databases was conducted. All study designs were included to inform this qualitative, narrative literature review.
This review describes the biomechanics of the shoulder, the impact of osteoarthritis on shoulder function, and the treatment of shoulder osteoarthritis with an emphasis on rehabilitation.
The shoulder is important for the completion of activities of daily living, and osteoarthritis of the shoulder can significantly reduce shoulder motion and arm function. Although shoulder rehabilitation is an integral treatment modality to improve pain and function in shoulder osteoarthritis, few high-quality studies have investigated the effects and benefits of shoulder physical and occupational therapies. To advance the fields of therapy and rehabilitation, future studies investigating the effects of therapy intensity, therapy duration, and the relative benefits of therapy subtypes on shoulder biomechanics and function are necessary.
特邀综述。
肩部骨关节炎可导致显著的功能缺陷。为了改善诊断和治疗，我们必须更好地了解骨关节炎对肩部生物力学的影响以及现有治疗方法已知的力学益处。
本文的目的是提供关于骨关节炎和康复对影响肩部功能的生物力学参数的最新数据。出于这个目的，我们还回顾了肩部的解剖结构和活动范围。
对电子数据库进行了检索。纳入所有研究设计以进行本次定性的叙述性文献综述。
本综述描述了肩部的生物力学、骨关节炎对肩部功能的影响以及肩部骨关节炎的治疗，重点是康复治疗。
肩部对于完成日常生活活动很重要，肩部骨关节炎会显著降低肩部活动度和手臂功能。尽管肩部康复是改善肩部骨关节炎疼痛和功能的不可或缺的治疗方式，但很少有高质量研究调查肩部物理治疗和职业治疗的效果及益处。为了推动治疗和康复领域的发展，有必要开展未来研究，调查治疗强度、治疗持续时间以及治疗亚型对肩部生物力学和功能的相对益处。
