Austrian Workers' Compensation Board AUVA, 1201 Vienna, Austria.
VAMED Rehabilitation Center Kitzbuehel, Hornweg 32, 6370 Kitzbuehel, Austria.
Int J Environ Res Public Health. 2022 Aug 25;19(17):10623. doi: 10.3390/ijerph191710623.
Shoulder pain is regularly associated with limited mobility and limitations in activities of daily living. In occupational therapy, various interventions, including active isokinetic training with a Baltimore Therapeutic Equipment (BTE) Work Simulator, help the patient improve shoulder mobility and alleviate pain. This randomized controlled cohort study aims to evaluate the impact of different isokinetic movement patterns on the DASH score, pain, and objective performance measures, such as range of motion (ROM) and hand grip strength. Patients that participated in a specific 3-week inpatient orthopedic rehabilitation were divided into two groups. The first group (UNI-group, n = 9) carried out uniplanar exercises for shoulder flexion, abduction, and external rotation. The patients in the second group (ADL-group, n = 10) imitated multiplanar everyday movements, such as climbing on a ladder, loading a shopping cart, and raising a glass to their mouth. Compared to the UNI-group, the ADL-group improved significantly in DASH scores (mean -10.92 ± 12.59 vs. -22.83 ± 11.31), pain (NPRS -1.11 ± 2.37 vs. 3.70 ± 2.00), and shoulder abduction (+2.77 ± 15.22 vs. +25.50 ± 21.66 degrees). In conclusion, the specific BTE exercise program with multiplanar movement patterns contributed considerably to the therapeutic improvement.
肩部疼痛通常与活动受限和日常生活活动能力受限有关。在职业治疗中，各种干预措施，包括使用巴尔的摩治疗设备（BTE）工作模拟器进行主动等速训练，可以帮助患者改善肩部活动度并减轻疼痛。这项随机对照队列研究旨在评估不同等速运动模式对 DASH 评分、疼痛以及客观运动测量指标（如活动范围（ROM）和手握力）的影响。参加特定的 3 周住院骨科康复的患者被分为两组。第一组（UNI 组，n = 9）进行单平面运动，用于肩部前屈、外展和外旋。第二组（ADL 组，n = 10）模仿多平面日常生活动作，如爬梯子、装载购物车和举杯到嘴边。与 UNI 组相比，ADL 组在 DASH 评分（平均 -10.92 ± 12.59 比 -22.83 ± 11.31）、疼痛（NPRS -1.11 ± 2.37 比 3.70 ± 2.00）和肩部外展（+2.77 ± 15.22 比 +25.50 ± 21.66 度）方面均有显著改善。总之，具有多平面运动模式的特定 BTE 运动方案对治疗效果有显著的促进作用。
