Hekim Ömer, Çolak Tuğba Kuru, Bonab Masoud Amir Rashedi
Physiotherapy and Rehabilitation Department, University of Health Sciences, Hamidiye Institute of Health Sciences, Istanbul, Turkey.
Physiotherapy and Rehabilitation Department, Marmara University, Faculty of Health Sciences, Istanbul, Turkey.
Shoulder Elbow. 2023 Apr;15(2):218-227. doi: 10.1177/17585732221089181. Epub 2022 Mar 29.
This study was designed to compare mirror therapy and visual feedback with the control group in adhesive capsulitis patients.
Thirty-six patients, divided into three groups as mirror therapy, visual feedback and control for 15 sessions of treatment. Evaluations were made before treatment, at 6th and 10th weeks. Bilateral glenohumeral exercise was performed at the end of each session with the affected extremity behind the mirror in the mirror group, with both upper extremities in front of the mirror in the visual feedback group, and without the mirror in the control group.
There were statistically significant differences between the mirror therapy and visual feedback in terms of pain severity change, and the visual feedback was superior to the change in pain severity compared to the control. Visual feedback showed significant improvement in mean change from baseline to week 10 in shoulder pain and disability index scores compared to control (p = 0.012). There was no significant difference between the groups in terms of modified constant score, proprioception and shoulder range of motion.
It was determined that the exercises performed by seeing the affected extremity in the mirror were more effective than mirror therapy and control group.
本研究旨在比较粘连性肩周炎患者中镜像疗法和视觉反馈与对照组的效果。
36名患者分为三组,即镜像疗法组、视觉反馈组和对照组,进行15次治疗。在治疗前、第6周和第10周进行评估。在镜像疗法组中,每次治疗结束时,患侧肢体置于镜子后进行双侧盂肱关节运动;在视觉反馈组中,双上肢置于镜子前进行运动;对照组则不使用镜子。
在疼痛严重程度变化方面,镜像疗法和视觉反馈之间存在统计学显著差异,与对照组相比,视觉反馈在疼痛严重程度变化方面更具优势。与对照组相比,视觉反馈在从基线到第10周的肩部疼痛和功能障碍指数评分的平均变化方面显示出显著改善(p = 0.012)。在改良恒定评分、本体感觉和肩关节活动范围方面,各组之间无显著差异。
结果表明,通过在镜子中看到患侧肢体进行的运动比镜像疗法和对照组更有效。