Lee Jong Hyeon, Jeon Hyung Gyu, Yoon Yong Jin
Department of Sport Industry Studies, Yonsei University, Seoul 03722, Republic of Korea.
Department of Physical Education, Yonsei University, Seoul 03722, Republic of Korea.
Healthcare (Basel). 2023 May 22;11(10):1504. doi: 10.3390/healthcare11101504.
This review aimed to investigate the effects of exercise and exercise with joint mobilization on shoulder range of motion (ROM) and subjective symptom recovery in patients with adhesive capsulitis (AC). Related Studies published from 2000 to 2021 that were peer-reviewed and for which pre-and post-values could be calculated were extracted from PubMed, CINAHL, SPORTDiscus, and Web of Science. Nine studies met our inclusion criteria. As a result of calculating the standard mean difference (SMD) and 95% confidence intervals (CI), both exercise and exercise with joint mobilization showed a large effect on shoulder ROM and subjective outcomes. The combination showed a more significant effect than exercise alone on shoulder flexion (SMD = -1.59 [-2.34, -0.65]), extension (SMD = -1.47 [-2.05, -0.89]), internal rotation (SMD = -1.77 [-2.17, -1.36], external rotation (SMD = -2.18 [-2.92, -1.44]), and abduction ROM (SMD = -1.99 [CI -3.86, -0.12]). Patients who performed exercise alone showed a higher effect of improvement in subjective function (SMD = 3.15 [2.06, 4.24]) and pain (SMD = 4.13 [1.86, 6.41]). Based on these results, an AC rehabilitation exercise program should be developed by adjusting the amount of exercise and joint mobilization by identifying the patient's needs, subjective symptoms, and ROM.
本综述旨在研究运动及联合关节松动术的运动对粘连性肩关节囊炎（AC）患者肩关节活动范围（ROM）及主观症状恢复的影响。从PubMed、CINAHL、SPORTDiscus和Web of Science中提取了2000年至2021年发表的经同行评审且可计算前后值的相关研究。九项研究符合我们的纳入标准。通过计算标准化均数差（SMD）和95%置信区间（CI），运动及联合关节松动术的运动对肩关节ROM和主观结果均显示出显著效果。联合治疗在肩关节前屈（SMD = -1.59 [-2.34, -0.65]）、后伸（SMD = -1.47 [-2.05, -0.89]）、内旋（SMD = -1.77 [-2.17, -1.36]）、外旋（SMD = -2.18 [-2.92, -1.44]）和外展ROM（SMD = -1.99 [CI -3.86, -0.12]）方面比单纯运动显示出更显著的效果。单纯进行运动的患者在主观功能改善（SMD = 3.15 [2.06, 4.24]）和疼痛（SMD = 4.13 [1.86, 6.41]）方面显示出更高的改善效果。基于这些结果，应通过识别患者的需求、主观症状和ROM来调整运动量和关节松动术，从而制定AC康复运动计划。
