Bellotti Silvia, Busato Massimo, Cattaneo Carla, Branchini Mirco
Independent Researcher, 24029 Bergamo, Italy.
Independent Researcher, 24060 Bergamo, Italy.
Life (Basel). 2023 Jun 15;13(6):1396. doi: 10.3390/life13061396.
Shoulder pain is a serious clinical disease frequently related to absence from work. It is characterized by pain and stiffness, probably connected to the presence of an inflammatory substrate involving gleno-humeral capsule and collagen tissues. A physiotherapy program has shown to be effective for the conservative treatment of this disorder. Our aim is to assess if a manual treatment directed to fascial tissues could obtain better improvement regarding pain, strength, mobility, and function. A total of 94 healthcare workers with recurrent shoulder pain were recruited and then randomized in two groups: the control group (CG) underwent a five-session physiotherapy program; the study group (SG) underwent three sessions of physiotherapy and two sessions of fascial manipulation (FM) technique. At the end of the treatment phase, both groups improved every outcome. Despite few statistical differences between groups, at the follow-up visit, a greater percentage of subjects in SG overcame the minimal clinical important difference (MCID) in every outcome. We conclude that FM is effective for treatment of shoulder pain and further studies should better assess how to manage this treatment to obtain better results.
肩部疼痛是一种严重的临床疾病，常与缺勤有关。其特征为疼痛和僵硬，可能与涉及盂肱关节囊和胶原组织的炎症基质的存在有关。一项物理治疗方案已被证明对这种疾病的保守治疗有效。我们的目的是评估针对筋膜组织的手法治疗在疼痛、力量、活动度和功能方面是否能取得更好的改善。总共招募了94名复发性肩部疼痛的医护人员，然后将他们随机分为两组：对照组（CG）接受为期五节的物理治疗方案；研究组（SG）接受三节物理治疗和两节筋膜手法（FM）技术治疗。在治疗阶段结束时，两组的各项结果均有所改善。尽管两组之间几乎没有统计学差异，但在随访时，研究组中更大比例的受试者在各项结果上都克服了最小临床重要差异（MCID）。我们得出结论，筋膜手法治疗对肩部疼痛有效，进一步的研究应更好地评估如何管理这种治疗以获得更好的效果。
