肩袖相关肩部疼痛患者的肩胛肌耐力、肩部疼痛及功能：一项配对病例对照研究。
Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study.
作者信息
Sözlü Uğur, Başar Selda, Kanatlı Ulunay
机构信息
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gaziosmanpasa University, Tokat, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
出版信息
Clin Shoulder Elb. 2024 Mar;27(1):52-58. doi: 10.5397/cise.2023.00675. Epub 2024 Jan 29.
BACKGROUND
Deficiency in scapular muscle endurance (SME) is a risk factor for rotator-cuff-related shoulder pain (RCRSP). However, the exact relationship among SME, pain, and functionality remains unclear. This study aims to compare SME, pain, and functionality in RCRSP patients to those in age-sex-matched healthy controls.
METHODS
Twenty-three patients with RCRSP and 23 age-sex matched healthy controls were included in the study. SME was measured using a 1-kg dynamometer. Self-reported pain level was assessed using a visual analog scale. The Functional Impairment Test-Hand, Neck, Shoulder, and Arm (FIT-HaNSA) was also used to assess functional impairment.
RESULTS
The control group had higher SME and total FIT-HaNSA scores than the patient group (P<0.05). There was a statistically significant and positive correlation between SME and FIT-HaNSA scores in both groups (P<0.05).
CONCLUSIONS
SME was affected by RCRSP. Pain and functional impairment were correlated with low SME. Level of evidence: IV.
背景
肩胛肌耐力（SME）不足是与肩袖相关的肩部疼痛（RCRSP）的一个风险因素。然而，SME、疼痛和功能之间的确切关系仍不清楚。本研究旨在比较RCRSP患者与年龄和性别匹配的健康对照者之间的SME、疼痛和功能。
方法
本研究纳入了23例RCRSP患者和23例年龄和性别匹配的健康对照者。使用1千克测力计测量SME。使用视觉模拟量表评估自我报告的疼痛程度。还使用了手、颈、肩和臂功能障碍测试（FIT-HaNSA）来评估功能障碍。
结果
对照组的SME和FIT-HaNSA总分高于患者组（P<0.05）。两组中SME与FIT-HaNSA评分之间均存在统计学上的显著正相关（P<0.05）。
结论
SME受RCRSP影响。疼痛和功能障碍与低SME相关。证据级别：IV。
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