Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Postgraduate Program in Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
PLoS One. 2024 Apr 16;19(4):e0301326. doi: 10.1371/journal.pone.0301326. eCollection 2024.
The objective of this study was to investigate how Brazilian physical therapists (PTs) use therapeutic exercises in the rehabilitation of individuals with rotator cuff (RC) tendinopathy. The study used an online survey with a mix of 62 open- and closed-ended questions divided into three sections: participant demographics, professional experience, and clinical practice in the rehabilitation of patients with RC tendinopathy. One hundred and fifty-nine Brazilian physical therapists completed the survey. Most of our sample recommended isometric exercises (69.9%) in the initial phase of rehabilitation and eccentric exercises (47.4%) in the advanced phase. However, there was a wide variability in determining the volume of exercises, particularly with isometric exercises. Most of our sample considered patient comfort and pain levels when adjusting exercise intensity, regardless of exercise type. The majority (48.40%) recommended weekly reassessment and modification of exercises. Additionally, despite pain being a key factor for discharge and the primary adverse effect of exercise, most of our sample would not discontinue exercises in case of pain during the early and late phases of rehabilitation. Despite the lack of consensus on some aspects, the clinical practice of our sample is in line with the current literature and practice in other countries. However, further research and implementation are crucial to enhance future rehabilitation outcomes, including exploring the exercise training volume, the safety and effectiveness of exercising with pain and identifying the optimal pain level for best results.
本研究旨在探讨巴西物理治疗师（PT）如何在肩袖（RC）肌腱病康复中运用治疗性运动。研究采用了一项在线调查，混合了 62 个开放式和封闭式问题，分为三个部分：参与者人口统计学、专业经验以及 RC 肌腱病患者康复的临床实践。共有 159 名巴西物理治疗师完成了调查。我们的样本大多数建议在康复的初始阶段使用等长运动（69.9%），在高级阶段使用离心运动（47.4%）。然而，在确定运动的量方面存在很大的差异，尤其是等长运动。我们的样本大多数在调整运动强度时考虑到患者的舒适度和疼痛水平，而不考虑运动类型。大多数样本建议每周重新评估和修改运动。此外，尽管疼痛是出院的关键因素和运动的主要不良反应，但我们的样本大多数不会在康复的早期和晚期停止运动。尽管在某些方面缺乏共识，但我们的样本的临床实践与当前文献和其他国家的实践一致。然而，进一步的研究和实施对于提高未来的康复结果至关重要，包括探索运动训练量、疼痛下运动的安全性和有效性以及确定最佳疼痛水平以获得最佳效果。
