Liu Jinde, Hui Stanley Sai-Chuen, Yang Yijian, Sit Cindy Hui-Ping
Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong SAR, China.
J Exerc Sci Fit. 2024 Jul;22(3):237-244. doi: 10.1016/j.jesf.2024.03.007. Epub 2024 Mar 21.
BACKGROUND/OBJECTIVE: Previous studies have indicated that mind-body exercises can reduce pain and improve function for patients with musculoskeletal conditions. Yi Jin Bang is a novel home-based Chinese mind-body Qigong exercise for shoulder pain. However, few studies have evaluated its effects on subacromial pain syndrome. This study aimed to compare the effects of Yi Jin Bang with conventional exercises for subacromial pain syndrome.
Adults with subacromial pain syndrome (N = 105; mean [SD] age, 37 [16] years; 73 females [70%]; median [IQR] duration of symptoms, 12 [6-24] months) were randomly assigned to either the experimental group (n = 53) or the control group (n = 52). The experimental group performed home-based Yi Jin Bang exercises, whereas the control group performed home-based conventional exercises (stretching, strengthening, and motor control exercises). Both interventions were performed four times a week for 16 weeks. The primary outcome was the Shoulder Pain and Disability Index (SPADI). Secondary outcomes included current shoulder pain intensity, active shoulder range of motion, back scratch test, isometric shoulder strength, and health-related quality of life. Assessments were performed at baseline and weeks 4, 8, 12, and 16. The primary endpoint was week 16.
No significant between-group difference was observed in the SPADI score at week 16 (mean difference, Yi Jin Bang minus conventional exercise, 0.14, 95% confidence interval -2.96 to 3.24; = 0.93).
There were no differences between Yi Jin Bang and conventional exercises in improving pain, disability, shoulder mobility, shoulder strength, and quality of life for people with subacromial pain syndrome.
背景/目的:先前的研究表明,身心锻炼可以减轻肌肉骨骼疾病患者的疼痛并改善其功能。易筋棒是一种新型的用于缓解肩部疼痛的居家式中国身心气功锻炼法。然而,很少有研究评估其对肩峰下疼痛综合征的影响。本研究旨在比较易筋棒与传统锻炼法对肩峰下疼痛综合征的疗效。
将患有肩峰下疼痛综合征的成年人(N = 105;平均[标准差]年龄为37[16]岁;73名女性[70%];症状持续时间中位数[四分位间距]为12[6 - 24]个月)随机分为实验组(n = 53)或对照组(n = 52)。实验组进行居家易筋棒锻炼,而对照组进行居家传统锻炼(拉伸、强化和运动控制锻炼)。两种干预措施均每周进行4次,共16周。主要结局指标为肩痛和功能障碍指数(SPADI)。次要结局指标包括当前肩部疼痛强度、主动肩部活动范围、背部抓挠试验、等长肩部力量以及健康相关生活质量。在基线以及第4、8、12和16周进行评估。主要终点为第16周。
在第16周时,两组在SPADI评分上未观察到显著差异(平均差异,易筋棒组减去传统锻炼组,0.14,95%置信区间为 - 2.96至3.24;P = 0.93)。
对于肩峰下疼痛综合征患者,易筋棒锻炼与传统锻炼在改善疼痛、功能障碍、肩部活动度、肩部力量和生活质量方面没有差异。