老年人肩部疾病的社区调查，以评估其自然病史和治疗效果。
Community survey of shoulder disorders in the elderly to assess the natural history and effects of treatment.
作者信息
Vecchio P C, Kavanagh R T, Hazleman B L, King R H
机构信息
Rheumatology Research Unit, Addenbrooke's Hospital, Cambridge, United Kingdom.
出版信息
Ann Rheum Dis. 1995 Feb;54(2):152-4. doi: 10.1136/ard.54.2.152.
Abstract
OBJECTIVE
To assess the natural history and response to treatment of shoulder disorders in a community elderly population.
METHOD
This community study of shoulder pain in the elderly reviewed patients three years after an earlier prevalence study.
RESULTS
One hundred and eight of the original 136 patients with an identifiable shoulder disorder were available for reexamination. Eighty (74%) had persisting signs on examination, with persistent symptoms leading to impairment of personal care (21%) and household tasks (27%), and pain on movement (34%). There was no difference between treated and non-treated groups in terms of outcome.
CONCLUSIONS
The results of this study serve to confirm and highlight the chronicity of shoulder lesions in this age group and the consequent personal suffering and implications for health care.
摘要
目的
评估社区老年人群肩部疾病的自然病程及对治疗的反应。
方法
这项针对老年人肩部疼痛的社区研究在早期患病率研究三年后对患者进行了复查。
结果
最初136例可识别肩部疾病的患者中有108例可供重新检查。80例（74%）检查时有持续体征，持续症状导致个人护理受损（21%）、家务任务受损（27%）以及运动时疼痛（34%）。治疗组和未治疗组在结局方面无差异。
结论
本研究结果证实并凸显了该年龄组肩部损伤的慢性性质以及由此导致的个人痛苦和对医疗保健的影响。
相似文献
1
Community survey of shoulder disorders in the elderly to assess the natural history and effects of treatment.老年人肩部疾病的社区调查，以评估其自然病史和治疗效果。
Ann Rheum Dis. 1995 Feb;54(2):152-4. doi: 10.1136/ard.54.2.152.
2
Shoulder joint movement and its relationship to disability in the elderly.肩关节活动及其与老年人残疾的关系。
J Rheumatol. 1993 Aug;20(8):1359-61.
3
Functional results of bilateral reverse total shoulder arthroplasty.双侧反向全肩关节置换术的功能结果
J Shoulder Elbow Surg. 2017 Jun;26(6):990-996. doi: 10.1016/j.jse.2016.10.011. Epub 2017 Jan 13.
4
Shoulder disorders in the elderly: a community survey.老年人肩部疾病：一项社区调查。
Arthritis Rheum. 1991 Jun;34(6):766-9. doi: 10.1002/art.1780340619.
5
Which Components of the Simple Shoulder Test Show Improvement After Scapulothoracic Fusion for Recalcitrant Scapular Winging? Clinical Results at a Minimum of 5 Years of Follow-up.单纯肩胛胸壁融合术治疗顽固性肩胛翼状畸形后哪些简易肩部测试的指标有改善？至少 5 年随访的临床结果。
Clin Orthop Relat Res. 2023 Dec 1;481(12):2392-2402. doi: 10.1097/CORR.0000000000002673. Epub 2023 May 9.
6
Ipsilateral total shoulder and elbow arthroplasties in patients who have rheumatoid arthritis.类风湿性关节炎患者的同侧全肩关节和肘关节置换术。
J Bone Joint Surg Am. 1999 Aug;81(8):1128-37. doi: 10.2106/00004623-199908000-00008.
7
Shoulder joint impairment among Finns aged 30 years or over: prevalence, risk factors and co-morbidity.
Rheumatology (Oxford). 1999 Jul;38(7):656-62. doi: 10.1093/rheumatology/38.7.656.
8
Primary hemiarthroplasty for treatment of proximal humeral fractures.一期半关节成形术治疗肱骨近端骨折。
J Bone Joint Surg Am. 2003 Jul;85(7):1215-23. doi: 10.2106/00004623-200307000-00006.
9
Does Integration of Graded Motor Imagery Training Augment the Efficacy of a Multimodal Physiotherapy Program for Patients With Frozen Shoulder? A Randomized Controlled Trial.分级运动想象训练的整合是否会增强针对肩周炎患者的多模式物理治疗方案的疗效？一项随机对照试验。
Clin Orthop Relat Res. 2025 Apr 1;483(4):707-716. doi: 10.1097/CORR.0000000000003252. Epub 2024 Sep 17.
10
Shoulder disorders in the elderly (a hospital study).老年人肩部疾病（一项医院研究）
Ann Rheum Dis. 1987 Sep;46(9):684-7. doi: 10.1136/ard.46.9.684.
引用本文的文献
1
Measurement of Shoulder Abduction Angle with Posture Estimation Artificial Intelligence Model.基于姿势估计人工智能模型的肩关节外展角度测量。
Sensors (Basel). 2023 Jul 16;23(14):6445. doi: 10.3390/s23146445.
2
POSTERIOR SHOULDER TIGHTNESS AND SUBACROMIAL IMPINGEMENT CHARACTERISTICS IN BASEBALL PITCHERS: A BLINDED, MATCHED CONTROL STUDY.棒球投手的后肩部紧张度和肩峰下撞击特征：一项双盲、匹配对照研究。
Int J Sports Phys Ther. 2020 Apr;15(2):188-195.
3
Correlation of findings in clinical and high resolution ultrasonography examinations of the painful shoulder.疼痛性肩部临床检查与高分辨率超声检查结果的相关性
J Ultrason. 2015 Mar;15(60):29-44. doi: 10.15557/JoU.2015.0003. Epub 2015 Mar 30.
4
Validation of clinical examination versus magnetic resonance imaging and arthroscopy for the detection of rotator cuff lesions.临床检查与磁共振成像和关节镜检查诊断肩袖损伤的比较。
Clin Rheumatol. 2013 Sep;32(9):1283-91. doi: 10.1007/s10067-013-2260-0. Epub 2013 May 2.
5
Shoulder pain.肩部疼痛。
BMJ Clin Evid. 2010 Jul 22;2010:1107.
6
Long term effects of intra-articular botulinum toxin A for refractory joint pain.关节内注射A型肉毒杆菌毒素治疗难治性关节疼痛的长期效果。
Neurotox Res. 2006 Apr;9(2-3):179-88. doi: 10.1007/BF03033937.
7
A pragmatic randomised controlled trial of local corticosteroid injection and physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care.局部皮质类固醇注射与物理治疗用于基层医疗中治疗单侧肩部疼痛新发发作的实用随机对照试验
Ann Rheum Dis. 2003 May;62(5):394-9. doi: 10.1136/ard.62.5.394.
8
Chronic shoulder pain in the community: a syndrome of disability or distress?社区中的慢性肩部疼痛：一种残疾还是痛苦综合征？
Ann Rheum Dis. 2002 Feb;61(2):128-31. doi: 10.1136/ard.61.2.128.
9
Diagnostic classification of shoulder disorders: interobserver agreement and determinants of disagreement.肩部疾病的诊断分类：观察者间的一致性及分歧的决定因素
Ann Rheum Dis. 1999 May;58(5):272-7. doi: 10.1136/ard.58.5.272.
10
The responsiveness of the Shoulder Disability Questionnaire.肩部功能障碍问卷的反应性
Ann Rheum Dis. 1998 Feb;57(2):82-7. doi: 10.1136/ard.57.2.82.
本文引用的文献
1
Pulsed electromagnetic field therapy of persistent rotator cuff tendinitis. A double-blind controlled assessment.持续性肩袖肌腱炎的脉冲电磁场疗法。一项双盲对照评估。
Lancet. 1984 Mar 31;1(8379):695-8. doi: 10.1016/s0140-6736(84)92219-0.
2
Shoulder disorders in the elderly (a hospital study).老年人肩部疾病（一项医院研究）
Ann Rheum Dis. 1987 Sep;46(9):684-7. doi: 10.1136/ard.46.9.684.
3
Shoulder pain in the elderly.老年人的肩部疼痛
BMJ. 1990 Sep 15;301(6751):503-4. doi: 10.1136/bmj.301.6751.503.
4
Disorders of the shoulder: an often unrecognised cause of disability in elderly people.肩部疾病：老年人残疾的一个常被忽视的原因。
BMJ. 1990 Mar 31;300(6728):848-9. doi: 10.1136/bmj.300.6728.848-a.
5
Shoulder disorders in the elderly: a community survey.老年人肩部疾病：一项社区调查。
Arthritis Rheum. 1991 Jun;34(6):766-9. doi: 10.1002/art.1780340619.
6
The painful arc syndrome. Clinical classification as a guide to management.疼痛弧综合征。作为治疗指南的临床分类。
J Bone Joint Surg Br. 1977 May;59(2):166-72. doi: 10.1302/0301-620X.59B2.873977.
Zotero 插件