Jordan A, Ostergaard K
National University Hospital Copenhagen, Denmark.
J Manipulative Physiol Ther. 1996 Jan;19(1):32-5.
To review the literature pertaining to neck/shoulder pain and its treatment primarily through rehabilitation. A discussion regarding the theoretical basis for clinical rehabilitation is presented.
A Medline literature search was performed. English and Scandinavian language articles were reviewed. Key words included neck/shoulder pain, neck pain, rehabilitation and exercise.
The studies included used rehabilitation of the cervical musculature as the main treatment therapy on patients suffering from neck/shoulder pain as defined by the Standardized Nordic Questionnaires.
The relatively new concept of neck/shoulder rehabilitation seems to result in pain reduction, restoration of functional values and psychological benefit for patients suffering from chronic, recurrent, post-traumatic or postoperative neck/shoulder pain. Successful protocols seem to be dependent upon sufficient dosage, duration and a relative disregard of pain. Side effects seem to be rare.
Rehabilitation of patients with neck/shoulder pain offers great promise; sufficient documentation exists to warrant serious consideration from all practitioners in the primary health sector. Future studies will be necessary to further clarify which rehabilitative procedures are most suitable for different patient types.
回顾主要通过康复治疗颈部/肩部疼痛及其治疗的相关文献。对临床康复的理论基础进行了讨论。
进行了Medline文献检索。对英文和斯堪的纳维亚语文章进行了综述。关键词包括颈部/肩部疼痛、颈部疼痛、康复和锻炼。
纳入的研究将颈部肌肉组织的康复作为主要治疗方法，用于治疗经标准化北欧问卷定义的颈部/肩部疼痛患者。
颈部/肩部康复这一相对较新的概念似乎能减轻慢性、复发性、创伤后或术后颈部/肩部疼痛患者的疼痛，恢复功能值并带来心理益处。成功的方案似乎取决于足够的剂量、持续时间以及对疼痛的相对忽视。副作用似乎很少见。
颈部/肩部疼痛患者的康复前景广阔；有足够的文献资料值得初级卫生部门的所有从业者认真考虑。未来有必要进行进一步研究，以进一步明确哪些康复程序最适合不同类型的患者。
