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运动干预 (有或没有联合动员) 对粘附性囊炎患者的影响:系统性审查和元分析
Jong Hyeon Lee1, Hyung Gyu Jeon2,3, Yong Jin Yoon1
1Department of Sport Industry Studies, Yonsei University, Seoul 03722, Republic of Korea.
Healthcare (Basel, Switzerland)
|May 27, 2023
概括
运动和关节动员可以显著改善肩部运动范围 (ROM) 和粘附性囊炎 (AC) 患者的症状. 结合治疗提供了更大的ROM益处,而单独的运动在主观功能和疼痛缓解方面表现出色.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
背景情况:
- 粘合性囊炎 (AC),通常被称为冷的肩膀,显著限制肩膀的运动范围 (ROM) 并引起疼痛.
- 有效的康复策略对于恢复肩部功能和改善AC患者的生活质量至关重要.
研究的目的:
- 系统地审查和综合运动与联合运动和关节动员对肩部ROM和粘合性囊炎的主观恢复的影响.
主要方法:
- 在PubMed,CINAHL,SPORTDiscus和Web of Science进行了全面的文献搜索,寻找同行评审的研究 (2000-2021年).
- 使用元分析分析分析了符合纳入标准的9项研究,以计算标准平均差异 (SMD) 和95%置信区间 (CI).
主要成果:
- 无论是运动还是联合运动与关节动员,都对AC患者的肩膀ROM和主观结果产生了很大的影响.
- 与单独运动相比,组合疗法在肩膀曲,伸展,内部旋转,外部旋转和绑架ROM方面取得了显著的改善.
- 仅仅运动对改善主观功能和减少疼痛有更明显的影响.
结论:
- 粘着性囊炎的康复计划应该是个性化的,根据患者的特定需求,ROM和症状严重程度,平衡运动和关节动员.
- 这些发现支持将运动和关节动员整合为最佳的肩膀ROM恢复,同时强调主观症状管理的运动.
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