无创性前侧关节关节不稳定性的物理治疗管理:一个潜在的案例系列
Helen Tunnicliffe1, Lambros Athanatos2, Harvinder Singh2
1University Hospitals of Leicester, Leicester, UK.
Shoulder & elbow
|June 16, 2023
概括
一个结构化的物理治疗计划有效地治疗了创伤性关节 (SCJ) 关节的不稳定性,导致大多数患者的关节稳定. 患者遵守物理治疗对于实现最佳的长期结果和功能至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 物理疗法物理治疗
背景情况:
- 创伤性关节 (SCJ) 不稳定是一种罕见的疾病.
- 介绍了非创伤性SCJ不稳定的物理治疗管理的长期结果.
- 详细介绍了使用结构化物理治疗计划的标准化评估和治疗方法.
研究的目的:
- 评估结构化物理治疗计划对非创伤性SCJ不稳定性的长期有效性.
- 提出一种标准化的方法来评估和治疗这种情况.
主要方法:
- 一系列前性患者 (2011-2019) 患有无创性SCJ不稳定性,通过物理治疗进行管理.
- 结果措施包括主观的SCJ关节稳定性分级 (SSGS分数),牛津肩部不稳定性分数 (OSIS适应SCJ),以及疼痛视觉模拟尺度 (VAS).
- 排放和长期随访时收集的数据 (平均5.1年).
主要成果:
- 93%的SCJ在SSGS得分的基础上实现了稳定.
- 符合物理治疗的患者表现出明显更好的功能结果 (更高的OSIS分数) 和更少的疼痛 (更低的VAS分数).
- 在26名患者中,有17名患者出现过度松.
结论:
- 一个结构化的理疗计划是非常有效的治疗无创性SCJ不稳定性.
- 患者遵守物理治疗方案对于实现卓越的长期结果至关重要.
- 物理治疗为非创伤性SCJ不稳定提供了可行的保守管理策略.
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