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粘合性囊炎患者报告功能改善 通过国际功能分类,残疾和健康检查清单和Dash之后的上神经块Dash后的上神经块
Sara Ribeiro Nunes1, Fernanda Guimarães de Andrade2, Marcos Rassi Fernandes1,3
1Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, GO, Brasil.
Revista brasileira de ortopedia
|July 3, 2023
概括
上神经阻塞 (SSNB) 有效地改善了粘附性囊炎患者的肩膀功能. 这种治疗表明患者的功能持续改善,直至干预后12周.
科学领域:
- 整形外科和运动医学
- 疼痛管理 疼痛管理
- 康复 康复 康复 康复
背景情况:
- 粘合性囊炎,通常被称为冷肩,显著损害肩部功能和生活质量.
- 目前的粘合性囊炎的管理策略通常涉及物理治疗,药物治疗和干预程序的结合.
研究的目的:
- 为了评估在治疗上神经阻塞 (SSNB) 后被诊断患有粘合性囊炎的患者的功能结果.
- 评估SSNB对国际功能,残疾和健康分类 (ICF) 领域以及手臂,肩膀和手 (DASH) 问卷分数的影响.
主要方法:
- 在一个单一的中心进行了前性,前后临床研究.
- 25名患有粘着性囊炎的患者根据解剖学标志接受了四次SSNB.
- 在基线 (T0) 时使用ICF检查表和DASH问卷评估功能,第四次SSNB (T4) 后一周,第一次SSNB (T12) 后三个月.
主要成果:
- 到T4时,大多数ICF领域都观察到显著改善,而环境因素在T12时有所改善 (p=0.037).
- 患者在T4时报告肩部功能增强,在T12时进一步增加 (p=0.019).
- 25名参与者的平均年龄为58.16岁,症状持续时间平均为5.92个月.
结论:
- 上神经阻塞 (SSNB) 技术是改善粘合性囊炎患者功能的一种有效治疗方法.
- 通过SSNB实现的功能改善在四周后就显而易见,并持续至少十二周.
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