运动对慢性旋转关节相关肩部疼痛的治疗:一个前性单组可行性研究
Claudia Cavaggion1, Birgit Juul-Kristensen2, Alejandro Luque-Suarez3,4
1Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.
BMJ open
|October 6, 2023
概括
这项研究探讨了旋转器袖口肩部疼痛的运动对疼痛的影响,发现监督会议的坚持是令人满意的,但需要改善无监督的炼坚持. 数据收集是可行的,但需要改进.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 肌肉骨康复 肌肉骨康复
背景情况:
- 旋转手套相关的肩部疼痛 (RCRSP) 是一个重大的临床挑战.
- 目前的管理通常涉及保守的方法,但运动对疼痛的作用需要进一步调查.
- 在现实世界的临床环境中,新的运动方案的可行性对于基于证据的实践至关重要.
研究的目的:
- 评估一项运动计划的可行性,包括对RCRSP患者进行可控疼痛挑.
- 评估数据收集程序,患者和物理治疗师的反,以及患者报告的结果措施 (PROM) 中临床上有意义的变化.
- 探索干预的坚持率和潜在的不良影响.
主要方法:
- 在一个理疗诊所进行了一项非盲目的,非随机的单组研究.
- 参与了12名患有慢性单边RCRSP的成年患者.
- 干预包括12周的个性化炼与渐进的疼痛目标 (最初是4-7/10,然后是0-2/10) 和手动治疗,以及监督和非监督的炼课程.
主要成果:
- 在符合条件的患者 (n=8) 中,遵守监督物理疗法会话的比例为88%,而遵守无监督炼的比例为50%.
- 没有参与者因不良影响而退出.
- 三名患者在肩膀疼痛和残疾指数 (SPADI) 得分方面取得了临床重要改善 (超过20分).
- 物理和超声波结果的测量方案需要大约60分钟.
结论:
- 对RCRSP进行疼痛炼证明了对监督会议的满意遵守,这表明可行性.
- 坚持非监督练习需要改进以获得最佳结果.
- 数据收集程序是可行的,尽管建议对未来的研究进行修改.
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