持续的头骨上神经阻塞,以加强耐火粘合性肩囊炎的密集康复:一个队列研究
Géraldine Martens1,2, Robert Fontaine3, Pierre Goffin4,5
1Department of Physical Medicine and Sports Traumatology, SportS², FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Collaborative Center of Sports Medicine, University and University Hospital of Liège, Liège, Belgium. geraldine.martens@uliege.be.
International orthopaedics
|October 17, 2023
概括
在患有慢性粘附性囊炎 (AC) 的患者中,为期十天的脑上神经阻塞与每日康复显著改善了肩膀运动范围,疼痛和功能. 这种有效的治疗方案有利于那些对传统疗法没有反应的人.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 物理疗法物理治疗
背景情况:
- 粘性囊炎 (AC) 是一种使人虚弱的疾病,导致肩部硬和疼痛.
- 耐火性AC病例通常需要超越传统方法的先进治疗策略.
- 评估新型治疗组合对于改善患者的治疗结果至关重要.
研究的目的:
- 评估连续10天超神经阻断 (SSNB) 与每日多学科康复相结合的短期和长期有效性.
- 评估对耐火AC患者肩部运动范围 (ROM),疼痛水平和功能状态的影响.
- 确定这种综合方法是否为慢性AC提供了可行的解决方案.
主要方法:
- 一项回顾性队列研究,涉及耐火性AC患者 (症状>6个月).
- 患者接受了为期10天的连续SSNB和每天2小时的物理治疗和职业治疗.
- 标准化评估包括ROM,疼痛视觉模拟量表 (VAS) 和多个时间点的手臂,肩膀和手 (DASH) 问卷.
主要成果:
- 在第十天 (短期) 和第180天 (长期) 观察到肩膀ROM的显著改善.
- 平均VAS疼痛评分和DASH残疾评分在180日显著减少.
- 综合治疗对所有测量结果显示了统计学上显著的积极影响.
结论:
- 连续的SSNB与密集的多学科康复相结合,是一种有效的治疗策略.
- 这种方法为患有慢性AC不响应标准治疗的患者提供了一个有希望的选择.
- 该研究强调了将神经阻塞与耐火性肩部疾病的综合康复相结合的潜力.
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