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在为肩部粘附性囊炎提供密集物理治疗期间提供的氧化并不能改善功能:一项随机对照试验
Arnaud Dupeyron1, Lech Dobija2, Christel Castelli3
1Department of Physical Medicine and Rehabilitation, CHU Nîmes, Univ Montpellier, Nîmes, France; EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France.
Annals of physical and rehabilitation medicine
|December 20, 2023
概括
与物理治疗一起的氧化 (N2O) 在粘附性囊炎患者中没有改善肩膀功能. 然而,N2O可能会减少物理治疗期间的疼痛,尽管它与更多的不良事件有关.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 康复医学 康复医学 康复医学
背景情况:
- 粘合性囊炎的治疗缺乏共识,物理治疗通常会引起疼痛.
- 这项研究调查了氧化 (N2O) 作为肩部粘附性囊炎的物理治疗的辅助.
研究的目的:
- 为了确定与物理治疗相结合的N2O是否与单独的物理治疗相比,在肩部粘合性囊炎中改善疼痛和功能.
- 评估N2O对动员过程中的疼痛和肩部整体功能的影响.
主要方法:
- 这是一项双盲随机对照试验,涉及69名患有粘合性囊炎的成年参与者.
- 参与者在10天内接受了20次强化物理治疗,其中10次涉及N2O或安慰剂气体.
- 在第14天使用Constant-Murley得分来评估肩部功能.
主要成果:
- 在第14天,在N2O和安慰剂组之间没有观察到肩部功能 (Constant-Murley得分) 的显著差异.
- 在N2O组 (p=0.053) 观察到物理治疗期间疼痛的减少,但在安慰剂组没有.
- 在N2O干预组中报告了更多不良事件,包括呼吸短促.
结论:
- 氧化与强化物理治疗相结合并不能在粘合性囊炎患者的肩部功能或生活质量上提供更好的改善.
- 虽然N2O可以减少物理治疗期间的疼痛,但其整体益处受到功能改善的缺乏和不良事件增加的限制.
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