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一个以证据为基础的康复管理框架,用于后肩紧张:一个范围审查
Yukino Fukushima1, Murali Avilineni1, Michelle Kao1
1Advanced Health Care Practice, Faculty of Health Sciences, Western University, London, Ontario, Canada.
Shoulder & elbow
|March 1, 2024
概括
这次范围审查发现,横身和卧床伸展对于后肩紧张是有效的. 优化这些伸展与脚稳定增强了运动范围和后肩紧张的好处.
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:
- 后肩紧张 (PST) 是一种常见的疾病,影响肩部功能.
- 对于治疗师来说,需要一个明确的PST管理框架.
研究的目的:
- 系统地审查有关后肩紧张 (PST) 的文献.
- 定义PST的管理框架,区分治疗师指导和治疗师管理的干预.
主要方法:
- 从创立到2021年12月,在多个数据库 (MEDLINE,EMBASE,CINAHL,Scopus,Google Scholar) 进行了全面的文献搜索.
- 阿克西和奥马利的框架和PRISMA扩展用于范围审查指导数据合成.
- 包括的研究重点是针对成年人PST结构原因的物理治疗干预.
主要成果:
- 从2777个已识别的文章中,包括了21篇文章.
- 治疗师指导的干预包括横身拉伸 (CBS) 和卧床拉伸 (SS).
- 治疗师管理的干预包括CBS,SS,仪器辅助软组织动员 (IASTM) 等.
结论:
- 横身拉伸 (CBS) 和卧式拉伸 (SS) 是最受研究的,并且似乎有效改善PST.
- 在这些伸展过程中,骨稳定增强了PST准,并改善了水平引的运动范围.
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