异常与集中强化的效应在患有亚分体疼痛综合征的患者:一个随机对照试验
Damla Karabay1,2, Sevgi Sevi Yeşilyaprak3,4, Mehmet Erduran5
1Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Izmir Katip Celebi University, Izmir, Turkey.
Sports health
|March 27, 2024
概括
奇特的强化为下疼痛综合征 (SPS) 提供了好处,改善了肩膀强度和自身感知. 然而,无论是异常运动还是集中运动,都没有显著影响肩部的整体功能或疼痛缓解.
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:
- 下疼痛综合征 (SPS) 是肩部疼痛的一个普遍原因.
- 治疗性运动是SPS的主要治疗方法,但最佳运动类型仍在争论中.
- 本研究研究了异常与同心强化对SPS的比较效应.
研究的目的:
- 为了比较异常强化与集中强化的疗效,SPS患者.
- 为了确定多式物理治疗计划 (MPP) 添加孤立的偏心或集中强化是否会改善结果.
- 评估对肩部疼痛,力量,关节位置感 (JPS) 和功能评分的影响.
主要方法:
- 这是一项随机对照试验,涉及45名SPS患者.
- 参与者被分配到异常强化 (ESG),集中强化 (CSG) 或对照组 (CG),所有参与者都接受了MPP.
- 包括疼痛,力量,JPS,Constant-Murley分数 (CMS) 和手臂,肩膀和手的残疾分数在内的结果措施在基线,12周和24周被评估.
主要成果:
- 与集中强化 (CSG) 和对照 (CG) 相比,异常强化 (ESG) 组在Constant-Murley分数 (CMS) 中表现出更大的改善,尽管在临床上并不显著.
- 与CG相比,ESG在异常绑架强度和绑架时的JPS显著增加.
- 与CSG和CG相比,ESG的绑架强度有所改善,与CG相比,CSG的异常绑架强度有所改善.
结论:
- 异常强化在下疼痛综合征 (SPS) 中提供额外的好处,增强肩部绑架强度和绑架时的关节位置感 (JPS).
- 异常强化优于同心强化,用于提高肩部绑架强度.
- 两种强化方法都没有证明对肩膀功能,疼痛,外部旋转强度或旋转JPS有额外的益处.
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