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具体的运动方式,以改善旋转关节相关的肩部疼痛:系统性审查和元分析

Dianxuan Wu^1,2,3, Zhicheng Wen^1,2,3, Haolin Ke^2,3,4

¹Department of Sports Medicine, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.

Frontiers in bioengineering and biotechnology

|April 23, 2025

概括

特定的练习适度改善旋转关节相关的肩部疼痛 (RCRSP) 和功能. 较短的运动干预 (<2个月) 显示出略有更好的结果,有效性根据RCRSP管理的运动类型而异.

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:

旋转手套相关的肩部疼痛 (RCRSP) 是一种影响肩部功能的常见疾病.
包括运动在内的保守治疗是管理RCRSP的主要方法.
对RCRSP的最佳运动处方需要了解特定运动模式的有效性.

研究的目的:

调查特定练习模式对RCRSP的影响.
为RCRSP患者提供保守治疗和运动处方的证据.

主要方法:

一项系统性审查和对13项涉及690名参与者的研究进行元分析.
搜索了多个数据库 (PubMed/MEDLINE, Web of Science, ScienceDirect, CNKI) 在2024年6月之前.
使用Cochrane方法评估研究质量,并提取疼痛 (VAS) 和功能 (CMS,DASH) 评分的数据.

主要成果:

特定的运动导致疼痛 (SMD = -0.31) 和功能 (CMS:SMD = 0.59,DASH:SMD = -0.60) 的适度改善.
在疼痛和功能方面,短于2个月的干预措施比更长时间的干预措施更有效.
亚组分析表明,握手,动员/伸展,脚稳定和异常运动有好处,而自感运动没有显著改善.

结论:

与非特定的炼相比,特定的炼计划为RCRSP症状提供了适度的缓解.
较短的干预时间 (<2个月) 似乎稍微更有效.
对RCRSP的运动干预措施的有效性因类型而异,这强调了个性化的运动处方的重要性.

关键词:

慢性体育运动伤害运动疗法运动疗法这是一个元分析.与旋转相关的肩部疼痛与旋转相关的肩部疼痛.具体练习特定的运动.

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