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Updated: Feb 2, 2026

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解决与旋转手套相关的肩部疼痛患者的肩部弱点:通过元分析进行系统性审查
The Journal of orthopaedic and sports physical therapy
|February 1, 2026
概括
康复干预措施显著改善了旋转手套相关肩部疼痛 (RCRSP) 患者的力量. 包含活跃炼或力量训练的计划在解决力量缺陷方面取得了最好的结果.
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.
- 力量缺陷是RCRSP的关键组成部分,影响日常活动和体育表现.
- 有效的康复策略对于管理RCRSP和恢复肩膀力量至关重要.
研究的目的:
- 系统地审查和元分析康复干预措施对RCRSP成人的客观强度结果的影响.
- 确定不同类型的康复炼对各种肩膀强度指标的影响.
- 提供基于证据的建议,以优化RCRSP患者的力量恢复.
主要方法:
- 28项临床试验和队列研究的系统审查和元分析.
- 纳入标准:持续时间≥6周的干预,客观强度结果,患有RCRSP的成年人 (不包括其他病理或手术后).
- 分析使用了从基线到初级随访的标准化平均差异 (SMD),按强度测试方向分组.
主要成果:
- 康复干预表明对外部旋转强度 (SMD=0.56) 有中度影响,对绑架,内部旋转,曲和脚强度有中度影响.
- 包括力量训练或活跃炼在内的干预措施在所有力量结果中显示出显著的改善.
- 没有炼或力量训练的康复计划对力量没有明显的影响.
结论:
- 康复干预是有效的改善强度的个人经历旋转手套相关的肩膀疼痛.
- 积极的运动和力量训练组件对于成功康复和解决RCRSP中的力量缺陷至关重要.
- 临床医生应优先考虑将这些元素纳入RCRSP患者的治疗计划.
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