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运动用于肩膀的多方向不稳定性
Masaki Karasuyama1, Takaki Imai2, Masafumi Gotoh3
1Department of Rehabilitation, Minamikawa Orthopedic Hospital, Fukuoka, Japan.
The Cochrane database of systematic reviews
|February 18, 2026
概括
没有发现随机对照试验用于多方向肩部不稳定性的运动治疗. 这种常见治疗方法的益处和危害仍然不确定,需要进一步进行高质量的研究.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 多方向肩部不稳定性影响年轻,活跃的个体,往往需要干预.
- 运动疗法是一种常见的第一线治疗方法,但其疗效和安全性尚未得到充分证实.
- 目前在这种情况下进行运动治疗的证据基础有限.
研究的目的:
- 系统地评估运动疗法对多方向肩部不稳定性的益处和危害.
- 评估运动对疼痛,残疾和生活质量的影响.
- 识别与运动干预相关的任何不良事件.
主要方法:
- 在2025年5月之前,对多个电子数据库进行了全面的搜索.
- 纳入标准侧重于随机对照试验,比较运动治疗与安慰剂,不治疗或常规护理.
- 预计的结果包括疼痛,肩部残疾,全球评估,生活质量和不良事件.
主要成果:
- 经过彻底的搜索,发现了1899个记录,其中17篇全文文章被评估了资格.
- 没有完成的随机对照试验符合本审查的纳入标准.
- 确定了一项正在进行的试验,但结果尚未公布.
结论:
- 目前还没有发表的随机对照试验证据来支持或反驳多方向肩部不稳定的运动治疗的益处和危害.
- 对这种疾病的运动治疗的临床价值仍然不确定.
- 未来需要高质量的随机对照试验,采用适当的对照组和盲目化.
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