肩关节松动术对旋转袖功能障碍患者运动范围和疼痛的有效性:系统综述和荟萃分析。

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Héctor Gutiérrez-Espinoza PT, PhD , Iván Cuyul-Vásquez PT, MSc , Cristian Olguin-Huerta PT, MSc , Marcelo Baldeón-Villavicencio PT, MSc , Felipe Araya-Quintanilla PT, PhD
{"title":"肩关节松动术对旋转袖功能障碍患者运动范围和疼痛的有效性:系统综述和荟萃分析。","authors":"Héctor Gutiérrez-Espinoza PT, PhD ,&nbsp;Iván Cuyul-Vásquez PT, MSc ,&nbsp;Cristian Olguin-Huerta PT, MSc ,&nbsp;Marcelo Baldeón-Villavicencio PT, MSc ,&nbsp;Felipe Araya-Quintanilla PT, PhD","doi":"10.1016/j.jmpt.2023.05.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p><span><span>The purpose of this study was to determine the effectiveness of glenohumeral joint mobilization (JM) on range of motion and pain intensity </span>in patients with </span>rotator cuff (RC) disorders.</p></div><div><h3>Methods</h3><p><span>An electronic search was performed in the MEDLINE, CENTRAL, Embase, </span>PEDro<span><span>, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included </span>randomized clinical trials that investigated the effect of glenohumeral JM techniques with or without other therapeutic interventions on range of motion, pain intensity, and shoulder function in patients older than 18 years with RC disorders. Two authors independently performed the search, study selection, and data extraction, and assessed risk of bias. Grades of Recommendation Assessment, Development and Evaluation ratings were used to evaluate the quality of evidence in this study.</span></p></div><div><h3>Results</h3><p><span>Twenty-four trials met the eligibility criteria, and 15 studies were included in the quantitative synthesis. At 4 to 6 weeks, for glenohumeral JM with other manual therapy techniques vs other treatments, the mean difference (MD) for shoulder flexion was −3.42° (</span><em>P</em> = .006), abduction 1.54° (<em>P</em> = .76), external rotation 0.65° (<em>P</em><span> = .85), and Shoulder and Pain Disability Index score 5.19 points (</span><em>P</em> = .5), and standard MD for pain intensity was 0.16 (<em>P</em><span> = .5). At 4 to 5 weeks, for the addition of glenohumeral JM to an exercise program vs exercise program alone, the MD for the visual analog scale was 0.13 cm (</span><em>P</em> = .51) and the Shoulder and Pain Disability Index score was −4.04 points (<em>P</em> = .01).</p></div><div><h3>Conclusion</h3><p>Compared with other treatments or an exercise program alone, the addition of glenohumeral JM with or without other manual therapy techniques does not provide significant clinical benefit with respect to shoulder function, range of motion, or pain intensity in patients with RC disorders. The quality of evidence was very low to high according to Grades of Recommendation Assessment, Development and Evaluation ratings.</p></div>","PeriodicalId":16132,"journal":{"name":"Journal of Manipulative and Physiological Therapeutics","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Glenohumeral Joint Mobilization on Range of Motion and Pain in Patients With Rotator Cuff Disorders: A Systematic Review and Meta-Analysis\",\"authors\":\"Héctor Gutiérrez-Espinoza PT, PhD ,&nbsp;Iván Cuyul-Vásquez PT, MSc ,&nbsp;Cristian Olguin-Huerta PT, MSc ,&nbsp;Marcelo Baldeón-Villavicencio PT, MSc ,&nbsp;Felipe Araya-Quintanilla PT, PhD\",\"doi\":\"10.1016/j.jmpt.2023.05.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p><span><span>The purpose of this study was to determine the effectiveness of glenohumeral joint mobilization (JM) on range of motion and pain intensity </span>in patients with </span>rotator cuff (RC) disorders.</p></div><div><h3>Methods</h3><p><span>An electronic search was performed in the MEDLINE, CENTRAL, Embase, </span>PEDro<span><span>, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included </span>randomized clinical trials that investigated the effect of glenohumeral JM techniques with or without other therapeutic interventions on range of motion, pain intensity, and shoulder function in patients older than 18 years with RC disorders. Two authors independently performed the search, study selection, and data extraction, and assessed risk of bias. Grades of Recommendation Assessment, Development and Evaluation ratings were used to evaluate the quality of evidence in this study.</span></p></div><div><h3>Results</h3><p><span>Twenty-four trials met the eligibility criteria, and 15 studies were included in the quantitative synthesis. At 4 to 6 weeks, for glenohumeral JM with other manual therapy techniques vs other treatments, the mean difference (MD) for shoulder flexion was −3.42° (</span><em>P</em> = .006), abduction 1.54° (<em>P</em> = .76), external rotation 0.65° (<em>P</em><span> = .85), and Shoulder and Pain Disability Index score 5.19 points (</span><em>P</em> = .5), and standard MD for pain intensity was 0.16 (<em>P</em><span> = .5). At 4 to 5 weeks, for the addition of glenohumeral JM to an exercise program vs exercise program alone, the MD for the visual analog scale was 0.13 cm (</span><em>P</em> = .51) and the Shoulder and Pain Disability Index score was −4.04 points (<em>P</em> = .01).</p></div><div><h3>Conclusion</h3><p>Compared with other treatments or an exercise program alone, the addition of glenohumeral JM with or without other manual therapy techniques does not provide significant clinical benefit with respect to shoulder function, range of motion, or pain intensity in patients with RC disorders. The quality of evidence was very low to high according to Grades of Recommendation Assessment, Development and Evaluation ratings.</p></div>\",\"PeriodicalId\":16132,\"journal\":{\"name\":\"Journal of Manipulative and Physiological Therapeutics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Manipulative and Physiological Therapeutics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0161475423000295\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Manipulative and Physiological Therapeutics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0161475423000295","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

目的:本研究旨在确定肩关节松动术(JM)对肩袖(RC)疾病患者运动范围和疼痛强度的有效性。方法:在MEDLINE、CENTRAL、Embase、PEDro、LILACS、CINAHL、SPORTDiscus和Web of Science数据库中进行电子检索。选择研究的资格标准包括随机临床试验,这些试验调查了在有或没有其他治疗干预的情况下,肩关节JM技术对18岁以上RC障碍患者的运动范围、疼痛强度和肩部功能的影响。两位作者独立进行了搜索、研究选择和数据提取,并评估了偏倚的风险。本研究采用推荐评估、发展和评估等级来评估证据的质量。结果:24项试验符合资格标准,15项研究被纳入定量综合。在第4至6周时,对于采用其他手法治疗技术与其他治疗的肩肱JM,肩部屈曲的平均差(MD)为-3.42°(P=.006),外展1.54°(P=.76),外旋0.65°(P=.85),肩部和疼痛残疾指数得分为5.19分(P=.5),疼痛强度的标准MD为0.16(P=0.5)。第4至5周时,对于将肩关节JM添加到运动计划与单独运动计划中,视觉模拟量表的MD为0.13 cm(P=.51),肩部和疼痛残疾指数得分为-4.04分(P=.01)。结论:与其他治疗或单独运动计划相比,在RC障碍患者的肩部功能、运动范围或疼痛强度方面,添加有或没有其他手动治疗技术的肩关节JM并不能提供显著的临床益处。根据建议评估、发展和评价等级,证据质量从低到高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Glenohumeral Joint Mobilization on Range of Motion and Pain in Patients With Rotator Cuff Disorders: A Systematic Review and Meta-Analysis

Objective

The purpose of this study was to determine the effectiveness of glenohumeral joint mobilization (JM) on range of motion and pain intensity in patients with rotator cuff (RC) disorders.

Methods

An electronic search was performed in the MEDLINE, CENTRAL, Embase, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that investigated the effect of glenohumeral JM techniques with or without other therapeutic interventions on range of motion, pain intensity, and shoulder function in patients older than 18 years with RC disorders. Two authors independently performed the search, study selection, and data extraction, and assessed risk of bias. Grades of Recommendation Assessment, Development and Evaluation ratings were used to evaluate the quality of evidence in this study.

Results

Twenty-four trials met the eligibility criteria, and 15 studies were included in the quantitative synthesis. At 4 to 6 weeks, for glenohumeral JM with other manual therapy techniques vs other treatments, the mean difference (MD) for shoulder flexion was −3.42° (P = .006), abduction 1.54° (P = .76), external rotation 0.65° (P = .85), and Shoulder and Pain Disability Index score 5.19 points (P = .5), and standard MD for pain intensity was 0.16 (P = .5). At 4 to 5 weeks, for the addition of glenohumeral JM to an exercise program vs exercise program alone, the MD for the visual analog scale was 0.13 cm (P = .51) and the Shoulder and Pain Disability Index score was −4.04 points (P = .01).

Conclusion

Compared with other treatments or an exercise program alone, the addition of glenohumeral JM with or without other manual therapy techniques does not provide significant clinical benefit with respect to shoulder function, range of motion, or pain intensity in patients with RC disorders. The quality of evidence was very low to high according to Grades of Recommendation Assessment, Development and Evaluation ratings.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.00
自引率
7.70%
发文量
63
审稿时长
29 weeks
期刊介绍: The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信