适应性自我锻炼对肩部僵硬有好处吗?

Kriangkrai Benjawongsathien
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摘要

目的: 肩部僵硬会限制肩部活动,影响生活质量。目前已实施了多项康复计划来改善这些状况。为了取得积极的临床效果,人们设计了各种锻炼方法。我们的目的是比较一小套经过调整的自我锻炼与一套常规锻炼对肩关节僵硬患者的临床效果:我们将 70 名肩关节僵硬患者随机分为两组,每组进行自我锻炼。第一组(常规组)的自我锻炼包括 "正面爬墙"、"侧面爬墙 "和 "用毛巾拉伸肩部",第二组(调整组)的自我锻炼包括 "站立位辅助前屈拉伸"、"站立位卧位拉伸 "和 "门口或墙角拉伸"。结果测量包括疼痛评分、功能评分和活动范围:在性别(P=0.759)、年龄(P=0.521)、潜在疾病(P=0.322)或体重指数(BMI)(P=0.687)方面,两组患者的基线特征无明显差异。与第一组相比,第二组在平均疼痛评分下降率(-4.5±1.7 vs. -3.5±2.4,p=0.049)、平均ASES评分提高率(23.1±9.9 vs. 18.3±13.1,p=0.038)和肩关节各方向平均活动度提高率方面均有明显改善:结论:经调整的自我锻炼组合可为肩部僵硬患者提供良好的治疗效果,也可作为超重患者的一种治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does Adapted Self-Exercise Have Benefits for Stiff Shoulders?
Purpose: Stiff shoulders restrict shoulder motion and affect the quality of life. Several rehabilitation programs have been implemented to improve these conditions. Various exercises have been designed to achieve positive clinical outcomes. However, too many different sets of exercises can confuse patients and lead to infrequent exercises. We aimed to compare the clinical outcomes of a small set of adapted self-exercises to a usual set in patients with stiff shoulders. Methods: Seventy patients with stiff shoulders were randomly assigned to two groups, each performing self-exercises. Self-exercise in group I (the usual set) was composed of ‘wall climbing in front,’ ‘wall climbing at the side,’ and ‘shoulder stretching with a towel,’ and in group II (the adapted set), it was composed of ‘assisted forward flexion stretching in the standing position,’ ‘sleeper stretching in the standing position,’ and ‘doorway or corner stretching.’ The outcome measurements included pain score, functional score, and range of motion. Results: There were no significant differences in the baseline patient characteristics between the groups in terms of sex (p=0.759), age (p=0.521), underlying disease (p=0.322), or body mass index (BMI) (p=0.687). Group II demonstrated significantly higher improvement in mean pain score decrement (-4.5±1.7 vs. -3.5±2.4, p=0.049), mean ASES score improvement (23.1±9.9 vs. 18.3±13.1, p=0.038) and mean degree improvement of shoulder motion in all directions than in group I. Conclusions: The adapted self-exercise set may offer favorable results in treating patients with stiff shoulders and may also be a treatment option for overweight patients.
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