物理治疗方案对粘连性囊炎的疗效观察

Navjyot Trivedi, M. Ladani
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摘要

背景:粘连性肩关节囊炎特发性疼痛性肩关节活动受限导致肩关节整体受限。它影响了2%到3%的普通人群,并影响了许多功能性活动,如梳理、举起、推和拉。虽然物理治疗往往是第一线的管理,有各种治疗方法已经发现其有效性,但迄今为止,其治疗方案尚未建立。因此,有必要寻找治疗粘连性囊炎的特异性物理治疗方案。本研究的目的是发现物理治疗方案对粘连性囊炎的有效性。材料与方法:选取确诊为原发性粘连性囊炎的患者30例,分为两组。一组采用文献复习的治疗方案,另一组采用常规物理治疗,疗程4周。治疗前后测量ROM、SPADI指数,并进行统计学分析。比较两种治疗策略,A组在外展、IRROM和功能评分(SPADI)方面均优于B组,B组采用常规物理治疗。屈曲、伸展和ER ROM的改善相对较少。结论:治疗方案是治疗粘连性囊炎的有效方法。
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Effectiveness of Therapeutic protocol for Physiotherapy Management of Adhesive Capsulitis
Background: Adhesive Capsulitis idiopathic painful restriction of Shoulder movement results in globalrestriction of the glenohumeral joint. It is affecting 2% to 3% of the general population and affects manyfunctional activities like combing, lifting, pushing and pulling. Although Physiotherapy is often the firstline of management, there are various treatments has found its effectiveness but yet to date its protocolof treatment has not been established. So, it is necessary to find effectiveness of specific Physiotherapytreatment protocol for Adhesive Capsulitis. The aim of this study was to find effectiveness of TherapeuticProtocol for Physiotherapy management of Adhesive Capsulitis.Materials and Method: Experimental trial of 30 patients, diagnosed with primary Adhesive Capsulitisselected and divided into two groups. One group was given a Therapeutic Protocol based on review ofliterature and the other group was treated with Conventional Physiotherapy treatment for 4 Weeks. Preand post treatment measurement of ROM, and SPADI Index were taken and statistical analysis was done.The two treatment strategies were compared, Group A showed better improvement in Abduction, IRROM and Functional Score (SPADI) as compare to Group B which was treated with Conventional regularPhysiotherapy Treatment. Improvement in Flexion, Extension and ER ROM was relatively less.Conclusion: Therapeutic Protocol proved effective for management of Adhesive Capsulitis.
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