关节镜下肩袖修复术患者通过肌电图进行肱骨头下压肌协同激活训练后的良好临床效果:随机对照试验

IF 2.7 2区 医学 Q1 SPORT SCIENCES Sports Health-A Multidisciplinary Approach Pub Date : 2025-03-01 Epub Date: 2024-03-18 DOI:10.1177/19417381241235184
Caner Kararti, Anıl Özüdoğru, Hakkı Çağdaş Basat, İsmail Özsoy
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引用次数: 0

摘要

背景:有助于肱骨头凹陷的肩部肌肉协同激活(Co-A)可导致肩峰下结构在外展过程中机械性卸载,因此对关节镜下肩袖修复术(ARCR)患者有益。本研究旨在研究肱骨头凹陷肌Co-A(DM-Co-A)训练对ARCR患者临床疗效的影响:我们假设,在盂肱运动中进行内收矢量DM-Co-A训练可提高ARCR康复治疗的临床效果:随机对照单盲研究:证据等级:1B级:方法:共纳入了 27 名在中型肩袖撕裂后接受 ARCR 的患者,他们完成了第一阶段的训练,依从性≥80%。治疗组在接受 14 周保守治疗(6 周第二阶段训练和 8 周第三阶段训练)的同时,使用肌电图生物反馈装置(EMG-BF)进行同步 "DM-Co-A 训练"。在对照组进行第二和第三阶段保守治疗练习时,要求治疗组患者在 EMG-BF 设备的视觉和听觉反馈引导下自愿激活肱骨头抑制肌。记录了参与者的人口统计学特征。采用视觉模拟量表和通用动态关节角度计分别评估治疗前后的疼痛严重程度和关节活动范围。手臂、肩部和手部残疾问卷、修订版牛津肩部评分、修正版康斯坦茨-默里肩部评分和西部-安大略肩袖指数用于评估功能:结果:与对照组相比,治疗组的疼痛严重程度、主动ROM(不包括内旋)和功能均有临床意义的改善(P<0.05):结论:为期14周的DM-Co-A联合肌电图治疗可能对ARCR术后患者的康复有益。
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Favorable Clinical Outcomes After Humeral Head Depressor Muscle Coactivation Training With EMG for Patients With Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial.

Background: The coactivation (Co-A) of shoulder muscles that contribute to humeral head depression can lead to mechanical unloading of the subacromial structures during abduction and thus can be beneficial for patients with arthroscopic rotator cuff repair (ARCR). The present study aims to examine the effectiveness of humeral head depressor muscle Co-A (DM-Co-A) training on clinical outcomes in a sample of patients with ARCR.

Hypothesis: We hypothesized that DM-Co-A training with medioinferior vector during glenohumeral exercises can improve clinical results in the rehabilitation of ARCR.

Study design: Randomized controlled single-blind study.

Level of evidence: Level 1B.

Methods: A total of 27 patients who underwent ARCR after a medium-sized rotator cuff tear and completed their Phase 1 training with ≥80% compliance were included. Together with 14 weeks of conservative treatment (6 weeks of Phase 2 training and 8 weeks of Phase 3 training), synchronized "DM-Co-A Training" was applied to the treatment group with an electromyography (EMG) biofeedback (EMG-BF) device. Patients in the treatment group were asked to voluntarily activate the humeral head depressor muscles guided by visual and auditory feedback of the EMG-BF device during the Phase 2 and Phase 3 conservative treatment exercises performed by the control group. Demographic characteristics of the participants were recorded. Visual analog scale and universal goniometer were used to assess pre- and posttreatment pain severity and joint range of motion, respectively. The Disabilities of Arm, Shoulder and Hand Questionnaire, Revised Oxford Shoulder Score, Modified Constant-Murley Shoulder Score, and the Western-Ontario Rotator Cuff Index were used to assess functionality.

Results: There was a clinically meaningful improvement in pain severity, active ROM excluding internal rotation, and functionality in the treatment group compared with the control group (P < 0.05).

Conclusion: A 14-week duration DM-Co-A with EMG may be beneficial in the postoperative rehabilitation of patients after ARCR.

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来源期刊
Sports Health-A Multidisciplinary Approach
Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine
CiteScore
6.90
自引率
9.10%
发文量
101
期刊介绍: Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology
期刊最新文献
Sex Differences in Quadriceps Atrophy After Anterior Cruciate Ligament Tear. Favorable Clinical Outcomes After Humeral Head Depressor Muscle Coactivation Training With EMG for Patients With Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial. Effects of Eccentric Versus Concentric Strengthening in Patients With Subacromial Pain Syndrome: A Randomized Controlled Trial. Relationship Between Running Biomechanics and Core Temperature Across a Competitive Road Race. Subjective Causes for Failure to Return to Sport After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.
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