肩胛骨本体感觉神经肌肉促进技术对肩峰下撞击综合征患者疼痛和功能的影响:一项随机对照试验

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2021-11-02 DOI:10.1055/a-1869-9195
Tuğba Akgüller, Yıldız Analay Akbaba, H. Taskiran
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引用次数: 0

摘要

目的探讨肩胛骨本体感觉神经肌肉促进术(PNF)治疗肩峰下撞击综合征(SIS)的疗效。方法随机选择36例患者,两组均采用6周运动计划,每周2天。PNF组在2条肩胛骨对角线处进行节律性起始和重复拉伸PNF技术。疼痛和功能是主要结局。次要结果为活动度(ROM)、痛压阈值(PPT)、肌筋膜触发点(MTrPs)、肩胛骨运动障碍、焦虑和抑郁状态。结果PNF组在功能、内旋ROM、PPT、活跃MTrPs、患者满意度等方面的改善均显著高于运动组(p<0.05)。仅PNF组肩胛骨运动障碍改善(p<0.05)。两组患者疼痛、功能、ROM、PPT、活跃MTrPs、焦虑、抑郁均有显著改善(p<0.05)。结论肩胛骨PNF技术和标准运动方案均能有效治疗SIS。然而,肩胛骨PNF技术可以加入到运动计划中,以进一步改善功能、ROM、PPT、活性MTrPs、肩胛骨运动障碍和患者满意度。
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The Effect of Scapular Proprioceptive Neuromuscular Facilitation Techniques on Pain and Functionality in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Trial
Abstract Objective To determine the effectiveness of scapular proprioceptive neuromuscular facilitation (PNF) techniques in patients with subacromial impingement syndrome (SIS). Methods 36 patients were randomized and a 6-week exercise program was applied to both groups 2 days a week. PNF group also received rhythmic initiation and repeated stretch PNF techniques in 2 scapula diagonals. Pain and function were primary outcomes. Active range of motion (ROM), pain pressure threshold (PPT), active myofascial trigger points (MTrPs), scapular dyskinesis, anxiety and depression status were secondary outcomes. Results The improvement in function, internal rotation ROM, PPT, active MTrPs and patient satisfaction was significantly greater in PNF group than exercise group (p<0.05). Scapular dyskinesis improved only in PNF group (p<0.05). Significant improvement in pain, function, ROM, PPT, active MTrPs, anxiety and depression was found in both groups (p<0.05). Conclusions Both scapular PNF techniques and standard exercise program are effective in the treatment of SIS. However, scapular PNF techniques can be added to the exercise program to further improve function, ROM, PPT, active MTrPs, scapular dyskinesis, and patient satisfaction.
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
期刊介绍: The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.
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