在高强度激光治疗中加入运动可提高肩峰下疼痛综合征患者疼痛和肌肉力量的治疗效果:一项随机试验

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2022-11-23 DOI:10.1055/a-2108-4574
S. Yeşilyaprak, Seda Paskal, C. Koşay, O. Hapa
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引用次数: 0

摘要

摘要目的评估在高强度激光治疗(HILT)的基础上增加运动对提高肩峰下疼痛综合征患者临床疗效的疗效。方法将30例肩峰下疼痛综合征患者随机分为单纯HILT组(n=15)和HILT运动组(n=5)。主要结果是肩部功能和残疾。次要结果是疼痛、活动范围、本体感觉(关节位置感)和肌肉力量。结果两组患者肩功能及伤残、疼痛、活动范围、关节位置感及部分肌肉力量均有改善(p0.05),时间组对活动疼痛及力量影响显著,有利于HILT&Exercise组。HILT加运动后,中斜方肌、下斜方肌和冈上肌力量增加(p<0.05),活动疼痛、上斜方肌,前锯齿肌和肩胛下肌力量比HILT改善更多(p<0.05),在肩峰下疼痛综合征患者中。在改善活动疼痛和肌肉力量方面,在HILT中添加运动优于HILT。
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The Addition of Exercise to High-Intensity Laser Therapy Improves Treatment Effectiveness on Pain and Muscle Strength in Patients with Subacromial Pain Syndrome: A Randomized Trial
Abstract Objective To assess the efficacy of adding exercise to high-intensity laser therapy (HILT) in improving treatment effectiveness for clinical outcomes in patients with subacromial pain syndrome. Methods Thirty patients with subacromial pain syndrome were randomly assigned to the HILT-only group (n=15) or HILT&Exercise group (n=15). The primary outcome was shoulder function and disability. Secondary outcomes were pain, range of motion, proprioception (joint position sense), and muscle strength. Results Shoulder function and disability, pain, range of motion, joint position sense, and some muscle strength improved in both groups (p<0.05). There was no significant time-group interaction for the Constant-Murley Score, Shoulder Pain and Disability Index, rest pain, range of motion, and joint position sense (p>0.05). Time-group showed significant effects for activity pain and strength in favor of the HILT&Exercise group. Middle trapezius, lower trapezius, and supraspinatus strength increased after HILT plus exercise (p<0.05), activity pain, upper trapezius, serratus anterior, and subscapularis strength improved more compared to HILT (p<0.05). Conclusions We found no clinically important differences between HILT and HILT-plus exercise in shoulder function and disability, rest pain, mobility, and proprioception, in patients with subacromial pain syndrome. The addition of exercise to HILT was superior to HILT for improving activity pain and muscle strength.
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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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