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首页> 外文期刊>Sao Paulo Medical Journal >What do Cochrane Systematic Reviews say about conservative and surgical therapeutic interventions for treating rotator cuff disease? Synthesis of evidence
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What do Cochrane Systematic Reviews say about conservative and surgical therapeutic interventions for treating rotator cuff disease? Synthesis of evidence

机译：Cochrane系统评价对保守性和外科治疗肩袖疾病的治疗措施有何评论？证据综合

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BACKGROUND: Shoulder pain is considered to be the third largest cause of musculoskeletal functional alterations in individuals presenting pain during movement. OBJECTIVE: The purpose of this synthesis of evidence was to identify the clinical effectiveness of conservative and surgical treatments reported in Cochrane systematic reviews among individuals diagnosed with rotator cuff disease. DESIGNAND SETTING: Review of systematic reviews, conducted in the Federal University of S?o Paulo (Universidade Federal de S?o Paulo, UNIFESP). METHODS: This synthesis of evidence included systematic reviews that had been published in the Cochrane database. The inclusion criteria were that these systematic reviews should involve individuals aged ≥ 16 years with rotator cuff disease, comparing surgical procedures with or without associated nonsurgical procedures versus placebo, no treatment or other nonsurgical interventions. RESULTS: Thirty-one systematic reviews were included, involving comparisons between surgical procedures and conservative treatment; procedures either combined or not combined with drugs, versus other procedures; and procedures involving exercises, manual therapy and electrothermal or phototherapeutic resources. CONCLUSIONS: The findings suggest that strengthening exercises, with or without associated manual therapy techniques and other resources, were the interventions with greatest power of treatment over the medium and long terms, for individuals with shoulder pain. These had greater therapeutic power than surgical procedures, electrotherapy or photobiomodulation. Protocol registration number in the PROSPERO database: ID - CRD42018096578.
机译：背景：肩部疼痛被认为是运动中表现出疼痛的个体中肌肉骨骼功能改变的第三大原因。目的：这一综合证据的目的是在确诊为肩袖疾病的个体中，确认Cochrane系统评价中报道的保守治疗和手术治疗的临床有效性。设计和地点：在圣保罗联邦大学（UNIFESP圣保罗联邦大学）进行的系统评价的审查。方法：这种综合证据包括已在Cochrane数据库中发表的系统评价。纳入标准是这些系统评价应包括年龄≥16岁的肩袖疾病患者，比较有或没有相关非手术方法与安慰剂，无治疗或其他非手术干预措施的手术方法。结果：共纳入三十一项系统评价，包括手术方法与保守治疗之间的比较。与其他程序相结合或不与药物相结合的程序;以及涉及锻炼，手动疗法以及电热或光疗资源的程序。结论：研究结果表明，有或没有相关的手动治疗技术和其他资源的强化锻炼，对于肩部疼痛的患者，在中长期内具有最大的治疗功效。这些具有比外科手术，电疗或光生物调节更大的治疗能力。 PROSPERO数据库中的协议注册号：ID-CRD42018096578。

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