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首页> 外文期刊>Physiotherapy theory and practice >Effect of sternoclavicular joint mobilization on pain and function in a patient with massive supraspinatus tear
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Effect of sternoclavicular joint mobilization on pain and function in a patient with massive supraspinatus tear

机译：肩锁关节动员对大棘上突撕裂患者疼痛和功能的影响

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摘要

Massive irreparable rotator cuff tears can be difficult to treat conservatively, especially when the patient has multiple comorbidities. Although there is evidence to support interventions aimed at the spine, there is paucity in the literature describing interventions to the sternoclavicular joint (SCJ) in individuals with rotator cuff pathology. A 57-year-old female with multiple comorbidities and a body mass index of 59 was referred to physical therapy with a 4-month history of right shoulder pain, significant functional limitations, and magnetic resonance imaging (MRI), demonstrating a full-thickness supraspinatus tear. She presented initially with active shoulder flexion range of motion (ROM) 0-80 degrees, numeric pain rating scale (NPRS) 7/10, and QuickDASH 65.9%. After six physical therapy sessions, the patient had plateaued with improvements in pain and ROM. SCJ mobilizations at visit 7 immediately improved pain, active ROM, and subjective reports of function. The patient was discharged after 13 visits with increased active shoulder flexion ROM to 0-170 degrees, NPRS 1/10, QuickDASH 31.8%, and Global Rating of Change (GROC) +5. This case highlights the successful conservative treatment of an individual with an irreparable rotator cuff tear and numerous comorbidities by using a multimodal approach including SCJ mobilizations.
机译：保守治疗无法修复的大量无法修复的肩袖撕裂，尤其是当患者患有多种合并症时。尽管有证据支持针对脊柱的干预措施，但文献中很少描述对具有肩袖病理的个体进行的锁骨关节（SCJ）干预措施。一位患有多种合并症，体重指数为59的57岁女性被转诊接受物理治疗，有4个月的右肩痛史，严重的功能局限性和磁共振成像（MRI），表明其全层厚度棘上撕裂。她最初表现为活动的肩部屈曲活动范围（ROM）为0-80度，数字疼痛等级量表（NPRS）为7/10，QuickDASH为65.9％。经过六次理疗后，患者的疼痛和ROM有所改善。在第7次就诊时SCJ动员立即改善了疼痛，活动性ROM和功能的主观报告。该患者在13次就诊后出院，主动肩屈ROM提高至0-170度，NPRS 1/10，QuickDASH 31.8％，全球变化等级（GROC）+5。该病例突出显示了通过使用包括SCJ动员在内的多模式方法，成功治疗了无法修复的肩袖撕裂并伴有多种合并症的个体。

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