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首页> 外文期刊>Physiotherapy theory and practice >Between-session changes predict overall perception of improvement but not functional improvement in patients with shoulder impingement syndrome seen for physical therapy: an observational study.
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Between-session changes predict overall perception of improvement but not functional improvement in patients with shoulder impingement syndrome seen for physical therapy: an observational study.

机译：休会期间的变化预测物理疗法治疗的肩部撞击综合征患者的整体感觉改善，但不能预测其功能改善：一项观察性研究。

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Do between-session changes in global rating of change (GRoC) predict change in GRoC and self-report of function at discharge in patients with shoulder impingement that initially improve in early sessions of treatment (GRoC>5)? Is there a difference between individuals who initially respond to treatment (GRoC>5) compared to those that do not (GRoC<5) for self-report of function? This longitudinal, observational study had 55 patients seen for a formal physical therapy program after a medical diagnosis of shoulder impingement. Physical therapy used a standardized protocol. The American Shoulder and Elbow Surgeons Subjective Shoulder Scale (ASES) and self-report of improvement of condition using the GRoC were measured. We found no significant correlation between the first visits between-sessions changes of the GRoC and the change score of the ASES (r=0.13; p=0.39) in patients with shoulder impingement that initially improve in early sessions of treatment (GRoC>5). There was a moderate correlation between the first visits between-session changes of the GRoC and the final reported GRoC (r=0.48; p<0.01) for the patients who responded to treatment. There was no difference in ASES change scores between those who initially respond to treatment (N=10) and those who do not (N=34). ASES mean change scores were 21.5 for the responders and 14.3 for the non-responders. These findings suggest that a GRoC of 5 or greater is related to a perceived change in one's condition upon termination of formal physical therapy but is not related to actual improvement in one's self-report of function. This finding suggests that the construct of the GRoC may not be related to the constructs of the ASES, or between-session changes are not prognostic in patients with shoulder impingement and should not solely dictate treatment decision making.
机译：会议期间总体变化率（GRoC）的变化是否可以预测出肩关节撞击患者出院时GRoC的变化和出院时自我功能的报告，这些变化在治疗的早期阶段就开始改善（GRoC> 5）？最初对治疗有反应（GRoC> 5）的个体与对自我报告功能没有反应（GRoC <5）的个体之间是否有区别？这项纵向观察性研究在对肩部撞击进行医学诊断后，对55名患者进行了正式的物理治疗。物理治疗采用标准化方案。测量了美国肩肘外科医师的主观肩膀量表（ASES）和使用GRoC自我报告的病情改善情况。我们发现在初次治疗初期改善的肩部撞击患者中，GRoC的初次就诊之间的GRoC变化与ASES的变化评分之间无显着相关性（r = 0.13; p = 0.39）（GRoC> 5） 。对于治疗有反应的患者，GRoC疗程变化的首次就诊与最终报告的GRoC之间存在中等相关性（r = 0.48; p <0.01）。最初对治疗有反应的患者（N = 10）与没有反应的患者（N = 34）之间的ASES变化评分无差异。 ASES响应者的平均变化得分为21.5，未响应者的平均变化得分为14.3。这些发现表明，GRoC为5或更高与终止正式物理治疗后感觉到的病情变化有关，而与个人自我报告功能的实际改善无关。这一发现表明，GRoC的构建可能与ASES的构建不相关，或者在有肩部撞击的患者中，会话间的变化对预后没有影响，并且不应仅决定治疗决策。

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