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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Effectiveness of rehabilitation for patients with Subacromial impingement syndrome: A systematic review.
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Effectiveness of rehabilitation for patients with Subacromial impingement syndrome: A systematic review.

机译：肩峰以下撞击综合征患者康复的有效性：系统评价。

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Prior systematic reviews of rehabilitation for nondescript shoulder pain have not yielded clinically applicable results for those patients with subacromial impingement syndrome (SAIS). The purpose of this study was to examine the evidence for rehabilitation interventions for SAIS. The authors used data source as the method. The computerized bibliographic databases of Medline, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Database of Systematic Reviews were searched from 1966 up to and including October 2003. Key words used were shoulder, cuff" combined with "rehabilitation," "physical therapy," electrotherapy, clinical trials. Randomized clinical trials that investigated physical interventions used in the rehabilitation of patients with SAIS with clinically relevant outcome measures of pain and quality of life were selected. The search resulted in 635 potential studies, 12 meeting inclusion criteria. Two independent reviewers graded all 12 trials with a qualitychecklist averaged for a final quality score. The mean quality score for 12 trials was 37.6 out of a possible 69 points. Various treatments were evaluated: exercise in six trials, joint mobilizations in two trials, laser in three trials, ultrasound in two trials, and acupuncture in two trials. The limited evidence currently available suggests that exercise and joint mobilizations are efficacious for patients with SAIS. Laser therapy appears to be of benefit only when used in isolation, not in combination with therapeutic exercise. Ultrasound is of no benefit, and acupuncture trials present equivocal evidence. The low to mediocre methodologic quality, small sample sizes, and general lack of long-term follow-up limit these findings for the development of useful clinical practice guidelines. Further trials are needed to investigate these rehabilitation interventions, the superiority of one intervention over another, and the long-term outcomes of rehabilitation. Moreover, it is imperative that clinical guidelinesare developed to indicate those patients who are likely to respond to rehabilitation.
机译：对于那些肩峰以下撞击综合征（SAIS）的患者，先前对无症状性肩部疼痛的康复治疗的系统评价尚未产生临床适用的结果。这项研究的目的是检查SAIS康复干预的证据。作者使用数据源作为方法。从1966年至2003年10月（含），检索了Medline的计算机书目数据库，护理和相关健康文献的累积索引（CINAHL）和Cochrane系统评价数据库。 ”，“物理疗法”，“电疗法”，临床试验。选择了随机临床试验，调查了用于SAIS患者康复的物理干预措施，并采用了与临床有关的疼痛和生活质量相关指标，以进行635项潜在研究，12符合纳入标准的两名独立审稿人对所有12项试验进行了质量评定，对最终质量得分进行了平均评分，其中12项试验的平均质量得分为37.6分（满分为69分）。两项试验，三项试验中的激光治疗，两项试验中的超声治疗以及两项试验中的针灸治疗。目前可用的证据表明，运动和关节活动对SAIS患者有效。激光疗法似乎仅在单独使用时才有益，而不能与治疗性锻炼结合使用。超声没有好处，针灸试验提供了模棱两可的证据。方法学质量低至中等，样本量小，以及长期缺乏长期随访，限制了这些发现，无法制定有用的临床实践指南。需要进一步的试验来研究这些康复干预措施，一种干预措施优于另一种干预措施以及康复的长期结果。此外，必须制定临床指南以指示可能对康复有反应的那些患者。

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