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首页> 外文期刊>Journal of shoulder and elbow surgery >A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder
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A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder

机译：一项盲目，随机，对照试验，评估肩周炎保守治疗策略

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Background: There is little evidence for the optimal form of nonoperative treatment in the management of frozen shoulder. This study assesses the efficacy of current physiotherapy strategies. Methods: All primary care referrals of frozen shoulder to our physiotherapy department were included during a 12-month period. Of these referrals, 17% met the inclusion criteria for primary idiopathic frozen shoulder. The 75 patients were randomly assigned to 1 of 3 groups: group exercise class, individual physiotherapy, and home exercises alone. A single independent physiotherapist, who was blinded to the treatment groups, made all assessments. Range of motion, Constant score, Oxford Shoulder Score, Short Form 36, and Hospital Anxiety and Disability Scale (HADS) outcome measures were performed at baseline, 6 weeks, 6 months, and 1 year. Results: The exercise class group improved from a mean Constant score of 39.8 at baseline to 71.4 at 6 weeks and 88.1 at 1 year. There was a significant improvement in shoulder symptoms on Oxford and Constant scores (P < .001). This improvement was greater than with individual physiotherapy or home exercises alone (P < .001). The improvement in range of motion was significantly greater in both physiotherapy groups over home exercises (P < .001). HADS scores significantly improved during the course of treatment (P < .001). The improvement in HADS anxiety score was significantly greater in both physiotherapy intervention groups than in home exercises alone. Conclusions: A hospital-based exercise class can produce a rapid recovery from a frozen shoulder with a minimum number of visits to the hospital and is more effective than individual physiotherapy or a home exercise program.
机译：背景：很少有证据表明在肩周炎的治疗中最佳的非手术治疗形式。这项研究评估了当前理疗策略的功效。方法：在12个月内纳入所有向我院理疗科转诊的肩周炎的初级保健服务。在这些转诊中，有17％符合原发性特发性冷冻肩关节的入选标准。这75名患者被随机分配到3组中的1组：分组运动课，单独的理疗和单独的家庭运动。对治疗组不知情的一位独立理疗师进行了所有评估。在基线，6周，6个月和1年时进行了运动范围，恒定评分，牛津肩膀评分，简短表格36以及医院焦虑和残疾量表（HADS）的结果测量。结果：运动班组的平均恒定评分从基线的39.8提高到6周的71.4和1年的88.1。牛津和康斯坦特评分的肩部症状有明显改善（P <.001）。与单独进行理疗或家庭锻炼相比，这种改善更大（P <.001）。在两个理疗组中，运动范围的改善均显着大于家庭锻炼（P <.001）。在治疗过程中，HADS评分显着改善（P <.001）。在两个理疗干预组中，HADS焦虑评分的改善明显大于单独进行家庭锻炼的情况。结论：以医院为基础的运动课可以使肩周炎的患者迅速康复，而去医院的次数最少，并且比单独的理疗或家庭运动计划更有效。

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