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物理治療對於冰凍肩的療效

Physical Therapy for Adhesive Capsulitis

摘要


本研究旨在搜尋對於冰凍肩以物理治療為主要介入措施之臨床實驗性研究。以類似系統性文獻回顧法分析資料,搜尋MEDLINE等四個中、英文資料庫,共9篇文章符合篩選標準。結果顯示物理治療治療冰凍肩時,在肩關節屈曲及外展活動度上有明顯意義,肩關節內轉及肩關節功能的療效並不顯著,對於疼痛的控制上則出現對立的結果。

關鍵字

冰凍肩 物理治療 療效 關節攣縮

並列摘要


Background and Purpose: The signs and symptoms of adhesive capsulitis have been recognized since 1872. Nowadays, more questions than answers exist regarding evaluation and management of the adhesive capsulitis problem. The rationale for treating adhesive capsulitis is based on the anatomical findings at surgery where capsular fibrosis with thickening and shortening was found. However, the effect of physical therapy programs to adhesive capsulitis is unclear. Therefore, this literature review assess the effectiveness of pain, passive range of notion (PROM), active range of motion (AROM) and function in patients with adhesive capsulitis. Methods: The search was conducted in the online electronic databases: MEDLINE, CINAHL, SPORTDiscus and CEPS. The primary outcome measures included pain, PROM, AROM and function. Results: Physical therapy showed significant improvement in ROM of shoulder flexion and abduction, but no significant improvement in ROM of internal rotation and function. The effect to pain is controversial. Conclusion: The results of the review conclude that physical therapy can improve ROM of shoulder flexion and abduction.

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