Management of Shoulder Pain Resulting from Supraspinatus Tendinopathy: A Literature Review

肩棘上肌肌腱炎引發之肩部疼痛處理及治療：文獻回顧

林芸代(Yun-Tai Lin) ； 賴怡岑(Yih-Tsen Lai) ； 塗雅雯(Ya-Wen Tu)

《疼痛醫學雜誌》 22卷1期 (2012/03) Pp. 15-24

https://doi.org/10.29792/TTJP.201203.0003

摘要

肩膀疼痛的盛行率相當高，約占16-21%。而肩棘上肌肌腱炎是最常見的原因。肩棘上肌肌腱常因反覆的研磨，夾擠，撞擊而導致受傷發炎，好發於肩部上臂需反覆高舉的族群，甚至是肩部活動量大的運動員。此疾病會導致疼痛、失能、肩關節活動度受限、影響日常生活並降低生活品質，甚至無法工作，或在競賽中降低運動表現。超過半數的肩棘上肌肌腱炎患者會被轉介接受復健治療，然而目前對肩棘上肌肌腱炎的治療方式卻尚未有良好共識。故本文主要討論不同的治療方式對肩棘上肌肌腱炎疼痛控制的效果。

關鍵字

肩痛 ； 肩旋轉肌 ； 夾擠症候群

並列摘要

The prevalence of shoulder pain is about 16-21% of the general population, and supraspinatus tendinopathy is mostly affected. Supraspinatus tendinopathy affects persons who impose repeated stress on their shoulders, both in general population and in athletes who engaged in overhead activities. This disorder resulted in pain, disability, limited shoulder range of motion, poor quality of life, absence from work, or even poor sports performance in athletes. More than 50% of patients with supraspinatus tendinopathy diagnosed by a general practitioner are referred for physical therapy. Currently no consensus exists as to the management of choice for supraspinatus tendinopathy. The purpose of this article was to determine which rehabilitation interventions are effective in pain reduction for supraspinatus tendinopathy.

並列關鍵字

shoulder pain ； rotator cuff ； impingement