- 期刊
Randomized Clinical Trial for Efficacy of Mobilization with Movement versus End-Range Mobilization Techniques in the Treatment of Adhesive Capsulitis of Shoulder Joint
比較動態關節鬆動術與活動極限下做關節鬆動術治療冰凍肩療效之隨機分配臨床試驗
摘要
本研究之目的為比較動態關節鬆動術與活動極限下做關節鬆動術對於治療冰凍肩的療效。對於18位接受動態關節鬆動術及22位接受活動極限下做關節鬆動術治療超過兩週以上的個案進行評估。為一隨機分配、評估者單盲、及平行比較的研究。由同一位物理治療師進行肩關節主動及被動的彎曲、內轉、外轉、外展活動度及疼痛量表評估。大部份個案的疼痛指數均隨著治療而下降，各項評估結果沒有改善的比例在一個月的追蹤時兩組均無顯著差異，雖然動態關節鬆動術組在內轉的測量上比活動極限下做關節鬆動術組有較低的未改善比例（（1/18比6/22，p=0.105））。此外在二維重複測量的多變項分析（2-way ANOVA with repeated measures）的結果顯示在一個月的追蹤時，動態關節鬆動術治療的患者在外轉上有顯著較活動極限下做關節鬆動術組為佳的改善，p﹤0.05。本研究顯示動態關節鬆動術對於冰凍肩的治療有與活動極限下做關節鬆動術相當的效果，欲進步瞭解其療效的持續期則需更深入的研究及探討。
並列摘要
The objective of this stud is to compare the efficacy between mobilization with movement (MWM) and end-range mobilization techniques (EMTs) in the management of adhesive capsulitis. Eighteen and twenty-two patients from MWM and EMT groups, respectively, who returned after two-week follow-up were evaluated. This was a randomized, evaluator-blind, parallel comparison study. Active and passive range of motion (ROM) for flexion, internal and external rotation, abduction and pain scale were assessed regularly by the same physical therapist. Pain reduction was observed in most of the patients. The proportion of patients with the same or worse condition after one month of follow-up was not significantly different for all measures between groups, although the MWM group had a slightly smaller percentage than EMT group in internal rotation (1/18 vs 6/22, p=0.105). After one-month follow-up the MWM patients also had a significantly better improvement in external rotation, p﹤0.05. MWM was proved to be at least equally effective in the treatment of adhesive capsulitis compared to EMTs. Further studies are needed to investigate the efficacy of MWM and the duration of its effect.
延伸閱讀
- Teoh, J. Y., Yan, L. C., & Mu, H. Y. T. (2022). 【論文摘要】冰敷對全膝關節置換術後之疼痛與引流量的正向影響：系統性回顧與統合分析. 物理治療, 47(2), 125-126. https://doi.org/10.6215/FJPT.202206.O27
- 李松青（2013）。冷療對韌帶重建手術後關節源性肌肉抑制現象的效果〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2013.00358
- Kuo, C. C., Lin, C. C., Lee, W. J., & Huang, W. T. (2013). 不同冰敷時間對軟組織傷害個案之致種與止痛效果：隨機控制試驗. The Journal of Nursing Research, 21(3), 186-194. https://doi.org/10.1097/JNR.0b013e3182a0af12
- Chia-Yin Lin（2023）。【論文摘要】創新整合外骨骼步態訓練和冷循環壓縮法於關節置換術後物理治療中的效果－初步研究。物理治療，48(2)，117-118。https://doi.org/10.6215/FJPT.202306.O13
- 陳帟宏、林咨佑、郭毓雯、侯冠宇、王淳厚（2022）。【論文摘要】肩關節夾擠症候群患者使用運動治療有無輔以關節鬆動術之療效比較：系統性回顧及統合分析。物理治療，47(2)，155-155。https://doi.org/10.6215/FJPT.202206.P45