PDF(Pubmed)
Abstract：
This review aimed to investigate the effects of exercise and exercise with joint mobilization on shoulder range of motion (ROM) and subjective symptom recovery in patients with adhesive capsulitis (AC). Related Studies published from 2000 to 2021 that were peer-reviewed and for which pre-and post-values could be calculated were extracted from PubMed, CINAHL, SPORTDiscus, and Web of Science. Nine studies met our inclusion criteria. As a result of calculating the standard mean difference (SMD) and 95% confidence intervals (CI), both exercise and exercise with joint mobilization showed a large effect on shoulder ROM and subjective outcomes. The combination showed a more significant effect than exercise alone on shoulder flexion (SMD = -1.59 [-2.34, -0.65]), extension (SMD = -1.47 [-2.05, -0.89]), internal rotation (SMD = -1.77 [-2.17, -1.36], external rotation (SMD = -2.18 [-2.92, -1.44]), and abduction ROM (SMD = -1.99 [CI -3.86, -0.12]). Patients who performed exercise alone showed a higher effect of improvement in subjective function (SMD = 3.15 [2.06, 4.24]) and pain (SMD = 4.13 [1.86, 6.41]). Based on these results, an AC rehabilitation exercise program should be developed by adjusting the amount of exercise and joint mobilization by identifying the patient\'s needs, subjective symptoms, and ROM.
摘要：
本文旨在研究运动和关节动员运动对粘连性囊炎（AC）患者肩关节活动度（ROM）和主观症状恢复的影响。2000年至2021年发表的相关研究经过同行评审，可以计算前后值，这些研究是从PubMed中提取的，CINAHL,SPORTDiscus,和WebofScience。九项研究符合我们的纳入标准。作为计算标准平均差(SMD)和95%置信区间(CI)的结果，运动和关节动员运动对肩关节ROM和主观结局均有较大影响.该组合对肩关节屈曲的影响比单独运动更显著（SMD=-1.59[-2.34,-0.65]），扩展（SMD=-1.47[-2.05，-0.89]），内旋(SMD=-1.77[-2.17,-1.36],外部旋转(SMD=-2.18[-2.92,-1.44]),和外展ROM（SMD=-1.99[CI-3.86，-0.12]）。单独进行运动的患者在主观功能（SMD=3.15[2.06,4.24]）和疼痛（SMD=4.13[1.86,6.41]）方面表现出更高的改善效果。基于这些结果,应通过确定患者的需求来调整运动量和关节动员，从而制定AC康复锻炼计划，主观症状,和ROM。
