Abstract：
BACKGROUND: Subacromial pain syndrome (SPS) is the most frequent shoulder pathology. The aims of this prospective randomized study were to evaluate the effects of some specific shoulder joint mobilizations (\"spin correction\"), and the effectiveness of a rehabilitation program, named Shoulder Global Concept, in SPS patients.
METHODS: 45 patients with SPS were randomly assigned to two groups, to benefit from a different first session of mobilizations: the experimental group received all specific mobilizations, while the control group received the same program but without the spin correction mobilizations. The second session was identical for both groups, with all specific mobilizations. Before and after the first two sessions, range of motion (ROM) in flexion, abduction, external and internal rotations, pain and functional status with Constant score and Quick Dash were evaluated. Evaluation was repeated with 24 patients after 11 rehabilitation sessions. Rehabilitation with Shoulder Global Concept included 13 mobilizations aiming at improving the ROM with passive and active-assisted mobilizations, static stretching, and muscle strengthening.
RESULTS: All ROM were improved at the end of the first session for both groups, but significantly more in the experimental group for glenohumeral (GH) abduction and external rotation (p < 0.05). Functional scores, pain and strength were significantly improved after 11 rehabilitation sessions with the Shoulder Global Concept.
CONCLUSIONS: This manual therapy method was able to improve shoulder mobility in one session. The additional joint mobilizations (spin correction) specifically increased GH abduction and external rotation. Rehabilitation of SPS with Shoulder Global Concept allowed to improve functional capacity and decrease pain.
METHODS: 45 patients with SPS were randomly assigned to two groups, to benefit from a different first session of mobilizations: the experimental group received all specific mobilizations, while the control group received the same program but without the spin correction mobilizations. The second session was identical for both groups, with all specific mobilizations. Before and after the first two sessions, range of motion (ROM) in flexion, abduction, external and internal rotations, pain and functional status with Constant score and Quick Dash were evaluated. Evaluation was repeated with 24 patients after 11 rehabilitation sessions. Rehabilitation with Shoulder Global Concept included 13 mobilizations aiming at improving the ROM with passive and active-assisted mobilizations, static stretching, and muscle strengthening.
RESULTS: All ROM were improved at the end of the first session for both groups, but significantly more in the experimental group for glenohumeral (GH) abduction and external rotation (p < 0.05). Functional scores, pain and strength were significantly improved after 11 rehabilitation sessions with the Shoulder Global Concept.
CONCLUSIONS: This manual therapy method was able to improve shoulder mobility in one session. The additional joint mobilizations (spin correction) specifically increased GH abduction and external rotation. Rehabilitation of SPS with Shoulder Global Concept allowed to improve functional capacity and decrease pain.
摘要：
背景：肩峰下疼痛综合征（SPS）是最常见的肩关节病变。这项前瞻性随机研究的目的是评估某些特定肩关节活动（“旋转矫正”）的效果，以及康复计划的有效性，名为“肩膀全球概念”，SPS患者。
方法：将45例SPS患者随机分为两组，从不同的第一次动员中受益：实验组接受了所有特定的动员，而对照组接受了相同的程序，但没有旋转校正动员。两组的第二次会议是相同的，所有特定的动员。前两届会议前后,屈曲运动范围(ROM)，绑架,外部和内部旋转，使用Constant评分和QuickDash评估疼痛和功能状态。在11次康复治疗后，对24例患者进行了重复评估。“肩膀全球概念”康复包括13次动员，旨在通过被动和主动辅助动员来改善ROM，静态拉伸,和肌肉加强。
结果：两组的所有ROM在第一次会议结束时都得到了改善，但实验组在肱骨外展和外旋方面更显著(p<0.05)。功能分数,通过“肩部全球概念”进行11次康复治疗后，疼痛和力量得到了显着改善。
结论：这种手动治疗方法能够在一个疗程中改善肩关节活动度。额外的关节运动（自旋校正）特别增加了GH外展和外部旋转。采用肩部全球概念的SPS康复可以提高功能能力并减轻疼痛。
方法：将45例SPS患者随机分为两组，从不同的第一次动员中受益：实验组接受了所有特定的动员，而对照组接受了相同的程序，但没有旋转校正动员。两组的第二次会议是相同的，所有特定的动员。前两届会议前后,屈曲运动范围(ROM)，绑架,外部和内部旋转，使用Constant评分和QuickDash评估疼痛和功能状态。在11次康复治疗后，对24例患者进行了重复评估。“肩膀全球概念”康复包括13次动员，旨在通过被动和主动辅助动员来改善ROM，静态拉伸,和肌肉加强。
结果：两组的所有ROM在第一次会议结束时都得到了改善，但实验组在肱骨外展和外旋方面更显著(p<0.05)。功能分数,通过“肩部全球概念”进行11次康复治疗后，疼痛和力量得到了显着改善。
结论：这种手动治疗方法能够在一个疗程中改善肩关节活动度。额外的关节运动（自旋校正）特别增加了GH外展和外部旋转。采用肩部全球概念的SPS康复可以提高功能能力并减轻疼痛。
