关键词: Rotator cuff exercise shoulder tendinopathy

来  源:   DOI:10.2519/jospt.2024.12452

Abstract:
OBJECTIVE: To summarize the FITT (frequency, intensity, time, type) components of exercise programs included in randomized controlled trials (RCTs) that compared 2 or more programs for managing rotator cuff related shoulder pain (RCRSP). DESIGN: Scoping review. LITERATURE SEARCH: Electronic searches were conducted up to May 2023. STUDY SELECTION CRITERIA: RCTs comparing the effects of 2 or more types of exercise programs, differing in prescription according to the FITT principle, in people with RCRSP. DATA SYNTHESIS: We extracted data from each trial report so that we could answer items 1-10 and 13-15 from the Consensus on Exercise Reporting Template (CERT). Descriptive analysis of the exercise programs was performed by summarising and presenting the FITT characteristics, and other relevant CERT characteristics (material, provider, delivery, tailoring). RESULTS: FITT characteristics from 46 exercise programs included in 22 trials were extracted. The exercise programs were divided into 4 categories (defined in accordance to the original authors\' description and proposed rationale): motor control (n=8), scapula-focused (n=7), eccentric (n=8), and non-specific exercise programs (n=28). Five programs were allocated to 2 different categories. The different program types had similar parameters. Exercise programs frequency ranged from 2 to 7 times per week, dose ranged from 1 to 3 sets and 4 to 30 repetitions per sets and exercise program duration ranged from 4 to 16 weeks. CONCLUSION: There was considerable variability in the parameters used to prescribe exercises for RCRSP. Clinicians seeking guidance on FITT parameters derived from trials should do so cautiously because there was no one size-fits-all approach.
摘要:
目的:总结FITT(频率,强度,时间,类型),包括在随机对照试验(RCT)中的运动计划的组成部分,该试验比较了2个或更多治疗肩袖相关肩痛(RCRSP)的计划。设计:范围审查。文献搜索:电子搜索一直进行到2023年5月。研究选择标准:RCT比较两种或更多种类型的锻炼计划的效果,根据FITT原则,处方不同,在有RCRSP的人中。数据综合:我们从每个试验报告中提取数据,以便我们能够回答运动报告模板共识(CERT)中的1-10和13-15项。通过总结和呈现FITT特征,对锻炼计划进行了描述性分析。和其他相关CERT特征(材料,提供者,delivery,裁缝)。结果:从22项试验中纳入的46项运动项目中提取FITT特征。锻炼计划分为4类(根据原始作者的描述和建议的基本原理定义):运动控制(n=8),肩胛骨聚焦(n=7),偏心(n=8),和非特异性锻炼计划(n=28)。五个程序被分配到两个不同的类别。不同的程序类型具有相似的参数。锻炼计划的频率从每周2到7次不等,剂量范围为1~3组,每组重复4~30次,运动项目持续时间为4~16周.结论:用于规定RCRSP练习的参数存在很大差异。寻求来自试验的FITT参数指导的临床医生应该谨慎行事,因为没有一种适合所有人的方法。
公众号