■系统地研究有关后肩紧绷(PST)的文献,并定义治疗师指导和治疗师管理的管理框架。
■范围审查。
■我们搜索了MEDLINE,EMBASE,CINAHL,Scopus和GoogleScholar从成立到2021年12月。
■用英语撰写的同行评审研究,法语,希腊语,日本人或泰米尔语,具有可提取的干预前后数据。适合后肩结构的物理治疗干预措施(肌肉,胶囊)成人人群中PST的原因。
■Arksey和O\'Malley\的框架已实现,用于范围审查的PRISMA扩展指导了我们的数据综合。每个研究的数据都包括作者,title,学习年,location,研究设计;参与者编号,年龄,性别;PST干预和参数;患者报告的结果;和结果。主题被组织成治疗师指导和治疗师管理的康复策略,以及联合治疗方法。
■在我们的搜索策略中确定的2777篇文章中,共包括21篇文章。治疗师指导的干预措施包括跨身体伸展(CBS),卧铺伸展(SS),两者的结合和一般的拉伸。治疗师管理的干预措施包括CBS,SS,器械辅助软组织动员(IASTM),肌肉能量技术,干针和Fauls协议(12治疗师辅助拉伸)。还确定了带自拉伸和IISTM和拉伸的组合干预措施。
■根据目前的证据,CBS和SS是PST研究最多的治疗方法,似乎可以有效改善PST。此外,进行这些拉伸时肩胛骨的稳定性优化了针对PST和ROM的水平内收益处的拉伸。
UNASSIGNED: To systematically scope the literature on posterior shoulder tightness (PST) and define a therapist-instructed and therapist-administered management framework.
UNASSIGNED: Scoping review.
UNASSIGNED: We searched MEDLINE, EMBASE, CINAHL, Scopus and Google Scholar from inception to December 2021.
UNASSIGNED: Peer-reviewed studies written in English, French, Greek, Japanese or Tamil, with extractable pre- and post-intervention data. Physiotherapy interventions amenable for posterior shoulder structural (muscle, capsule) causes of PST within an adult population.
UNASSIGNED: Arksey and O\'Malley\'s framework was implemented and the PRISMA extension for scoping reviews directed our data synthesis. The data charted from each study included authors, title, study year, location, study design; participant number, age, sex; PST intervention and parameters; patient-reported outcomes; and results. Themes were organized into therapist-instructed and therapist-administered rehabilitation strategies, as well as combined treatment methods.
UNASSIGNED: Of 2777 articles identified from our search strategy, 21 articles were included. Therapist-instructed interventions included cross-body stretch (CBS), sleeper stretch (SS), a combination of the two and general stretching. Therapist-administered interventions included CBS, SS, instrument-assisted soft tissue mobilization (IASTM), muscle energy techniques, dry needling and Fauls protocol (12 therapist-assisted stretches). Combined interventions of tape with self-stretching and IASTM and stretching were also identified.
UNASSIGNED: Based on the current evidence, CBS and SS are the most researched treatments for PST and seem to be effective at improving PST. Furthermore, stabilization of the scapula while performing these stretches optimized the stretch targeted to the PST and ROM benefits for horizontal adduction.