UNASSIGNED:创伤性肩部不稳定是运动员和军事人员的常见伤害。手术稳定可减少复发,但是运动员通常在恢复上肢旋转力量和运动特定能力之前恢复运动。血流限制(BFR)可以刺激肌肉生长,而无需手术后进行大阻力训练。
未经评估:要观察肩部力量的变化,自我报告功能,上肢性能,从肩关节稳定手术中恢复的军校学员的活动范围(ROM),完成了为期六周的BFR训练的标准康复计划。
未经评估:前瞻性病例系列。
未经评估:接受肩关节稳定手术的军校学员完成了六周的上肢BFR训练,从术后第六周开始.主要结果是在6周时评估的肩部等距力量和患者报告的功能。12周,术后6个月。次要结果包括在每个时间点评估的肩部ROM和闭合动力链上肢稳定性测试(CKCUEST),上肢Y平衡测试(UQYBT),以及在6个月随访时评估的单侧坐姿射击测试(USPT)。
未经评估:20名学员在六周内平均进行了10.9次BFR训练。手术肢体外旋强度增加具有统计学意义和临床意义(p<0.001;平均差异,.049;95%CI:.021,.077),外展强度(p<0.001;平均差,.079;95%CI:.050,.108),和内旋强度(p<0.001;平均差,.060;CI:.028,.093)发生在术后6至12周。在单一评估数字评估中报告了具有统计学意义和临床意义的改善(p<0.001;平均差异,17.7;CI:9.4,25.9)和肩痛和残疾指数(p<0.001;平均差异,-31.1;CI:-44.2,-18.0)术后6至12周。此外,超过70%的参与者在6个月的两到三个性能测试中达到参考值。
UNASSIGNED:虽然由于添加BFR而导致的改善程度未知,肩关节力量的临床上有意义的改善,自我报告功能,和上肢的表现需要在上肢康复过程中进一步探索BFR。
未经评估:4,案例系列。
UNASSIGNED: Traumatic shoulder instability is a common injury in athletes and military personnel. Surgical stabilization reduces recurrence, but athletes often return to sport before recovering upper extremity rotational strength and sport-specific abilities. Blood flow restriction (BFR) may stimulate muscle growth without the need for heavy resistance training post-surgically.
UNASSIGNED: To observe changes in shoulder strength, self-reported function, upper extremity performance, and range of motion (ROM) in military cadets recovering from shoulder stabilization surgery who completed a standard rehabilitation program with six weeks of BFR training.
UNASSIGNED: Prospective case series.
UNASSIGNED: Military cadets who underwent shoulder stabilization surgery completed six weeks of upper extremity BFR training, beginning post-op week six. Primary outcomes were shoulder isometric strength and patient-reported function assessed at 6-weeks, 12-weeks, and 6-months postoperatively. Secondary outcomes included shoulder ROM assessed at each timepoint and the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), the Upper Extremity Y-Balance Test (UQYBT), and the Unilateral Seated Shotput Test (USPT) assessed at the six-month follow-up.
UNASSIGNED: Twenty cadets performed an average 10.9 BFR training sessions over six weeks. Statistically significant and clinically meaningful increases in surgical extremity external rotation strength (p < 0.001; mean difference, .049; 95% CI: .021, .077), abduction strength (p < 0.001; mean difference, .079; 95% CI: .050, .108), and internal rotation strength (p < 0.001; mean difference, .060; CI: .028, .093) occurred from six to 12 weeks postoperatively. Statistically significant and clinically meaningful improvements were reported on the Single Assessment Numeric Evaluation (p < 0.001; mean difference, 17.7; CI: 9.4, 25.9) and Shoulder Pain and Disability Index (p < 0.001; mean difference, -31.1; CI: -44.2, -18.0) from six to 12 weeks postoperatively. Additionally, over 70 percent of participants met reference values on two to three performance tests at 6-months.
UNASSIGNED: While the degree of improvement attributable to the addition of BFR is unknown, the clinically meaningful improvements in shoulder strength, self-reported function, and upper extremity performance warrant further exploration of BFR during upper extremity rehabilitation.
UNASSIGNED: 4, Case Series.