Structured Rehabilitation Program for Multidirectional Shoulder Instability in a Patient with Ehlers-Danlos Syndrome
Structured Rehabilitation Program for Multidirectional Shoulder Instability in a Patient with Ehlers-Danlos Syndrome
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针对埃勒斯-当洛斯综合征患者多向肩部不稳定的结构化康复计划
DOI：
10.1155/2020/8507929
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发表时间：
2020
影响因子：
--
通讯作者：
Nakaizumi Dai
中科院分区：
文献类型：
--
作者：
Kitagawa Takashi;Matsui Nobumasa;Nakaizumi Dai
Ehlers - Danlos综合征（EDS）患者表现出许多肌肉骨骼疾病。本病例报告的目的是描述肩胛骨运动控制程序对因EDS引起的多向严重肩部不稳定患者的有效性，并进行了6个月的随访。患者是一名14岁女性，患有EDS过度活动型，复发性肩关节脱位。她的主诉是双侧肩部不适和书写时不稳。在干预的早期，她接受了多方向不稳定（MDI）的运动治疗和矫形器。在干预的后半部分，她接受肩胛骨运动控制程序的指导。在基线和干预后3、6和12个月测量主动和被动活动范围（ROM）、沟征和Rowe评分。干预6个月后，肩关节活动度和不稳定性评分得到改善。本报告的研究结果表明，肩胛骨运动控制程序对肩关节不稳定甚至对EDS过度活动型患者也是有效的。由于脱位而不能增加被动ROM的患者也能够实现肩关节的正常功能，而不是增加主动ROM。这些积极的结果表明，肩胛骨运动控制程序作为保守治疗对MDI合并EDS患者有可能受益。
Patients with Ehlers‐Danlos syndrome (EDS) present many musculoskeletal disorders. The purpose of this case report was to describe the effectiveness of a scapular motor control program for a patient with multidirectional severe shoulder instability due to EDS, with 6‐month follow‐up. The patient was a 14‐year‐old female with EDS hypermobile type who suffered recurrent shoulder dislocation. Her chief complaints were bilateral shoulder discomfort and instability during writing motion. In the early part of intervention, she was prescribed exercise therapy for multidirectional instability (MDI) with orthosis. In the latter part of intervention, she was instructed in the scapular motor control program. Active and passive range of motion (ROM), sulcus sign, and Rowe score for shoulder instability were measured at baseline and at 3, 6, and 12 months after interventions. The shoulder ROM and instability score were improved after 6‐month intervention. The findings from this report indicate that the scapular motor control program for shoulder instability would be effective even for patients with EDS hypermobile type. A patient who could not increase passive ROM due to dislocation is also able to achieve fair function of the shoulder joint instead of increasing active ROM. These positive outcomes indicate the possibility of benefit from the scapular motor control program for an MDI patient with EDS as a conservative treatment.
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基于运动的管理与手术治疗盂肱关节多向不稳定性：系统评价
影响因子：
18.4
作者：
S. Warby;T. Pizzari;Jon J. Ford;A. Hahne;L. Watson
通讯作者：
L. Watson
影响因子：
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作者：
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影响因子：
2
作者：
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DOI：
10.1002/ajmg.c.31552
发表时间：
2017-03-01
影响因子：
3.1
作者：
Malfait, Fransiska;Francomano, Clair;Tinkle, Brad
通讯作者：
Tinkle, Brad
影响因子：
--
作者：
Watson, Lyn;Warby, Sarah;Pizzari, Tania
通讯作者：
Pizzari, Tania