Efficacy of physiotherapy after hydrodilatation for the painful stiff shoulder: a randomised placebo-controlled trial

水扩张后物理治疗对疼痛性僵硬肩部的疗效：一项随机安慰剂对照试验

• 批准号: nhmrc : 194417
• 负责人: Prof Andrew Forbes
• 金额: $ 17.94万
• 依托单位: Monash University
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2002
• 资助国家: 澳大利亚
• 起止时间: 2002-01-01 至 2004-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/efficacy-physiotherapy-hydrodilatation-controlled-trial/76858
• 关键词: Efficacy; physiotherapy; after; hydrodilatation; painful

Shoulder disorders are common, being third only to back and neck complaints as musculoskeletal reasons for medical consultation and they account for 10% of all physiotherapy referrals. The stiff painful shoulder affects up to 2-5% of the general population, being more common in middle age and diabetes. It causes significant pain and disability that restricts activities of daily living as well as work and leisure. Forty percent of sufferers will continue to have symptoms and restricted movements beyond 3 years and 15% will have persistent disability. Because this disease is prevalent, it imposes a considerable burden on the Australian health care system. Shoulder hydrodilatation is a common conservative treatment option that has been shown by our research group to have short-term but not long-term benefits. Physiotherapy may be prescribed following hydrodilatation on the basis that it may maintain the initial benefits seen with hydrodilatation. However, there are no studies to either support or refute this hypothesis. Thus, this novel research project will answer important questions about the efficacy of a physiotherapy program in addition to hydrodilatation for the stiff painful shoulder. We will determine whether physiotherapy offers a benefit over hydrodilatation alone and if so, whether this benefit is sustained. In addition we will determine whether the additional costs of physiotherapy represent good value for money. The results of this project can then be easily and immediately translated into clinical practice as recommendations can be made about the usefulness of physiotherapy for this patient population. The results will be of major benefit not just to the physiotherapy profession but to the medical profession who must justify patient referral to physiotherapy.

肩部疾病很常见，在就医咨询的肌肉骨骼原因中仅次于背部和颈部疾病，占所有物理治疗转诊的 10%。肩部僵硬疼痛影响高达 2-5% 的普通人群，在中年人和糖尿病患者中更为常见。它会导致严重的疼痛和残疾，限制日常生活以及工作和休闲活动。 40% 的患者将在 3 年后继续出现症状和活动受限，15% 的患者将出现持续性残疾。由于这种疾病流行，给澳大利亚医疗保健系统带来了相当大的负担。肩部水扩张是一种常见的保守治疗选择，我们的研究小组已证明它具有短期效益，但没有长期效益。水扩张后可以进行物理治疗，因为它可以保持水扩张的最初效果。然而，没有研究支持或反驳这一假设。因此，这个新颖的研究项目将回答有关物理治疗计划以及水扩张治疗肩膀僵硬疼痛的功效的重要问题。我们将确定物理治疗是否比单独的水扩张更有益处，如果有，这种益处是否能持续。此外，我们将确定物理治疗的额外费用是否物有所值。该项目的结果可以轻松、立即转化为临床实践，因为可以就物理治疗对该患者群体的有用性提出建议。结果不仅对物理治疗专业而且对必须证明患者转诊物理治疗合理性的医学界都将大有裨益。