어깨충돌증후군의 운동치료 및 연구근거 수준에 대한 문헌 고찰
The Trends of Exercise Therapy and Study Evidence Level for Shoulder Impingement Syndrome: a narrative review
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어깨 통증은 팔, 목, 어깨 부위에서 발생하는 매우 흔한 비외상 증상이다. 어깨충돌증후군과 관련된 체계적 고찰에 따르면 운동치료군이 비운동치료군에 비해 유의하게 낮은 통증 감소 효과를 보였으며 개선 효과 또한 컸다(매우 낮은 수준, 5건의 무작위대조시험(RCT), 189명의 환자, 표준화된 평균차(SMD) -0.94, 95% 신뢰구간(CI): -1.69 ~ -0.19). 그러나 수술적 접근과 운동치료적 접근의 효과에 대한 임상적 결과를 비교했을 때, 수술적 치료가 능동적 운동치료보다 통증 감소에 효과가 없었고, 운동치료는 수술만큼 효과적이었다. 어깨충돌증후군 에 대한 운동 요법은 다양하고 통일되어 있지 않기 때문에 본 연구에서는 선행 연구에서 수행된 고전에서 현대까지 어깨 충돌 증후군 운동치료를 위한 연구 설계의 운동 유형, 방법, 적용 결과 및 연구 설계의 근거 수준을 소개하고 고찰하였다.
Abstract
Shoulder pain is a very frequent non-traumatic symptom that occurs in the arm, neck, and shoulder regions. According to a systematic review related to shoulder impingement syndrome, the exercise treatment group showed a significantly lower pain reduction effect than the non-exercise treatment group (very low quality, 5 RCTs, 189 patients, SMD -0.94, 95% CI: -1.69 to –0.19), and the improvement effect was also large. However, when the clinical results of the effects of the surgical approach and the exercise therapy approach were compared with each other, they said that the surgical treatment was not as effective in reducing pain than the active exercise treatment, and that the exercise treatment was as effective as the surgery. Exercise therapy for shoulder impingement syndrome is diverse and not unified, so this study introduces and discusses the exercise types, methods, application results and evidence levels of study design for shoulder impingement syndrome exercise treatment from classical to modern times performed in previous studies.
참고문헌 (35)
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