Effects of Home Exercises on Shoulder Pain and Pathology in Chronic Spinal Cord Injury: A Randomized Controlled Trial.

摘要: Objective The aims of this study were to replicate findings that a home exercise program intervention improved shoulder pain and function assess changes in supraspinatus tendon pathology associated with the persons chronic spinal cord injury. Design is single-blind randomized controlled trial. Individuals injury at least 1 yr moderate or greater average intensity enrolled. Participants 12-wk consisting strengthening stretching exercises an education-only control group, immediate postintervention 4-wk (16 wks) follow-ups. main outcome measures self-report impairment, Physical Examination Shoulder Scale, quantitative ultrasound metrics tendon, Ultrasound Pathology Rating Scale. Results Thirty-two participants condition. mean ± SD age was 44.8 12.5; 81.3% male; 65.6% had motor complete paraplegia. Using per-protocol, within-group analysis method, significant differences observed between baseline for group (P = 0.02), number days 0.042), Scale scores (dominant side, P 0.036; nondominant 0.008), Disabilities Arm, Shoulder, Hand 0.028), Patient Global Impression Change 0.015). condition demonstrated unpleasantness after period 0.049). Comparisons from groups showed improvements nondominant-side global impression change, whereas depressive symptoms.For measures, no found analyses although decrease width 0.036). Comparison suggests increase dominant contrast end study. Conclusions Changes several occurred intervention, magnitude only significantly than those two measures. Significant not detected metrics.