肩胛骨 Blackburn 稳定与 PNF 在撞击综合征中的比较 (impingment)
2026年1月29日 更新者：Mostafa Esmat Fouad Ebrahem、Cairo University
肩胛骨布莱克本稳定与本体感觉神经肌肉促进在肩峰下撞击综合征中的比较
研究目的旨在研究肩胛布莱克本稳定练习与肩胛本体感觉神经肌肉促进（SPNF）练习以及常规练习相比，对肩胛骨疼痛、功能、肩部、肩胛活动度、肩胛肌力量和肩胛定向的影响。肩峰下撞击综合征
参与者将被随机分配到以下三组：
A 组（n=17）：将接受常规锻炼计划，包括肩袖强化、后囊拉伸和胸小肌拉伸，共 18 节（每周 3 节，持续六周） B 组（n=17）：将接受除了相同频率的常规锻炼外，还接受肩胛骨 PNF 锻炼计划。 C组（n=17）：除了相同频率的常规练习外，还将接受肩胛布莱克本稳定练习
研究概览
详细说明
肩峰下撞击综合征 (SIS) 是肩部区域疼痛和头顶伸展受限的最常见原因。 当肩部骨骼撞击肩部肌腱或滑囊时，就会发生这种情况。 导致 SIS 发生的内在和外在因素包括肱骨上间隙炎症、肩袖肌肉抑制、肩袖肌腱退化、肩胛骨位置和运动学异常。 目前，SIS 涵盖从肩峰滑囊炎到肩袖肌腱病和全层肩袖撕裂等一系列疾病。
该试验将指导物理治疗师为 SAIS 和肩胛运动障碍患者选择有效的治疗干预措施，旨在减少治疗次数、加快康复速度、改善肩部疼痛和功能能力。
肩胛布莱克本稳定练习可最大限度地减少肩胛骨抬高和肩峰下间隙撞击期间肱骨头在关节窝中的过度上移，从而解决肩部撞击问题。 它还可以增强肩胛胸肌和肩袖肌肉并减少肌肉不平衡。
本体感觉神经肌肉促进被描述为一个综合康复概念，促进运动学习、运动控制、力量和活动能力。
这种综合康复方法包括以任务为导向的训练和旨在运动学习和运动控制的手动辅助。
因此，除了常规练习之外，肩胛布莱克本稳定和 PNF 技术对肩峰下撞击综合征患者的肩部疼痛、功能、肩关节活动度、肩胛肌力量和肩胛定向有何影响？
研究类型
介入性
注册 (实际的)
51
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Giza Governorate
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Cairo、Giza Governorate、埃及、022
- Faculty of physical therapy cairo university
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
不
描述
纳入标准：
1. SIS患者51例，男女51例，年龄30-50岁。
2、体重指数（BMI）18.5-29.9 公斤/平方米。
3. 主诉原发性肩部撞击症的患者。
4.肩胛骨静息位改变且伴有肩胛骨运动障碍且肩胛骨横向滑动试验阳性的患者。
5- 患者将至少接受以下三项特殊测试，结果呈阳性：
A-Hawkins-Kennedy 冲击测试：
B-尼尔的冲击测试:
C-“空罐”或乔布测试 D-痛苦电弧测试
E-外旋转阻力测试
F-跨体内收测试
G-落臂标志
排除标准：
1- 神经功能缺损影响日常活动中的肩部功能。
2-颈椎间盘病理学。
3-脑损伤。
4- 上肢骨折
5-接受过肩部手术
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：四人间
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：实验性的。
除了常规锻炼外，还接受肩胛骨 PNF 锻炼计划，
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肩胛布莱克本稳定
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实验性的：实验性的
除了常规锻炼外，还接受肩胛骨布莱克本稳定性锻炼
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PNF 加运动
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其他：对照组
仅锻炼
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仅锻炼
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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肩部疼痛和功能障碍
大体时间：评估程序将在干预前以及治疗第三周和第六周后进行
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肩部疼痛和残疾指数，最小数字 0=平均无疼痛和无残疾，最大数字 10=平均最高疼痛和最大残疾
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评估程序将在干预前以及治疗第三周和第六周后进行
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A- 肩部屈曲 ROM B- 肩部外旋 C- 肩部内旋
大体时间：评估程序将在干预前以及治疗第三周和第六周后进行
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数字倾角仪。
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评估程序将在干预前以及治疗第三周和第六周后进行
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选择性肌肉力量：A- 上斜方肌 B- 中斜方肌 C- 下斜方肌。 D-前锯齿
大体时间：评估程序将在干预前以及治疗第三周和第六周后进行
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-Lafayette手持式测功机
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评估程序将在干预前以及治疗第三周和第六周后进行
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肩胛骨方向
大体时间：评估程序将在干预前以及治疗第三周和第六周后进行
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肩胛骨外侧滑动试验
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评估程序将在干预前以及治疗第三周和第六周后进行
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Enas F. Youssef, Prof.Dr、chair person of Department of Physical therapy for Musculoskeletal Disorder and its Surgery
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
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研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2024年7月30日
初级完成 (实际的)
2025年6月30日
研究完成 (实际的)
2025年7月30日
研究注册日期
首次提交
2024年7月18日
首先提交符合 QC 标准的
2024年8月13日
首次发布 (实际的)
2024年8月15日
研究记录更新
最后更新发布 (实际的)
2026年2月2日
上次提交的符合 QC 标准的更新
2026年1月29日
最后验证
2025年9月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.