Archives of physical medicine and rehabilitation · 2021 · 系統性回顧＋統合分析（依標題推測）

Supervised Training Compared With No Training or Self-training in Patients With Subacromial Pain Syndrome: A Systematic Review and Meta-analysis

肩 · 肩峰下疼痛症候群

中文閱讀摘要

系統性回顧與統合分析顯示，肩峰下症候群患者接受監督訓練較無訓練改善痛症與功能，與自訓效果相當，但證據確信度低。

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原始摘要

Objective

To study the effects of supervised training in adults with subacromial pain syndrome.

Data sources

Embase, MEDLINE, Cochrane Library, Cumulative Index to Nursing and Allied Health, and Physiotherapy Evidence Database were searched from inception to March 2020.

Study selection

Independent reviewers selected randomized controlled trials comparing supervised training with (1) no training or (2) self-training in adults with subacromial pain syndrome lasting for at least 1 month. Critical outcomes were shoulder pain, function, and patient-perceived effect. Important outcomes included other potential benefits and adverse events at 3-month follow-up.

Data extraction

Two independent reviewers extracted data for the meta-analysis. Risk of bias was assessed using the Cochrane Risk of Bias tool 1, and certainty of evidence was evaluated using the Grades of Recommendation Assessment, Development, and Evaluation (GRADE).

Data synthesis

Ten studies (n=597, 43% female) were included. Supervised training resulted in larger improvements than no training on pain (at rest: n=286; mean difference [MD], 1.68; 95% confidence interval [CI], 0.31-3.06 on 0-10 scale; during movement: n=353; MD, 1.84; 95% CI,0.91-2.76), function (n=396; standardized MD, 0.30; 95% CI, 0.07-0.52), and patient-perceived effect (n=118; risk ratio, 1.43; 95% CI, 0.87-2.34). Supervised training had potential benefits regarding quality of life, return to work, dropout, and training adherence, albeit more patients reported mild, transient pain after training. Supervised training and self-training showed equal improvements on pain (n=44) and function (n=76), with no data describing patient-perceived effect. Certainty of evidence was low for critical outcomes and low-moderate for other outcomes.

Conclusions

Supervised training might be superior to no training and equally effective as self-training on critical and important outcomes. Based on low-moderate certainty of evidence, these findings support a weak recommendation for supervised training in adults with subacromial pain syndrome.

至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19

書目、來源與全文狀態

DOI: 10.1016/j.apmr.2021.03.027
PMID／PMCID: 33930326
作者: Liaghat B, Ussing A, Petersen BH, Andersen HK, Barfod KW, Jensen MB, Hoegh M, Tarp S, Juul-Kristensen B, Brorson S
首次發表日期: 2021-04-28Europe PMC 提供，部分日期可能依年份或月份推定。
卷／期／頁碼或文章編號: 102 ／ 12 ／ 2428-2441.e10
書目來源與查核日期: Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
全文與授權: 來源尚未確認免費全文。來源授權標示：cc by。

可回溯引用

Liaghat B, Ussing A, Petersen BH, Andersen HK, Barfod KW, Jensen MB, Hoegh M, Tarp S, Juul-Kristensen B, Brorson S. Supervised Training Compared With No Training or Self-training in Patients With Subacromial Pain Syndrome: A Systematic Review and Meta-analysis. Archives of physical medicine and rehabilitation. 2021;102(12):2428-2441.e10. PMID: 33930326. doi:10.1016/j.apmr.2021.03.027

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