切换至 "中华医学电子期刊资源库"

中华肩肘外科电子杂志 ›› 2021, Vol. 09 ›› Issue (01) : 11 -23. doi: 10.3877/cma.j.issn.2095-5790.2021.01.003

所属专题: 文献

论著

全球肩袖康复十年研究热点和前沿分析
徐峰1, 陈小云1, 张秦1, 高谦1,()   
  1. 1. 102206 北京大学国际医院康复医学科
  • 收稿日期:2020-09-22 出版日期:2021-02-05
  • 通信作者: 高谦
  • 基金资助:
    吴阶平医学基金会临床研究专项(320.6750.19089-76)

Research hotspots and frontiers analysis of rotator cuff injury rehabilitation in the past decade

Feng Xu1, Xiaoyun Chen1, Qin Zhang1, Qian Gao1,()   

  1. 1. Department of Rehabilitation Medicine, Peking University International Hospital, Beijing 102206, China
  • Received:2020-09-22 Published:2021-02-05
  • Corresponding author: Qian Gao
引用本文:

徐峰, 陈小云, 张秦, 高谦. 全球肩袖康复十年研究热点和前沿分析[J]. 中华肩肘外科电子杂志, 2021, 09(01): 11-23.

Feng Xu, Xiaoyun Chen, Qin Zhang, Qian Gao. Research hotspots and frontiers analysis of rotator cuff injury rehabilitation in the past decade[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2021, 09(01): 11-23.

目的

应用文献计量学及可视化技术分析全球肩袖康复领域研究热点与前沿趋势。

方法

以Web of Science核心合集数据库为数据来源,以"rotator cuff AND rehabilitation"主题词检索2011~2020年发表的肩袖康复领域的相关研究。使用Web of Science提供的"创建引文报告"及"分析检索结果"功能,以及CiteSpace软件知识图谱绘制功能,对已检索的文献按照国家地区、研究机构、作者、关键词、参考文献等分别进行科学计量学和可视化分析。

结果

共检索到614篇肩袖康复领域的相关研究,研究数量和被引用次数逐年增加,研究数量排名前列的国家和研究机构大多来自美国、欧洲、澳大利亚、加拿大、韩国等国家;在识别关键词的基础上,结合检索关键词所在主要高被引文献,可以更准确地辨识和探测研究热点和前沿。本研究中的关键节点文献的研究设计主要是以能够提供高质量医学证据的随机对照研究和系统评价/荟萃分析类研究为主。以下是目前较多关注的研究主题,或许代表了当前肩袖康复研究关键主题的全球趋势:(1)盂肱关节外展活动范围、肩肱距离、斜方肌和肩胛骨运动的评定与康复策略,肩关节内/外旋肌等速运动测试,西安大略肩袖指数;(2)富血小板血浆及其衍生物治疗技术,运动肌能贴技术;(3)肩袖损伤或肩袖撕裂手术与保守/康复治疗的选择,术后早期康复或延迟康复,术后运动康复策略有效性,肩部症状改善程序应用;(4)自体/同种异体移植物与上关节囊重建术修复巨大肩袖缺损;(5)肩峰下疼痛综合征发病机制与康复,肌腱腱内和腱-骨愈合的基础研究,肩袖愈合影响因素,肩袖损伤或肩袖撕裂修复术后的肌腱回缩与复发性缺损;(6)中枢敏化和皮层参与的疼痛机制与疼痛管理策略,心理和社会因素在肩痛中的作用。

结论

本研究数据是从Web of Science核心合集的单个数据库中检索的,所以本研究结果并不能涵盖目前肩袖康复所有的最新研究主题,但依然能够对研究方向、研究设计提供足够有益的启示和指导,并应加强国家地区或研究机构间的国际合作。

Background

Rotator cuff injury/ tear is the most common clinical shoulder disease in orthopaedics and rehabilitation. Rehabilitation of rotator cuff and scapular band, especially after surgery, plays a crucial role in improving shoulder function, pain and quality of life. However, there are still many unsolved research topics of rotator cuff rehabilitation, which need to be further understood and strengthened. Objective To analyze the hotspots and cutting-edge trends with bibliometrics and visualization techniques in the field of rotator cuff rehabilitation to provide references for researchers.

Methods

Based on Web of Science core collections, the relevant researches in the field of rotator cuff rehabilitation published in 2011-2020 was retrieved with the subject terms "rotator cuff AND rehabilitation" . Using the function of "creating citation reports" and "analyzing retrieval results" provided by Web of Science, as well as the knowledge map drawing function of CiteSpace software, the retrieved literature was scientifically measured and visualized according to nations and regions, research institutions, authors, keywords, references, etc.

Results

A total of 614 related studies in the field of rotator cuff rehabilitation were retrieved. The number of studies and citations increased year by year. Most of the top countries and research institutions came from the United States, Europe, Australia, Canada and South Korea, etc. Based on the identification of keywords by CiteSpace and in combination with the retrieval of the major cited references where the keywords are located, the hotspots and frontiers of researches can be more accurately identified and detected. The research design of the key node literature in this study is mainly based on randomized controlled trials and systematic reviews or meta-analysis that can provide high quality medical evidence. Here are some of the current research topics of greater concern which may represent the current global trend of key themes in rotator cuff rehabilitation research: (1) assessments and rehabilitation strategies of ROM of glenohumeral joint, acromiohumeral distance (AHD) , trapezius muscle and scapular movement, isokinetic motion test of internal/external rotator cuff, and Western Ontario rotator cuff index (WORC) ; (2) techniques of platelet-rich plasma (PRP) and its derivatives, and Kinesiotaping (KT) technique; (3) surgical procedures and conservative /rehabilitation treatment options for rotator cuff tear (RCT) , early or delayed postoperative rehabilitation, efficacy of postoperative exercise rehabilitation strategies, and application of shoulder symptom modification procedures (SSMP) ; (4) autografts/allografts and superior joint capsule reconstruction for treatment of massive rotator cuff tears; (5) pathogenesis and rehabilitation of subacromial pain syndrome (SAPS) , basic study of intra-tendon and tendon-bone healing, influencing factors of rotator cuff healing, and tendon retraction and recurrent defects after rotator cuff repair; (6) pain mechanism and pain management strategies of central sensitization and cortical involvement, and role of psychological and social factors in shoulder pain.

Conclusion

As the data of this study is retrieved from a single database of Web of Science core collections, the results in this study can not cover all the latest research topics of rotator cuff rehabilitation at present, but still can provide some inspiration and guidance for RCT rehabilitation research, and strengthen the international cooperation between countries, regions or research institutions.

图1 2011~2020年肩袖康复相关研究发表论文数量(图A)和引文数量(图B)
表1 2011~2020年肩袖康复相关研究发表论文数量排前10位的国家和研究机构
图2 2011~2020年肩袖康复相关研究发表论文数量排前10位的国家(图A)和研究机构合作网络共现图谱(图B)
表2 2011~2020年肩袖康复相关研究发表论文数量排前10位的期刊、研究方向和基金资助
表3 2011~2020年肩袖康复相关研究发表论文数量排前10位的高产作者
图3 2011~2020年肩袖康复相关研究发表论文数量排前10位的期刊(图A)和研究方向网络共现图谱(图B)
表4 2011~2020年肩袖康复相关研究排前10位的高频次、高中心性和高突现性关键词
图4 2011~2020年肩袖康复相关研究高频次、高中心性和突现性关键词网络共现图谱 图A:关键词出现频次≥33;图B:中心性≥0.1的关键词;图C:突现关键词时区(timezone)图,节点及连线对应关键词突现开始和结束对应的年份,节点和字体大小分别与频次、中心性、突现性强度成正比
表5 2011~2020年WOS检索肩袖康复相关研究排前10位的高被引文献的设计类型
表6 2011~2020年肩袖康复相关研究排前10位的高中心性参考文献其文献设计类型
表7 在2016~2020年肩袖康复相关研究排前10位的高突现性参考文献其文献设计类型
[1]
张一翀,陈建海. 美国肩肘外科治疗师协会:关于肩关节镜下肩袖修复术后康复共识声明[J/CD]. 中华肩肘外科电子杂志, 2018, 6(1):59-63.
[2]
Coda RG, Cheema SG, Hermanns CA, et al. A review of online rehabilitation protocols designated for rotator cuff repairs[J]. Arthrosc Sports Med Rehabil,2020,2(3):e277-e288.
[3]
李杰,陈超美.CiteSpace:科技文本挖掘及可视化[M]. 北京:首都经济贸易大学出版社,2016:89.
[4]
de Oliveira FCL, de Fontenay BP, Bouyer LJ, et al. Effects of kinesiotaping added to a rehabilitation programme for patients with rotator cuff tendinopathy: protocol for a single-blind, randomised controlled trial addressing symptoms, functional limitations and underlying deficits[J]. BMJ Open,2017,7(9):e017951.
[5]
Gaudet S, Tremblay J, Begon M. Muscle recruitment patterns of the subscapularis, serratus anterior and other shoulder girdle muscles during isokinetic internal and external rotations[J]. J Sports Sci,2018,36(9):985-993.
[6]
Reed D, Cathers I, Halaki M, et al. Shoulder muscle activation patterns and levels differ between open and closed-chain abduction[J]. J Sci Med Sport,2018,21(5):462-466.
[7]
徐峰,王林,周谋望,等 . 国内腰椎间盘突出症非手术治疗的现状调查[J]. 北京医学, 2018,40(2):135-136.
[8]
Luque-Suarez A, Navarro-Ledesma S, Petocz P,et al. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: a randomised controlled trial[J]. Man Ther,2013,18(6):573-577.
[9]
Gartsman GM, Drake G, Edwards TB, et al. Ultrasound evaluation of arthroscopic full-thickness supraspinatus rotator cuff repair: single-row versus double-row suture bridge (transosseous equivalent) fixation. Results of a prospective, randomized study[J]. J Shoulder Elbow Surg,2013,22(11):1480-1487.
[10]
Zhang S, Li H, Tao H, et al. Delayed early passive motion is harmless to shoulder rotator cuff healing in a rabbit model[J]. Am J Sports Med,2013,41(8):1885-1892.
[11]
Diercks R, Bron C, Dorrestijn O, et al. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association[J]. Acta Orthop,2014,85(3):314-322.
[12]
Macrina LC, Fleisig GS. Deficits in glenohumeral passive range of motion increase risk of shoulder injury in professional baseball pitchers: a prospective study[J]. Am J Sports Med,2015,43(10):2379-2385.
[13]
Holmgren T, Hallgren HB, Oberg B, et al. Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study[J]. Br J Sports Med,2014,48(19):1456-1457.
[14]
Lewis J, McCreesh K, Roy JS, et al. Rotator cuff tendinopathy: navigating the diagnosis-management conundrum[J]. J Orthop Sports Phys Ther,2015,45(11):923-937.
[15]
Gillespie MA, M Cznik A, Wassinger CA,et al. Rotator cuff-related pain: Patients' understanding and experiences[J]. Musculoskelet Sci Pract,2017,30:64-71.
[16]
Thomopoulos S, Parks WC, Rifkin DB, et al. Mechanisms of tendon injury and repair[J]. J Orthop Res,2015,33(6):832-839.
[17]
McCarron JA, Derwin KA, Bey MJ, et al. Failure with continuity in rotator cuff repair "healing"[J]. Am J Sports Med,2013,41(1):134-141.
[18]
Ryösä A, Laimi K, Äärimaa V, et al. Surgery or conservative treatment for rotator cuff tear: a meta-analysis[J]. Disabil Rehabil,2017,39(14):1357-1363.
[19]
Gupta AK, Hug K, Berkoff DJ, et al. Dermal tissue allograft for the repair of massive irreparable rotator cuff tears[J]. Am J Sports Med,2012,40(1):141-147.
[20]
Kim DM, Shin MJ, Kim H, et al. Comparison between autografts and allografts in superior capsular reconstruction: a systematic review of outcomes[J]. Orthop J Sports Med,2020,8(3):2325967120904937.
[21]
Randelli P, Arrigoni P, Ragone V,et al. Platelet rich plasma in arthroscopic rotator cuff repair: a prospective RCT study, 2-year follow-up[J]. J Shoulder Elbow Surg,2011,20(4):518-528.
[22]
Rodeo SA, Delos D, Williams RJ,et al. The effect of platelet-rich fibrin matrix on rotator cuff tendon healing: a prospective, randomized clinical study[J]. Am J Sports Med, 2012,40(6):1234-1241.
[23]
Rha DW, Park GY, Kim YK, et al. Comparison of the therapeutic effects of ultrasound-guided platelet-rich plasma injection and dry needling in rotator cuff disease: a randomized controlled trial[J]. Clin Rehabil,2013,27(2):113-122.
[24]
Hegedus EJ, Goode AP, Cook CE, et al. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests[J]. Br J Sports Med,2012,46(14):964-978.
[25]
Chung SW, Kim JY, Yoon JP, et al. Arthroscopic repair of partial-thickness and small full-thickness rotator cuff tears: tendon quality as a prognostic factor for repair integrity[J]. Am J Sports Med,2015,43(3):588-596.
[26]
Leong HT, Hug F, Fu SN. Increased upper trapezius muscle stiffness in overhead a thletes with rotator cuff tendinopathy[J]. PLoS One,2016,11(5):e0155187.
[27]
Kibler WB, Kuhn JE, Wilk K, et al. The disabled throwing shoulder: spectrum of pathology-10-year update[J]. Arthroscopy,2013,29(1):141-161.
[28]
Edouard P, Samozino P, Julia M, et al. Reliability of isokinetic assessment of shoulder-rotator strength: a systematic review of the effect of position[J]. J Sport Rehabil,2011,20(3):367-383.
[29]
de Witte PB, Henseler JF, Nagels J, et al. The western ontario rotator cuff index in rotator cuff disease patients: a comprehensive reliability and responsiveness validation study[J]. Am J Sports Med,2012,40(7):1611-1619.
[30]
Li S, Sun H, Luo X, et al. The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion[J]. Medicine (Baltimore),2018,97(2):e9625.
[31]
Kim YS, Chung SW, Kim JY, et al. Is early passive motion exercise necessary after arthroscopic rotator cuff repair?[J]. Am J Sports Med,2012,40(4):815-821.
[32]
Keener JD, Galatz LM, Stobbs-Cucchi G,et al. Rehabilitation following arthroscopic rotator cuff repair: a prospective randomized trial of immobilization compared with early motion[J]. J Bone Joint Surg Am,2014,96(1):11-19.
[33]
Cuff DJ, Pupello DR. Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol[J]. J Shoulder Elbow Surg,2012,21(11):1450-1455.
[34]
Düzgün I, Baltacı G, Atay OA. Comparison of slow and accelerated rehabilitation protocol after arthroscopic rotator cuff repair: pain and functional activity[J]. Acta Orthop Traumatol Turc,2011,45(1):23-33.
[35]
Thigpen CA, Shaffer MA, Gaunt BW,et al. The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair[J]. J Shoulder Elbow Surg,2016,25(4):521-535.
[36]
Hanratty CE, McVeigh JG, Kerr DP, et al. The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis[J]. Semin Arthritis Rheum,2012,42(3):297-316.
[37]
Abdulla SY, Southerst D, Côté P, et al. Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration[J]. Man Ther,2015,20(5):646-656.
[38]
Littlewood C, Malliaras P, Chance-Larsen K. Therapeutic exercise for rotator cuff tendinopathy: a systematic review of contextual factors and prescription parameters[J]. Int J Rehabil Res,2015,38(2):95-106.
[39]
Kibler WB, Ludewig PM, McClure PW, et al. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the 'Scapular Summit'[J]. Br J Sports Med,2013,47(14):877-885.
[40]
Savoie A, Mercier C, Desmeules F, et al. Effects of a movement training oriented rehabilitation program on symptoms, functional limitations and acromiohumeral distance in individuals with subacromial pain syndrome[J]. Man Ther,2015,20(5):703-708.
[41]
Camargo PR, Alburquerque-Sendín F, Salvini TF. Eccentric training as a new approach for rotator cuff tendinopathy: review and perspectives[J]. World J Orthop,2014,5(5):634-644.
[42]
Barber FA, Hranack SA, Snyder SJ, et al. Rotator cuft repair healing influenced by platelet-rich plasma construct augmentation[J]. Arthroscopy, 2011, 27(8):1029-1035.
[1] 熊倩, 罗凤. 乳腺癌患者术后康复现状与对策的研究进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 372-374.
[2] 董红华, 郭艮春, 江磊, 吴雪飞, 马飞翔, 李海凤. 骨科康复一体化模式在踝关节骨折快速康复中的应用[J]. 中华关节外科杂志(电子版), 2023, 17(06): 802-807.
[3] 豆艺璇, 黄怀, 钱绮雯, 邢然然, 林丽, 白建芳. 低强度吸气肌训练对机械通气患者肺康复的影响[J]. 中华危重症医学杂志(电子版), 2023, 16(05): 370-375.
[4] 吴建永. 单中心2 000例心脏死亡器官捐献肾移植发展与创新[J]. 中华移植杂志(电子版), 2023, 17(04): 0-.
[5] 李雪, 刘文婷, 窦丽婷, 刘叶红. 联合护理在腹腔镜食管裂孔疝修补中的应用效果分析[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 750-754.
[6] 郑华蓉, 刘俊, 郑艳, 陈玉莲, 廖子敏. 加速康复外科理念下的集束化护理模式在腹股沟疝修补术中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 643-646.
[7] 吕瑶, 张婵, 陈建华, 张鸣青. 压力控制容量保证通气模式在腹腔镜肝细胞癌切除术中的应用[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 528-533.
[8] 孟令展, 李虎, 俞鹏, 于燕宾, 曹李, 翟伟, 高远, 邵艳玲, 严锦, 朱震宇. ICG荧光染色在肝癌腹腔镜解剖性肝切除术中的应用[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 557-561.
[9] 杨巧巧, 佟琰, 王宏, 谢大洋, 张玉婷, 张庆涛, 于茜, 赵小淋, 曹雪莹, 周建辉. 人工肾研究:文献计量学分析[J]. 中华肾病研究电子杂志, 2023, 12(05): 241-247.
[10] 周杰, 陈倩茵, 张静琳. 视觉重塑在视觉损伤中的原理及应用进展[J]. 中华眼科医学杂志(电子版), 2023, 13(04): 221-225.
[11] 马木提江·木尔提扎, 汪永新, 阿西木江·阿西尔, 姜彦文, 秦虎. 多模态三维影像融合技术在颅内功能区病变手术中的应用[J]. 中华神经创伤外科电子杂志, 2023, 09(05): 302-307.
[12] 丁晨梦, 胡雪慧, 闫沛, 程乔. 髋部骨折术后患者居家康复体验质性研究的Meta整合[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 365-372.
[13] 中华医学会骨科分会关节学组. 中国髋、膝关节置换日间手术围手术期管理专家共识[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 321-332.
[14] 李美娜, 宋艳丽, 杨姗姗, 李聚彩, 罗慧利, 吕杰. 三联预康复策略在退行性脊柱侧弯患者围术期的应用效果[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 356-364.
[15] 李岩松, 李涛, 张元鸣飞, 李志鹏, 周谋望. 头戴式虚拟现实设备辅助全膝关节置换术后康复的初步研究[J]. 中华临床医师杂志(电子版), 2023, 17(06): 676-681.
阅读次数
全文


摘要