康复训练对运动性肩袖损伤微创术后患者肩关节功能恢复的影响  

Effects of rehabilitation training on recovery of shoulder joint function after arthroscopic assisted sport rotator cuff injury repair

作　　者：崔芳[1] 王惠芳[1] 王予彬[2] 孙文琳[1] 李振华[1] 崔莉[1] 潘惠娟[1] 

机构地区：[1]上海同济大学附属东方医院康复医学科,上海200120 [2]上海同济大学附属东方医院运动医学科

出　　处：《中国康复医学杂志》2008年第1期37-39,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨康复训练对运动性肩袖损伤微创术后患者肩关节功能恢复的影响。方法:将64例运动性肩袖损伤微创术后患者随机分为康复治疗组和对照组,其中康复治疗组34例,男18例,女16例,平均38.4±2.9岁;对照组30例,男18例,女12例,平均36.3±2.1岁。两组患者均采用常规的非甾体类抗炎药物和短波、脉冲磁疗治疗,康复治疗组同时按运动性肩袖损伤微创术后康复计划进行康复训练,采用美国加州大学肩评分表评估其疗效。结果:两组患者术后2周肩关节功能评分差异无显著性(P>0.05),术后4周,康复治疗组肩关节功能评分较对照组有所提高,但差异无显著性(P>0.05),术后8周、12周和16周,康复治疗组肩关节功能评分与对照组相比有明显改善,差异具有显著性(P<0.05,或P<0.01)。结论:研究针对运动性肩袖损伤的特点,设计科学、安全、有效的运动性肩袖损伤微创术后的康复计划,并依照康复计划对术后患者进行系统的康复训练,可以明显促进肩关节功能的恢复。Objective： To study the effects of exercises training on recovery of shoulder joint function after small incision approach of sport rotator cuff injury repair.Method：In the present study, 64 cases suffered from sport rotator cuff injury after arthroscopic assisted repair were divided into rehabilitation training group （34 cases） and control （30 cases） in random manner. According to rehabilitation program patients in rehabilitation training group were started rehabilitation training at 1 day after of arthroscopic assisted injury repair. UCLA （University of California at Los Angeles） shoulder scores were adopted for evaluation after surgery at the 2nd, 4th, 8th, 12nd weeks and 16th weeks. Result：The results showed that in compared with control rehabilitation training group after arthroscopic assisted rotator cuff repair for 8, 12 and 16 weeks patients were satisfied with good function of shoulder joints, pain relief and UCLA scores （P〈0.05 or P〈0.01）. Conclusion： Rehabilitation training could significantly improve shoulder joint function after Arthroscopic assisted sport rotator cuff injury repair.

关 键 词：运动性肩袖损伤 关节镜修复 康复训练 

分 类 号：R49[医药卫生—康复医学]