康复训练对肩关节镜下SLAP损伤修复术后患者肩关节功能恢复的影响  

Improved Shoulder Joint Function through Rehabilitation Training after Arthroscopic Repair of Superior Labrum Anterior Posterior Tear

作　　者：崔芳[1] 王惠芳[1] 王予彬[2] 李振华[1] 况春艳[1] 毕然然[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：《中国运动医学杂志》2013年第5期394-397,共4页Chinese Journal of Sports Medicine

基　　金：上海市体育局基金(基金号:10JT011)

摘　　要：目的：探讨康复训练对肩关节镜下SLAP损伤修复术后患者肩关节功能恢复的影响。方法：将2005年3月至2012年11月行肩关节镜下SLAP损伤修复术后患者46例．随机分为康复组和对照组，其中康复组24例，男14例，女10例，年龄22-45岁，平均（36．2±2．6）岁；对照组22例，男14例，女8例，年龄20。43岁，平均（35．8±2．1）岁。两组患者均采用常规非甾体类抗炎药物和短波、脉冲磁疗及激光治疗。康复组同时按肩关节SLAP损伤术后康复计划进行康复训练。采用美国加州大学肩评分表（UCLA）评估其疗效。结果：两组患者术后4周肩关节功能评分无显著性差异（P〉0．05），术后8周康复治疗组肩关节功能评分较对照组有所提高，但无显著性差异（P〉0．05），术后12周、16周和24周，康复组肩关节功能评分较对照组明显改善，有显著性差异（P〈0．05。P〈0．01）。结论：针对肩关节SLAP损伤特点。设计科学、安全、有效的肩关节镜下SLAP损伤修复术后的康复计划，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恢复。Objective To study the shoulder joint function after arthroscopic repair of superior labrnm anterior posterior tear through rehabilitation training. Methods 46 cases suffered from superior labrum anterior posterior tear were repaired by arthroscopy, and were divided into rehabilitation training group（24 cases） and control group （22 cases） in random manner. Rehabilitation training group included 14 men and 8 women,aged from 22 to 45 years（36.2＋2.6 years）. Control group included 14 men and 10 women,aged from 20 to 43 years （35.8＋2.1 years）. Patients in the two groups received routine NSAIDs medicine, short wave ,pulsed magnetic, and laser therapy. Patients in rehabilitation training group started rehabilitation program 1 day after arthroscopic repair. UCLA （University of California at Los Angeles） shoulder scores were adopted for evaluation of the shoulder joint function at the 4th, 8th, 12th, 16th and 24th week after surgery. Results Results showed that after 12,16 and 24 weeks of surgery,functional satisfaction,pain relief and UCLA scores in rehabihtation training group were significantly better than incontrol group（P 〈 0.05 or P 〈 0.01 ）. Conclusion Rehabilitation training significantly improves shoulder joint function after arthroscopic repair of superior labrum anterior posterior tear.

关 键 词：肩关节盂唇 SLAP损伤 关节镜 康复训练 

分 类 号：R687.4[医药卫生—骨科学]