康复训练治疗优秀乒乓球运动员肩袖损伤的疗效观察  

The effects of individualized exercise training on rotator cuff injury in elite table tennis players

作　　者：尚学东[1] 汪宗保[2] 李伟[1] 鲁智勇[1] 李国平[1] 

机构地区：[1]国家体育总局运动医学研究所,北京100061 [2]安徽中医药大学针灸骨伤临床学院

出　　处：《中华物理医学与康复杂志》2015年第2期112-115,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家体育总局备战2016奥运会课题（2013A117）

摘　　要：目的观察康复训练治疗优秀乒乓球运动员肩袖损伤的疗效。方法选取中国国家乒乓球队运动员40人，将20例肩袖损伤运动员纳入肩袖损伤组，另20例健康运动员纳入健康受试组。针对乒乓球运动员的肩袖损伤特点制订个性化康复训练方案，健康受试组不进行特殊训练。训练前、后，采用肩臂手残疾问卷（DASH）、FET2型肌力仪及等速肌力测试对2组运动员的优势侧肩关节功能进行评定。结果健康受试组DASH评分[（0．27±0．38）分]较低，肩袖损伤组训练前、后的DASH评分较高，差异有统计学意义（P〈0．05）。健康受试组外旋（ER）肌力、内旋（IR）肌力分别为[（23．48±2．39）N·m]、[（20．15±2．80）N·m]，ER／IR比率为（0．53±0．05）。与健康受试组比较，肩袖损伤组训练前ER肌力[（19．67±2．84）N·m]、IR肌力[（16．87±3．86）N·m]、ER／IR比率（0．41±0．05）较低（P〈0．05）。与组内训练前比较，肩袖损伤组训练后ER肌力[（23．53±1．83）N·m]、IR肌力[（20．53±2．43）N·m]、ER／IR比率（0．50±0．07）增高（P〈0．05）。训练前，健康受试组在60°／s、180°／s和300°／s的角速度下，ER峰力矩、IR峰力矩、ER／IR比率均大于肩袖损伤组（P〈0．05）。肩袖损伤组训练后各角速度下的ER峰力矩、IR峰力矩、ER／IR比率均大于训练前（P〈0．05）。结论肩袖损伤乒乓球运动员的优势侧肩袖ER／1R比率低于健康运动员，个性化康复训练可有效提高肩袖损伤乒乓球运动员的优势侧肩袖ER／IR比率，促进其功能恢复。Objective To observe any rehabilitative effects of individualized exercise training in the treat- ment of rotator cuff injury in elite table tennis players. Methods Forty table tennis players from the Chinese Na- tional Team were studied. Twenty （ the experimental group） had rotator cuff injuries and 20 without the injury formed the control group. An individualized rehabilitation treatment protocol was prepared for each of the players in the experimental group and implemented twice weekly for a total of 8 weeks. There was no intervention for the con- trol group. Before and after the treatment, both groups were assessed using a questionnaire for disabilities of the arm, shoulder and hand （DASH） , a motion assessment, and BIODEX isokinetic muscle testing. Results There were significant differences in average DASH scores between the two groups, with the experimental group scoring higher than the controls both before and after the treatment. Before the treatment, at angular velocities of 60°/s, 180°/s and 300°/s the peak moments of the ER （external rotation, ER） and IR （internal rotation, IR） muscles and the ER/IR ratio were all lower in the experimental group than among the controls. However, after the treatment the performance of the experimental group had improved in all three tests. Conclusion The ER/IR ratio of the dominant shoulder of table tennis players with rotator cuff injury is lower than that of the players without the injury, but individualized rehabilitation treatment can effectively increase the ratio and help to improve their shoulder function.

关 键 词：优秀乒乓球运动员 肩袖损伤 康复 等速肌力测试 

分 类 号：R873[医药卫生—运动医学]