肌肉调衡为主治疗肩峰下撞击综合征的临床研究  

Clinical Study of Muscle Balance in the Treatment of Subacromial Impingement Syndrome

作　　者：郭奋进[1] 马信 曹朝阳 俞长莲[1] 杨楠楠 傅晓娴 GUO Fenjin;MA Xin;CAO Chaoyang;YU Changlian;YANG Nannan;FU Xiaoxian(The Second Hospital of Longyan City,Fujian Province,Longyan 364000,China)

机构地区：[1]福建省龙岩市第二医院,福建龙岩364000

出　　处：《中国医药指南》2021年第32期8-10,共3页Guide of China Medicine

基　　金：课福建省龙岩市科技局基金资助(项目编号:2018FLY5018)。

摘　　要：目的对比肩峰下撞击综合征(SIS)的康复治疗方案,旨在寻找一种更为合理、更为有效、更为可行、重复性高的保守治疗SIS的方案。方法应用Biodex system 4多关节等速测评肩部肌群肌力及姿势评估,发现失衡的肩部肌肉,观察组48例应用肌肉调衡训练结合神经肌肉关节促进法治疗SIS,并与46例应用神经肌肉关节促进法治疗对照,并用HSS肩关节评分系统、JOA肩关节疾患治疗成绩判定标准评分评估疗效,应用SPSS 20.0版统计学软件进行统计分析。结果94例患者完成评估治疗,其中观察组完成48例,对照组完成46例。观察组治疗后HSS评分(86.40±8.83)分,JOA评分(88.25±7.33)分;对照组治疗后HSS评分(68.93±11.84)分,JOA评分(78.09±6.79)分。经统计学计算,两组治疗后HSS评分、JOA评分均上升(t=-32.881、-28.098、-22.680、-26.646,P<0.05),且观察组的HSS评分、JOA评分均高于对照组(t=8.130、6.965,P<0.05)。结论治疗SIS的两种保守方案均有效,但应用肌肉调衡训练结合神经肌肉关节促进法的疗效明显优于单一应用神经肌肉关节促进法,且经济有效、容易掌握、利于推广,是一种较合理的可行的SIS的康复治疗方案。Objective Comparing the rehabilitation treatment plan of subacromial impingement syndrome(SIS),aiming to find a more reasonable,more effective,more feasible,and highly reproducible conservative treatment plan for SIS.Methods Using Biodex system 4 multi joint isokinetic evaluation of shoulder muscle strength and posture,it was found that the unbalanced shoulder muscle was found,48 cases in the observation group were treated with muscle balance training combined with neuromuscular joint promotion method for subacromial impact syndrome,and compared with 46 cases treated with neuromuscular joint promotion method,and HSS shoulder joint scoring system JOA shoulder disease treatment performance judgment standard score was used to evaluate the curative effect,and SPSS version 20.0 statistical software was used for statistical analysis.Results A total of 94 patients completed the evaluation treatment,of which 48 were completed in the observation group and 46 in the control group.The observation group had HSS score(86.40±8.83)and JOA score(88.25±7.33)after treatment;the control group had HSS score(68.93±11.84)and JOA score(78.09±6.79)after treatment.According to statistical calculations,the HSS score and JOA score of the two groups increased after treatment(t=-32.881,-28.098,-22.680,-26.646,P<0.05),and the HSS score and JOA score of the observation group were higher than those of the control group(t=8.130,6.965,P<0.05).Conclusion The two conservative treatment schemes of subacromial impingement syndrome have curative effects.But the effect of muscle balance training combined with neuromuscular joint promotion method is better than that of single neuromuscular joint promotion method.It is economical,effective,easy to master and easy to promote.It is a reasonable and feasible rehabilitation treatment scheme of subacromial impingement syndrome.

关 键 词：肩峰下撞击综合征 肌肉失衡 神经肌肉关节促进法 HSS肩关节评分系统 

分 类 号：R493[医药卫生—康复医学]