综合康复联合悬吊训练治疗冻结肩的疗效观察  

Efficacy of comprehensive rehabilitation training combined with sling exercise training for frozen shoulder

作　　者：徐洋 闫彤[1,2] 赵忠海 李培[2] 颜寒宇[2] 刘莹 王帅 张立新 Xu Yang;Yan Tong;Zhao Zhonghai(Rehabilitation Center,Shengjing Hospital affiliated to China Medical University,Shenyang 110134,China)

机构地区：[1]中国医科大学附属盛京医院康复中心,沈阳110134 [2]沈阳医学院附属中心医院,沈阳110134 [3]中山大学附属第一医院,广州510030

出　　处：《中国康复》2023年第4期222-225,共4页Chinese Journal of Rehabilitation

基　　金：国家重点研发计划资助(2020YFC2005700);辽宁省自然科学基金(2019-KF-01-06);2019年中国医科大学校培育学科建设项目(112-3110119071);沈阳市科学技术计划(20-205-4-019)。

摘　　要：目的:观察常规综合康复联合悬吊训练(SET)治疗对于冻结肩患者肩关节功能恢复的影响。方法:选取55例病程>6周且2周内自感肩关节功能恢复受限的冻结肩患者,随机分为2组,对照组28例,观察组27例,最终2组分别有2例和1例脱落,故2组均为26例。对照组接受常规综合康复治疗,观察组在常规治疗的基础上进行SET治疗,通过肩关节功能评价量表(SJFA)、Constant-Murley肩关节功能评价量表(CMS)、视觉模拟评分(VAS)评估肩关节功能的改善情况。结果:治疗4周后,2组患者的SJFA、CMS评分均升高(均P<0.05),VAS评分降低(均P<0.05);观察组患者SJFA、CMS评分高于对照组(均P<0.05),VAS评分无统计学差异。结论:常规综合康复联合SET技术治疗冻结肩患者,可以有效改善肩关节功能,提高患者日常生活能力。Objective:To investigate the efficacy of comprehensive training combined with sling exercise training(SET)therapy for frozen shoulder.Method:A total of 55 frozen shoulder patients with the disease duration of over 6 weeks and ineffective treatment within 2 weeks were randomly divided into two groups:control group(n=28)and observation group(n=27).The two groups of patients received comprehensive training as routine rehabilitation.Patients in observation group received SET training.Before and 4 weeks after treatment,shoulder joint function was evaluated by shoulder joint function assessment scale(SJFA),Constant-Murley shoulder joint function assessment scale(CMS),visual analogue scale(VAS).Results:After 4 weeks,the scores of SJFA and CMS were significantly higher,the score of VAS was lower than those before treatment(P<0.05).The scores of SJFA,CMS were significantly higher in the observation group than those in the control group(P<0.05).There was no significant difference in the score of VAS between two groups.Conclusion:Comprehensive rehabilitation therapy combined with SET effectively improved shoulder function and activity of daily living in frozen shoulder patients.

关 键 词：冻结肩 悬吊训练 日常生活能力 综合康复 

分 类 号：R47[医药卫生—护理学] R685[医药卫生—临床医学]