临床与病理杂志2017，Vol.37Issue(5)：895-900,6.DOI:10.3978/j.issn.2095-6959.2017.05.004
胸锁关节松动术治疗肱骨近端骨折术后患者肩关节功能障碍的效果
Sternoclavicular joint mobilization in the treatment of proximal humeral fracture of shoulder joint dysfunction
摘要
Abstract
Objective:To study the postoperative rehabilitation efficacy of sternoclavicular joint mobilization of proximalhumeral fractures based on conventional treatment on shoulder joint dysfunction.Methods:According to random number table method,40 cases of postoperative patients of proximal humeral fractures were divided into an observation group and a control group (n=20).The control group obtained conventional rehabilitation treatment,which included joint mobilization,ultrasonic therapy,Chinese medicine fumigation,and interfere with the electrical treatment;the observation group were treated with the sternoclavicular joint mobilization on the basis of routine rehabilitation treatment.Before and 4 weeks and 8 weeks after treatment,Constant-Murley shoulder joint function assessment scale (CMS),visual analogue score (VAS) and the range of shoulder joint activity were used to evaluate the shoulder joint function of the patients.Results:After treatment for 4 weeks and 8 weeks,CMS score in both groups were significantly higher than those before treatment (P＜0.05).Four weeks after treatment,the daily activities (12.95±2.80) and joint range (17.40±3.32 mm) in the observation group were significantly higher than those in the control group (P＜0.05).Eitht weeks after treatment,except pain score,the daily activities (14.70±3.79),joint range (22.10±4.38) and strength test (15.30±2.94) in the observation group were significantly higher than that in the control group (P＜0.05).Eight weeks after treatment,the shoulder joint activity and VAS score in both groups were significantly increased than those before treatment (P＜0.05).Four weeks after treatment,shoulder joint proneness (108.2°±26.28°),outreach (78.35°±19.49°) and VAS (3.55°±0.14°)score had no significant changes from the previous (P＞0.05).After 8 weeks treatment,shoulder joint flexion (127.75°±25.30°),outreach (95.50°±16.93°) and VAS (2.05±0.15) score in the the observation group were significantly higher than those in the control group (P＜0.05).Conclusion:On the basis of routine rehabilitation treatment,the sternoclavicular joint mobilization can effectively improve the range of shoulder joint activities and the function of shoulder joint movement.关键词
胸锁关节松动术/肱骨近端骨折术后/肩关节功能障碍/康复Key words
sternoclavicular joint mobilization/proximal humeral fracture/shoulder joint dysfunction/rehabilitation引用本文复制引用
徐磊,陈伟,周敬杰,张明..胸锁关节松动术治疗肱骨近端骨折术后患者肩关节功能障碍的效果[J].临床与病理杂志,2017,37(5):895-900,6.基金项目
江苏省青年医学人才(QNRC2016376) （QNRC2016376）
徐州市科技创新项目(KC16SW167).This work was supported by the Jiangsu Provincial Youth Talent (QNRC2016376) and Science and Technology Innovation Project of Xuzhou (KC16SW167),China. （KC16SW167）
