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本体感觉训练对肩袖损伤术后关节功能恢复的疗效观察

柳方方 周敬杰 张明 翟宏伟 陈伟

中国康复2019,Vol.34Issue(3):146-149,4.
中国康复2019,Vol.34Issue(3):146-149,4.DOI:10.3870/zgkf.2019.03.009

本体感觉训练对肩袖损伤术后关节功能恢复的疗效观察

Therapeutic Effects of Proprioceptive Training on the Recovery of Shoulder Function after Arthroscopic Rotator Cuff Repair

柳方方 1周敬杰 2张明 2翟宏伟 2陈伟2

作者信息

  • 1. 徐州医科大学医学技术学院,江苏 徐州 221004
  • 2. 徐州市中心医院康复医学科, 徐州医科大学附属徐州康复医院,江苏 徐州 221009
  • 折叠

摘要

Abstract

Objective:To explore the clinical effects of proprioceptive training on shoulder joint recovery after arthroscopic rotator cuff repair, and provide a new method for the patients with rotator cuff repairing. Method:Based on clinical diagnostic criteria, a total of 50 patients with rotator cuff injury treated by arthroscopic rotator cuff repair were randomly divided into two groups:observation group (25 cases) and control group (25 cases). Both groups received conventional rehabilitation exercise, and the observation group was given proprioceptive training additionly. Constant-Murley score and Functional Independence Measure (FIM) were adopted to assess the shoulder joint function before rehabilitation training, 4 weeks and 8 weeks after training. Results:After 4 and 8 weeks of treatment, the CMS scores of both groups were on a gradual upward trend compared to pretreatment (P<0.05). After 4 weeks of rehabilitation training, there were no significant differences in pain, abduction and muscle strength between the two groups (P>0.05), and there were significant differences in daily range of activity, forward flexion, external rotation, internal rotation and CMS total scores (P<0.05). At 8 th week of rehabilitation training, there were significant differences in pain, daily range of activity, forward flexion, obauction external rotation, internal rotation, muscle strength, CMS total scores and FIM scores (P< 0.05). Conclusion:Proprioceptive training can effectively improve the shoulder function after arthroscopic rotator cuff repair, and it is a valid method for clinical promotion.

关键词

本体感觉训练/肩袖损伤/康复训练

Key words

proprioception exercise/rotator cuff tear/rehabilitation training

分类

医药卫生

引用本文复制引用

柳方方,周敬杰,张明,翟宏伟,陈伟..本体感觉训练对肩袖损伤术后关节功能恢复的疗效观察[J].中国康复,2019,34(3):146-149,4.

基金项目

江苏省青年医学人才基金 (2016015) (2016015)

徐州市科技创新项目 (16SW167) (16SW167)

中国康复

OACSTPCD

1001-2001

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