小强度运动康复训练对肩关节镜术后关节功能障碍的影响*

Effect of small intensity rehabilitation training on functional recovery after shoulder arthroscopy*

摘要:

目的 探讨小强度运动康复训练对肩关节镜术后关节功能障碍的影响。方法 选取皖南医学院弋矶山医院肩关节损伤关节镜术后患者32例进行运动康复训练，随机分成小强度组（16例）和大强度组（16例）。两组患者均根据常规康复训练流程进行运动康复，并分别在治疗前、治疗第3次、治疗第10次及出院后3个月 采用视觉模拟疼痛量表（VAS）评定肩关节的疼痛程度，采用Constant肩关节评分系统（简称CS评分）评定肩关节整体功能。分析小强度运动康复训练对肩关节镜术后关节功能障碍的影响。结果 小强度组患者CS评分量表中疼痛评分、日常生活及肌力评分高于大强度组患者，而小强度组患者VAS评分低于大强度组患者（P?< 0.05）。小强度组患者与大强度患者组各项指标在不同时间点比较，差异均有统计学意义（P?<0.05）。治疗后不同时间VAS评分与CS评分均呈负相关（P?<0.05），治疗前后肩关节前屈、外展评分与CS评分始终呈正相关（P?<0.05）。结论 小强度运动康复训练在肩关节镜术后关节整体功能修复中效果更佳。小强度运动康复训练无创伤，无需特殊设备，患者容易掌握运用，值得临床广泛推广。

Abstract:

Objective To explore the effect of small intensity exercise rehabilitation on articular functional recovery after shoulder arthroscopy. Methods Thirty-two patients with shoulder joint injury after shoulder arthroscopy were selected. They were randomly divided into group A (small intensity group, n?=?16), and group B (high intensity group, n?=?16). Degree of pain in the shoulder joint was assessed by the Visual Analogue Pain Scale (VAS) before treatment, the third day after treatment, the tenth day after treatment, and 3 months after discharge. The Constant Shoulder Scoring System (CS) was used to assess shoulder pain and function. Results Patients in group A experienced increase of CS scores including scores of pain, daily life, and muscle strength and decrease of the VAS score when compared with those in group B (P?