本体感觉训练对肩袖损伤术后关节功能恢复的疗效观察

目的:探讨本体感觉训练对肩袖损伤术后肩关节功能恢复的临床疗效。方法:将50例肩袖损伤关节镜术后患者按随机分组法分为本体感觉训练组(观察组)和常规治疗组(对照组)各25例。2组患者均采用常规康复训练,观察组在此基础上增加本体感觉训练。2组患者于治疗前、治疗4及8周采用Constant-Murley肩关节功能(CMS)评分评定肩关节功能,采用功能独立性测量(FIM)中的"自理能力"评估其独立能力。结果:治疗8周后,2组患者FIM评分均较治疗前明显提高(P0.05),且观察组更高于对照组(P0.05)。治疗4及8周后,2组患者CMS总分及各分项目评分均较治疗前呈逐渐上升趋势(均P0.05);治疗4周后,2组CMS评分中疼痛、外展和肌力比较无显著性差异,日常活动功能、关节活动范围(前屈、外旋、内旋)及CMS总分比较均有显著性差异(均P0.05);治疗8周后,观察组CMS总分及各分项目评分均明显高于对照组(均P0.05)。结论:本体感觉训练结合常规康复训练对肩关节镜术后患者肩关节功能的恢复效果优于常规治疗,可有效改善肩关节功能,值得临床推广。

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

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 8th 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.