首页|等速肌力训练联合胸椎灵活性训练对肩袖损伤术后患者疼痛及肩关节活动度的影响

等速肌力训练联合胸椎灵活性训练对肩袖损伤术后患者疼痛及肩关节活动度的影响

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目的 探讨等速肌力训练联合胸椎灵活性训练对肩袖损伤术后患者疼痛及肩关节活动度的影响.方法 选择 2021 年 1 月—2024 年 1 月中国人民解放军陆军第八十集团军医院收治的 78 例肩袖损伤术后患者为研究对象,按随机数字表法将其分为对照组和观察组,每组39 例.对照组采用常规肩袖肌力训练,观察组在对照组基础上采用等速肌力训练联合胸椎灵活性训练.对比两组患者的疼痛程度、肩关节活动度、肩关节功能.结果 训练后,观察组疼痛视觉模拟评分为(1.72±0.41)分,低于对照组的(2.19±0.63)分,差异有统计学意义(P<0.05);训练后,观察组肩关节前屈、后伸、内旋及外旋主动活动度均大于对照组,观察组美国加州大学肩关节评分系统中肩关节前屈肌力、主动前屈活动度、功能活动,患者满意度评分均高于对照组,组间差异有统计学意义(P<0.05).结论 等速肌力训练联合胸椎灵活性训练可有效减轻肩袖损伤术后患者的疼痛程度,提升肩关节活动度,改善肩关节功能.
Effect of Isokinetic Muscle Strength Training Combined with Thoracic Spine Flexibility Training on Pain and Shoulder Joint Range of Motion in Patients with Rotator Cuff Injury after Surgery
Objective Exploring the effects of isokinetic muscle strength training combined with thoracic spine flexibility training on pain and shoulder joint range of motion in patients with rotator cuff injury after surgery.Methods A total of 78 patients with rotator cuff injury after surgery in The 80th Group Army Hospital of the Chinese People's Liberation Army from January 2021 to January 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group received conventional rotator cuff muscle strength training,and the observation group received isokinetic muscle strength training combined with thoracic spine flexibility training on the basis of the control group.The pain degree,shoulder joint range of motion and shoulder joint function were compared between the two groups.Results After training,the visual analogue score of pain in the observation group was(1.72±0.41)points,which was lower than(2.19±0.63)points in the control group,and the difference was statistically significant(P<0.05);after training,the active ranges of shoulder joint flexion,extension,internal rotation and external rotation in the observation group were all greater than those in the control group,in the University of California at Los Angeles,the scores of shoulder joint flexion muscle strength,active flexion range of motion,functional activity and patient satisfaction in the observation group were all higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Isokinetic muscle strength training combined with thoracic spine flexibility training can effectively reduce the pain degree of patients with rotator cuff injury after surgery,improve shoulder joint range of motion and improve shoulder joint function.

Rotator cuff injuryIsokinetic muscle strength trainingThoracic spine flexibility trainingPain degreeShoulder joint range of motion

油胜男、郭一桦

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中国人民解放军陆军第八十集团军医院康复科,山东 潍坊 261021

肩袖损伤 等速肌力训练 胸椎灵活性训练 疼痛程度 肩关节活动度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(14)