Objective To explore the effect of home exercise on pain,function and quality of life after operation for rotator cuff inju-ry.Methods From June,2023 to June,2024,45 patients after operation for rotator cuff injury were selected from Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University and Xuzhou Central Hospital,and randomly di-vided into conventional group(n=15),home-based group(n=15)and combined group(n=15).The conven-tional group received an eight-week routine rehabilitation program in hospital,the home-based group received an eight-week home exercise prescription training,and the combined group first received four weeks of routine reha-bilitation in hospital,and followed by four weeks of home exercise prescription training.They were assessed with Visual Analogue Scale for pain(VAS),University of California at Los Angeles shoulder rating scale(UCLA),Constant-Murley Score(CMS),range of motion(ROM)of shoulder,and the Short-form of Health Sur-vey-36(SF-36)before treatment,and four and eight weeks after treatment.Results VAS scores decreased in all the three groups four and eight weeks after treatment(Z>2.964,P<0.001),which was the most in the home-based group four weeks after treatment(|Z|>2.531,P<0.05).The main effect of time was significant in scores of UCLA,CMS,and physical health and mental health of SF-36(F>498.102,P<0.001),which improved after treatment(P<0.001).The main effect of group was significant in score of mental health of SF-36(F=7.408,P=0.002),which was the most in the home-based group four and eight weeks after treatment(P<0.01).The interaction was significant in score of physical health of SF-36(F=10.138,P<0.001),which was the least in the home-based group four weeks after treatment(P<0.05).The main effect of time was significant in every direction of ROM,which improved after treatment(P<0.001).The interaction was signifi-cant in ROM of abduction and external rotation(F>4.059,P<0.01),and almost significant in ROM of flexion(F=2.412,P=0.055).However,ROM of flexion was less in the home-based group than in the combined group four weeks after treatment(P=0.047),which was less in the home-based group than in the conventional group eight weeks after treatment(P=0.042);ROM of abduction was the least in the home-based group four weeks af-ter treatment(P<0.01),which was less in the home-based group than in the combined group eight weeks after treatment(P=0.046);ROM of external rotation was less in the home-based group than in the combined group four weeks after treatment(P=0.022).Conclusion Home exercise is effective on pain,function and quality of life in patients after operation for rotator cuff in-jury.There are benefits with both home exercise and institution-based rehabilitation,and almost the same in a whole eight weeks after treatment.
关键词
肩袖损伤/居家康复/疼痛/生活质量
Key words
rotator cuff injury/home rehabilitation/pain/quality of life
维普
万方数据