中华灾害救援医学2024,Vol.11Issue(8) :938-941.DOI:10.13919/j.issn.2095-6274.ZHJY202407027

物理疗法配合运动康复治疗急性肩袖损伤的疗效观察

Observational Study on the Efficacy of Physical Therapy Combined with Exercise Rehabilitation in the Treatment of Acute Rotator Cuff Injuries

喻振兴
中华灾害救援医学2024,Vol.11Issue(8) :938-941.DOI:10.13919/j.issn.2095-6274.ZHJY202407027

物理疗法配合运动康复治疗急性肩袖损伤的疗效观察

Observational Study on the Efficacy of Physical Therapy Combined with Exercise Rehabilitation in the Treatment of Acute Rotator Cuff Injuries

喻振兴1
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作者信息

  • 1. 363000 福建漳州,福建省漳州市医院骨关节运动肿瘤科
  • 折叠

摘要

目的 分析在急性肩袖损伤的治疗中,采取物理疗法联合运动康复疗法的临床疗效.方法 选取2022年2月至2024年2月福建省漳州市医院收治的68例急性肩袖损伤患者,根据抽签法随机分为物理疗法联合运动康复(观察组)和物理疗法(对照组),每组34例.比较两组患者的肩关节损伤程度、肩关节活动度、疼痛程度及临床疗效.结果 治疗前,两组患者肩关节功能、疼痛、主动前屈功能、徒手前屈肌力及满意度五个维度的UCLA评分均无显著差异(P>0.05);治疗后,观察组五个维度的UCLA评分均显著高于对照组(P<0.001).治疗前,两组研究对象前屈ROM和外旋ROM无显著差异(P>0.05);治疗后,观察组患者肩关节两个维度的活动度评分均显著高于对照组(P<0.001).治疗前,两组患者疼痛程度VSA评分无显著差异(P>0.05);治疗后观察组疼痛程度VSA评分显著低于对照组(P<0.001).治疗后,观察组临床疗效的优良率为94.11%,显著高于对照组的73.53%(P=0.021).结论 对于急性肩袖损伤患者,物理联合运动康复疗法的治疗手段可有效改善肩关节损伤程度,增加肩关节活动度,减少患者疼痛程度,临床疗效显著.

Abstract

Objective To analyze the clinical efficacy of combining physical therapy with exercise rehabili-tation in the treatment of acute rotator cuff injuries.Methods 68 patients with acute rotator cuff injuries treated at Zhangzhou Hospital in Fujian Province from February 2022 to February 2024 were randomly divided into two groups using the lottery method:the observation group(physical therapy combined with exercise rehabilitation,n=34)and the control group(physical therapy alone,n=34).The degree of shoulder joint injury,range of motion(ROM),pain levels,and clinical efficacy were compared between the two groups.Results Before treatment,there were no significant differences between the two groups in UCLA scores across five dimensions:shoulder joint function,pain,active forward flexion,manual forward flexion strength,and satisfaction(P>0.05).After treatment,the UCLA scores in all five dimensions were significantly higher in the observation group compared to the control group(P<0.001).Before treatment,no significant differences were observed in forward flexion ROM and external rotation ROM between the two groups(P>0.05).After treatment,the ROM scores for both dimensions were signif-icantly higher in the observation group compared to the control group(P<0.001).The Visual Analog Scale(VSA)scores for pain levels showed no significant differences between the two groups before treatment(P>0.05);how-ever,post-treatment VSA scores were significantly lower in the observation group compared to the control group(P<0.001).The clinical efficacy rate of the observation group was 94.11%,significantly higher than that(73.53%)in the control group(P=0.021).Conclusion For patients with acute rotator cuff injuries,the combination of physical therapy and exercise rehabilitation effectively improves the degree of shoulder joint injury,increases range of motion,reduces pain levels,and significantly enhances clinical outcomes.

关键词

肩袖损伤/物理疗法/运动康复/活动度/损伤程度

Key words

rotator cuff injury/physical therapy/exercise rehabilitation/range of motion/injury severity

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出版年

2024
中华灾害救援医学

中华灾害救援医学

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