摘要
[目的]探讨肩袖损伤经关节镜下修复术后，早期综合康复治疗的效果。[方法]在治疗师指导下，术后0—3周，患肢划圈、钟摆，肩部肌肉等长收缩，ADL’S等训练；术后3—6周，肩关节被动、主动-辅助关节活动，耸肩抗阻力等训练；术后6～8周，肩关节继续耐受量主动、被动训练，负重设备高重复，低负荷等训练；术后8—12周，技巧训练，联合动作练习肩关节的活动。完成康复训练需要6个月。[结果]120例患者随访10～36个月（平均16．6个月）。治疗组总有效率81．67％，对照组总有效率28．33％。卡方检验x^2=34．84，P〈0．001，2组疗效差异有显著性，治疗组明显优于对照组。[结论]肩袖损伤采用肩关节镜肩袖修复术后早期综合康复治疗，可有效提高治疗效果。
[ Objective] To explore the effect of early-stage comprehensive rehabilitation after prosthesis of rotator cuff injury （RCI）. [ Method ] Totally 120 cases of RCI were treated with arthroscopic prosthesis therapy, with 42 males and 78 females and average age of 38.2 years. All cases were divided into experimental group with 60 cases（26 males, 34 females） , and control group with 60 cases（ 28 males, 32 females） , randomly. At 0 -3 weeks postoperatively, patients underwent early-stage recovery training of swimming-like circling, hanging-and-swaying, isometric contraction and activity of daily living （ ADL＇s ）. At 6 - 8 weeks postoperatively, patients underwent training of positive-passive joint supporting practices, repetition burdening practices and low-loading practices. At 8 - 12 weeks postoperatively, functional technique training and continuous joint action. All training was completed in 6 months. [ Result] All cases were followed up for 10 -36 months（ averaged, 16.6 months）. The satisfactory rate reached 81.67% in experimental group, 28.33% in control group. The result showed significant difference between two groups（x^2 = 34. 84, P 〈 0. 001 ）. The result in experimental group was significantly better than that in control group. [ Conclusion] Early - stage rehabilitation has satisfactory recovery resuh after arthroscopic prosthesis therapy of rotator cuff injury.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第14期1111-1113,共3页
Orthopedic Journal of China
