摘要
目的探讨物理疗法结合运动康复治疗急性肩袖损伤的临床效果。方法选取急性肩袖损伤患者80例,根据不同的治疗方法分为观察组和对照组,观察组患者应用物理疗法与运动康复训练结合的方法进行治疗,对照组患者仅应用物理疗法进行治疗。治疗完成后对比两组患者的临床效果。结果经过治疗,观察组患者总有效率达到92.5%,显著高于对照组患者45.0%的总有效率。治疗开始前,两组患者美国加州大学肩袖损伤损伤专业评分系统(UCLA)各项具体分值接近,治疗完成后观察组患者在疼痛、肩关节功能、主动前屈、徒手前屈肌力和满意度等评分数均显著高于对照组患者,观察组患者VAS评分显著低于对照组患者,观察组患者前屈关节活动度(ROM)以及外旋关节活动度(ROM)显著高于对照组患者,两组数据差异有统计学意义(P<0.05)。结论应用物理疗法结合运动康复对急性肩袖损伤进行治疗,总有效率高,临床效果确切,患者肩关节活动度恢复更好,患者疼痛程度减轻,有利于急性肩袖损伤患者尽快康复。
Objective To evaluate the clinical effects of physical therapy combined with exercise rehabilitation on acute rotator cuff injury. Methods Eighty patients with acute rotator cuff injury were divided into observation group and control group according to treatment methods. The patients in the observation group were treated with physical therapy combined with exercise rehabilitation training,while the patients in the control group were treated only with physical therapy. After the treatment,the clinical effects of the two groups were compared. Results The total effective rate of the observation group was 92. 5%,which was significantly higher than that of the control group（ 45. 0%）.Before the treatment,the specific scores of the University of California at Los Angeles（ UCLA） shoulder scale were similar in the two groups. After the treatment,the scores of pain,function,active forward flexion,strength of forward flexion,and satisfaction of the observation group were significantly higher than those of the control group,and the VAS scores of the observation group were significantly lower than those of the control group. The active forward range of motion（ ROM） and external rotation ROM of the observation group were significantly higher than those of the control group（ P〈0. 05）. Conclusion The treatment of acute rotator cuff injury by physical therapy combined with exercise rehabilitation shows a high total effective rate and definite clinical effects including excellent recovery of shoulder joint ROM and reduced pain,which is beneficial to recovery from acute rotator cuff injury.
作者
许朝军
叶紫堃
XU Chaojun,YE Zikun(Tangwang Community Health SeAice Center of Guangling District of Yangzhou, Yangzhou 225004, Chin)
出处
《外科研究与新技术》
2018年第2期118-121,共4页
Surgical Research and New Technique
关键词
物理疗法
运动康复
急性肩袖损伤
Physical therapy
Exercise rehabilitation
Acute rotator cuff injury
