摘要
目的:探讨肩胛骨松动训练对冻结肩患者术后肩关节疼痛、肌力的影响。方法:选取2019年10月-2020年10月本院诊治的80例冻结肩患者,依据随机数字表法分成两组,各40例。对照组采用常规功能训练,观察组给予肩胛骨松动训练,对比两组肩关节疼痛度、关节活动度及肌力。结果:干预前,两组视觉模拟疼痛量表(VAS)评分相比,差异无统计学意义(P>0.05);干预后,观察组VAS评分为(3.36±0.53)分,低于对照组的(6.21±0.78)分,差异有统计学意义(P<0.05);干预前,两组外旋、前屈及内收内旋关节活动度相比,差异无统计学意义(P>0.05);干预后,观察组外旋、前屈关节活动度分别为(53.23±2.83)°、(93.46±5.79)°,高于对照组的(48.44±2.68)°、(88.45±5.23)°;内收内旋活动度为(6.63±1.28)°,低于对照组的(11.37±1.63)°,差异有统计学意义(P<0.05);干预前,两组肌力相比,差异无统计学意义(P>0.05);干预后,观察组肌力为(19.36±2.93)分,高于对照组的(14.21±2.78)分,差异有统计学意义(P<0.05)。结论:肩胛骨松动训练能够缓解冻结肩患者术后肩关节疼痛感,增加活动度,提高肩关节肌力,有助于改善肩关节功能。
Objective:To explore the influence of scapular loosening training on shoulder joint pain,range of motion,and muscle strength in postoperatively frozen shoulder patients.Method:Eighty patients with frozen shoulder admitted to our hospital from October 2019 to October 2020 were divided into two groups according to random number table method,40 cases in each group.The control group was given routine functional training,while the observation group was given scapular loosening training.The pain degree,joint mobility and muscle strength of the two groups were compared.Result:Before intervention,there was no significant difference in visual analogue scale (VAS) scores between the two groups (P>0.05).After intervention,the VAS score of the observation group was (3.36±0.53) points,which was lower than (6.21±0.78) points of the control group,and the difference was statistically significant (P<0.05).Before intervention,there were no significant differences in external rotation,forward flexion,adduction and internal rotation of the range of motion between the two groups (P>0.05).After intervention,the range of motion of external rotation and forward flexion in observation group was (53.23±2.83)° and (93.46±5.79)°,respectively,which were higher than (48.44±2.68)° and (88.45±5.23)° in control group,the motion of adduction and internal rotation was (6.63±1.28)°,which was lower than (11.37±1.63)° of the control group,with statistical significances (P<0.05).Before intervention,there was no significant difference in muscle strength scores between the two groups (P>0.05).After intervention,the score of muscle strength in the observation group was (19.36±2.93) points,which was higher than (14.21±2.78) points in the control group,and the difference was statistically significant (P<0.05).Conclusion:Shoulder loosening training can relieve the pain of shoulder joint in frozen shoulder patients,increase the range of motion,improve the muscle strength of shoulder joint and improve the function of shoulder joint.
作者
陈秀清
黄秋萍
CHEN Xiuqing;HUANG Qiuping(Fuzhou Second Hospital,Fuzhou 350007,China;不详)
出处
《中外医学研究》
2021年第33期180-182,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
冻结肩
肩胛骨松动训练
关节活动度
肌力
Frozen shoulder
Shoulder blade loosening training
Joint range of motion
Muscle strength
