创伤性肩袖损伤患者术后不同时间开始康复训练效果观察

目的探讨创伤性肩袖损伤关节镜术后患者术后不同时间开始早期康复锻炼对肩关节功能恢复的影响,分析相关原因,为统一康复训练实施时间提供依据。方法将2006年9月—2008年11月收治的59例创伤性肩袖损伤关节镜术后患者按入院先后顺序随机分为观察组29例和对照组30例。两组患者术后均采用常规的抗炎、消肿、银杏叶针活血及短波、低频脉冲治疗;均于术后0～6周采用肩关节制动功能锻炼。观察组同时于术后第1天始按创伤性肩袖损伤术后康复计划进行肩关节康复训练,对照组按传统保守方法于术后第6周开始进行肩关节康复训练,均采用Constant-Murley肩关节评分标准评价患肩的功能状况。结果除术后第4周两组疼痛、日常生活活动差异无统计学意义(P>0.05)外,术后第8周、第12周、第16周、第20周观察组疼痛、日常生活活动、肩关节活动度及肌力均优于对照组(P<0.05或P<0.01)。结论创伤性肩袖损伤患者关节镜术后,在无痛原则下,肩关节的功能锻炼越早进行效果越好。

Effects Observation of Different Time of Setting up Rehabilitation Training on Shoulder Joint Function Recovery among Patients with Traumatic Rotator Cuff Injury after Arthroscopy

Objective To explore different time of setting up rehabilitation training on shoulder joint function recovery among patients with traumatic rotator cuff injury after arthroscopy,thus to provide the basis for setting up the time of rehabilitation training.Methods 59 patients with traumatic rotator cuff injury after arthroscopic surgery,admitted to hospital between September 2006 and November 2008,were divided into observation group(29 cases) and control group(30 cases).Both groups were treated with normal an...