行小针刀治疗的肩周炎患者系统康复操锻炼效果观察

Effects of Systematic Rehabilitation Exercise in Patients with Scapulohumeral Periarthritis after Small-needle Knife Treatment

目的探讨系统康复操对促进肩周炎患者功能康复的作用。方法选择60例行小针刀治疗的肩周炎患者,按随机数字表法随机分为康复操组和对照组各30例。对照组在小针刀治疗后第2天疼痛减轻后指导患者进行患肩康复锻炼。康复操组在小针刀治疗后24 h内行系统康复操锻炼。比较两组患者康复锻炼后的肩关节功能评分、康复锻炼依从性、至肩关节功能康复总共行小针刀治疗的次数。结果康复锻炼1周、2周后,康复操组患者肩关节功能评分均高于对照组(P<0.01或P<0.05);依从性均好于对照组;至肩关节功能康复共行小针刀治疗的次数少于对照组。结论小针刀治疗肩周炎患者行系统康复操锻炼能明显改善肩关节功能,提高患者康复锻炼的依从性,减少小针刀治疗次数。

Objective To explore the effect of systematic rehabilitation exercise on promoting functional rehabilitation in patients with scapulohumeral periarthritis.Methods 60 patients with scapulohumeral periarthritis were divided into rehabilitation exercise group and the control group.Systematic rehabilitation exercise was introduced in rehabilitation exercise group within 24 hours after the treatment while in the control group only a general rehabilitation was introduced.Results Patients in rehabilitation exercise group were with better shoulder joint function after one week and two weeks.The differences were of statistically significances（P 0.01 or P〈0.05）.The patients’ compliance of this group was better than that of the control group.Meanwhile,patients in rehabilitation exercise group underwent less treatment than those did in the control group.Conclusion Systematic rehabilitation exercise intervention model is effective in functional rehabilitation of patients with scapulohumeral periarthritis and it can improve the compliance of patients and improve the function of shoulder joint.