等速力量训练对女性肩周炎患者运动功能的影响

Effect of isokinetic muscle strength training on motor function of female patients with periarthritis of shoulder

目的:观察等速力量训练联合常规康复治疗对女性肩关节周围炎患者的疗效。方法:40例女性肩周炎患者随机分为观察组和对照组各20例,2组患者第1周内均接受常规康复治疗,第1周后,对照组增加弹力带抗阻力量训练,观察组增加等速力量训练。观察2组治疗第1周后和第5周后的患者的主动关节活动度(AROM)、峰力矩(PT)和总功(TW)。结果:治疗后,2组患者患侧肩关节外展、外旋和后伸主动ROM、最大PT及TW均较治疗1周后均有显著增加(P<0.05),且观察组各项评分更高于对照组(P<0.05)。结论:等速力量训练对女性肩关节周围炎患者肩关节力量和关节活动度恢复作用显著。

Objective：To observe the effectiveness of isokinetic strength training combined with conventional rehabilitation therapy in the female patients with periarthritis of shoulder.Methods：Forty patients were randomly divided into observation group and control group（n=20each）.Both two groups received the same conventional rehabilitation therapy in the first week.After one week,the control group was given the elastic band resistance strength train,and the observation group received isokinetic strength training.The changes in active range of motion（AROM）,peak torque（PT）and total work（TW）on the first and fifth week were observed in two groups.Results：Five weeks later,there was significant improvement of each evaluation index（AROM,PT and TW）in both two groups as compared with those before treatment（P〈0.05）,more significantly in observation group than in control group（P〈0.05）.Conclusion：Isokinetic strength training could significantly increase shoulder muscle force and AROM of female patients with periarthritis of shoulder.