影响肩胛骨动力学障碍的相关因素研究

Factors influencing scapular dyskinesis: a qualitative study

目的:探讨肩关节疾病患者中肩胛骨动力学障碍(SD)的发生及相关影响因素。方法:对门诊收治的53例肩关节疾病患者,按四分类法和"yes or no"法进行SD评估,并采集患者的性别、年龄、病程、患肩是否优势侧、外伤与否、肩关节功能得分(CMS)、是否手术、是否接受SD康复治疗等信息。将采集信息作为SD形成的影响因素,进行多元Logistic回归分析。结果:53例肩关节疾病患者,SD发生率为66.04%(35/53),其中Ⅲ型占57.14%(20/35)。单因素分析显示:年龄、CMS得分、是否手术及是否接受SD康复治疗是肩关节疾病中SD发生的危险因素。多元Logistic回归分析显示,CMS得分、是否手术、是否接受SD康复治疗是影响肩关节疾病中SD发生的独立危险因素。结论:SD在肩关节疾病中发生率高,SD与肩关节功能、临床决策、SD康复治疗等有关。

Objective： To investigate the incidence of scapular dyskinesis and influential factors associated with scapular dyskinesis in patients with shoulder disorders.Method： Fifty-three outpatients with shoulder disorders were included and received scapular dyskinesis evaluation based on four- type classification or ＂yes or no＂ method. Gender, age, course of disease, affected side（dominant or nondominant）, injury, Constant- Murley Score（CMS）, operation, rehabilitation for scapular dyskinesis were also evaluated and treated as independent variables for scapular dyskinesis. Logistic regression method was used to analyze independent risk factors for scapular dyskinesis.Result： Of the fifty-three patients, 35（66.04%） had scapular dyskinesis and among which type-Ⅲ accounts for the largest proportion（57.14%, 20/35）. Univariate analysis indicated that age, CMS, operation, rehabilitation were shown correlated significantly with scapular dyskinesis. However, the multivariate Logistic regression did select CMS, operation, rehabilitations, the independent risk factors for scapular dyskinesis.Conclusion： Patients with shoulder disorders had high incidence of scapular dyskinesis which correlated with shoulder function, clinical decision-making, rehabilitation for scapular dyskinesis.