关节镜下行复发性肩关节前方不稳定修复术后康复计划的疗效研究

Efficacy of Postoperative Rehabilitation Program in Patients with Recurrent Anterior Shoulder Instability under Arthroscopy

目的探讨关节镜下行复发性肩关节前方不稳定修复术后康复计划的疗效。方法选取2008年10月—2015年3月同济大学附属东方医院收治的关节镜下行复发性肩关节前不稳定修复术患者56例,随机分为康复治疗组(n=30)和对照组(n=26)。两组患者术后均接受常规治疗,康复治疗组患者同时接受术后康复计划。比较两组患者术后6、12、16、24周的美国加州大学肩评分表(UCLA)评分。结果治疗后两组患者疼痛、功能、主动前屈活动度、前屈力量、患者主观满意度得分比较,差异有统计学意义(P<0.05);不同时间点比较,差异有统计学意义(P<0.05);康复方法和时间在疼痛、功能、主动前屈活动度、前屈力量、患者主观满意度得分上存在交互作用(P<0.05)。结论术后康复计划对关节镜下行复发性肩关节前方不稳定修复术后患者的肩关节功能恢复有良好的促进作用。

Objective To explore the efficacy of postoperative rehabilitation program in patients with recurrent anterior shoulder instability under arthroscopy. Methods A total of 56 patients with recurrent anterior shoulder instability under arthroscopy were selected in Dongfang Hospital, Tongji University form October 2008 to March 2015 , and they were randomly divided into rehabilitation therapy group （n =30） and control group （n = 28）. The UCLA score of 6, 12, 16, 24 weeks after the opeartion were compared among the three groups. Results The scores of pain, function, active flexion range, flexion strength and patient satisfaction of the two groups were statistically significantly different （ P 〈 0. 05 ） ; the difference was statistically significant in different time points （P〈0. 05） ; there was interaction between groups and time points （P 〈 0. 05 ）. Conclusion Postoperative rehabilitation program has a good effect on the recovery of shoulder joint function in patients with recurrent anterior shoulder instability after arthroscopic surgery.