体外冲击波联合功能锻炼治疗肩袖损伤的疗效分析

Effect of extracorpeal shock wave combined with functional exercise on rotator cuff injury

目的观察体外冲击波联合功能锻炼治疗肩袖损伤的疗效。方法选取2016年1月-2017年10月于我院门诊就诊的肩袖损伤患者62例,随机分为冲击波组和功能锻炼组。功能锻炼组日常行功能锻炼;冲击波组除肩关节功能锻炼外,还需接受冲击波治疗4周。分别于治疗前、治疗后4周和12周对患者进行随访,统计其视觉模拟评分(visual analog scale,VAS)和肩关节Constant-Murley评分(Constant and Murley score,CMS)。结果与治疗前相比,治疗后4周和12周两组的VAS评分和CMS评分均显著改善;在第4周时,冲击波组的VAS评分显著低于功能锻炼组(3.06±1.74 vs 4.62±1.94,P=0.002),CMS评分显著高于功能锻炼组(63.56±8.51 vs 54.72±8.92,P=0.001)。结论冲击波联合功能锻炼能够明显缓解肩袖损伤患者的肩关节疼痛、恢复肩关节功能。

Objective To evaluate the effect of extracorpeal shock wave（ESW） combined with functional exercise on rotator cuff injury. Methods Sixty-two patients with rotator cuff disease were randomly divided into two groups： ESW group and exercise group. Patients in exercise group daily underwent functional exercise while ESW combined with exercise was applied in ESW group. The visual analog scale（VAS） and Constant and Murley score（CMS） were collected at baseline 4 weeks and 12 weeks. Results The VAS and CMS score in both two groups improved significantly compared with baseline. And the VAS score in ESW group were significantly lower than that of exercise group at 4 weeks（3.06±1.74 vs 4.62±1.94, P=0.002）. Similarly, the CMS score were significantly higher at 4 weeks（63.56±8.51 vs 54.72±8.92, P=0.001）. Conclusion ESW combined with exercise can significantly release the pain and improve the function of affected shoulder and we suggest that it can be recommended as an regular treatment for rotator cuff disease.