关节镜下肩袖损伤修复术后康复治疗的进展

Progress of Rehabilitation after Arthroscopic Rotator Cuff Injury Repair

肩袖损伤是一种常见病、多发病,可使患者丧失部分肩关节功能。无论选择保守治疗还是手术治疗,肩袖疾病治疗的成功很大程度上都依赖于适当的康复训练。肩袖修补术后的效果一般良好,但是满意的治疗效果依赖于制订正确的术后康复治疗计划,以减少术后关节僵硬和肌肉萎缩等并发症。关节镜修复肩袖损伤后早期被动关节活动可以减少术后关节僵硬并改善关节功能,但早期此类激进的康复治疗可能会影响肩袖修复的远期效果。关节镜肩袖修复术后采取相对温和的康复计划,可能更有利于腱板的修复,同时不用承担额外的风险。

Rotator cuff tears are a very common condition that is often incapacitating.Whether non-surgical or surgical,successful management of rotator cuff disease is dependent on appropriate rehabilitation.Postsurgical outcomes for patients having had rotator cuff repair can be quite good,which is much dependent on surgical technique as it is on rehabilitation to reduce postoperative joint stiffness and muscle atrophy and other complications.Early passive joint movement after arthroscopic repair can reduce the postoperative joint stiffness and improve joint function,but early radical rehabilitation therapy may affect the long-term effect of the repair.A relatively mild rehabilitation plan after arthroscopic rotator cuff repair may be more conducive to the repair of tendon plate without additional risk.