系统锻炼对肩关节镜下肩袖修补术康复的影响

Effect of Systematic Exercise on Rehabilitation of Patients Underwent Rotator Cuff Repair Under Arthroscopy

目的分析系统锻炼对肩关节镜下肩袖修补术患者康复的影响。方法随机选取医院2015年1月—2020年1月接受肩关节镜下肩袖修补术治疗患者100例,采用计算机随机数字法将其分成对照组与观察组,每组50例。对照组患者接受常规锻炼,观察组患者接受系统锻炼。比较两组患者肩袖损伤修复结局、患肢肩关节活动度、患肢肌肉力量、患肢肩关节功能。结果两组患者随访1个月、3个月肩袖损伤修复结局比较差异有统计学意义(P<0.05)。组内比较发现,对照组及观察组随访1个月、3个月肩袖损伤修复结局比较差异有统计学意义(P<0.05)。观察组患者随访1个月、3个月患肢前屈、外展、外旋、内旋活动度大于对照组(P<0.05)。组内比较发现,对照组及观察组患者患肢前屈、外展、外旋、内旋活动度随时间递增而增加,且差异对照组及观察组内比较有统计学意义(P<0.05)。观察组患者随访1个月、3个月前屈、内旋、外旋肌肉力量大于对照组(P<0.05)。两组患者各组内比较发现,随访3个月前屈、内旋、外旋肌肉力量大于随访1个月(P<0.05)。两组患者且前屈、内旋、外旋肌肉力量比较差异有统计学意义(P<0.05)。术前两组患者肢肩关节功能评分比较差异无统计学意义(P>0.05),随访1个月、3个月增加(P<0.05)。观察组患者肢肩关节功能评分高于对照组(P<0.05)。结论及早进行系统锻炼可以提升肩关节镜下肩袖修补术患者康复结局。

Objective To analyze the effect of systematic exercise on rehabilitation of patients underwent shoulder arthroscopic rotator cuff repair.Methods A total of 100 patients who received shoulder arthroscopic rotator cuff repair from January 2015 to January 2020 were randomly selected and divided into control group and observation group by computer random number method,with 50 patients in each group.Patients in the control group were received regular exercise,while those in the observation group were received systematic exercise.The outcome of rotator cuff injury repair,range of motion of the affected limb and shoulder joint,muscle strength of the affected limb,and shoulder joint function of the affected limb were compared between the two groups.Results There were statistically significant differences in the outcomes of rotator cuff injury repair between the two groups after 1-month follow-up and 3-month followup(P<0.05).The results of rotator cuff injury repair in the control group and the observation group were statistically significant(P<0.05).Patients in the observation group were followed up for 1 month and 3 months,and the activity levels of affected limb forward flexion,abduction,external rotation and internal rotation were higher than those in the control group(P<0.05).Intra-group comparison showed that the activity of affected limb forward flexion,abduction,external rotation and internal rotation increased with time,and the difference between the control group and the observation group was statistically significant(P<0.05).The muscle strength of the observation group was greater than that of the control group(P<0.05).The comparison between the two groups showed that the muscle strength of anterior flexion,internal rotation and external rotation at 3 months follow-up was greater than that at 1 month follow-up(P<0.05).There were statistically significant differences in muscle strength between the two groups in pronation,pronation and pronation(P<0.05).There was no statistically significant difference in the scores of limb and shoulder joint between the two groups before surgery(P>0.05),and the follow-up was increased at 1 month and 3 months(P<0.05).The score of shoulder and limb function in the observation group was higher than that in the control group(P<0.05).Conclusion Early systematic exercise is recommended to improve the rehabilitation outcome of patients underwent rotator cuff repair under shoulder arthroscopy.