我国高山滑雪运动员肩关节陈旧性损伤康复个案研究

A Case Study on Rehabilitation of Old Injuries of Shoulders for Alpine Skiers in China

目的:对高山滑雪运动员肩关节陈旧性损伤康复工作进行研究和总结,为相关损伤制定康复方案、明确康复目标及任务、选择康复方法及手段提供参考。方法:根据临床诊断结果和康复目标,设计了为期8周、3个阶段的康复方案,运用针灸、推拿、理疗、功能性训练等方式,从肩关节疼痛等级、活动度、肌力3个维度观测康复方案的有效性。结果:8周康复治疗后,疼痛、肿胀基本消失;左侧肩关节活动度趋于正常,后伸、外展、90°位外旋动作活动度方面与同级别男性运动员存在显著性差异(p<0.01);肌力恢复率达到82.1%。结论:运用整体观设计的康复方案与运动员肩部陈旧性损伤情况高度契合,切实有效地缓解了肩关节疼痛,显著改善了关节活动度,大幅提高了肌力,基本达到了预期目标,对后续顺利开展专项训练具有积极作用。

Objective:This paper studies and summarizes the rehabilitation work of old injuries of shoulders for alpine skiers,so as to provide reference for formulating rehabilitation plan,clarifying rehabilitation objectives and tasks,and selecting rehabilitation methods and means.Methods:According to the clinical diagnosis results and rehabilitation objectives,an 8-week and 3-stage rehabilitation program was designed.By means of acupuncture,massage,physiotherapy and functional training,the effectiveness of the rehabilitation program was observed from three dimensions of shoulder pain grade,mobility and muscle strength.Results:After 8 weeks of rehabilitation treatment,the pain and swelling basically disappeared;The range of motion of the left shoulder joint tended to be normal,and there were significant differences in the range of motion of backward extension,abduction and 90°external rotation between male athletes and male athletes of the same level(P<0.01).The recovery rate of muscle strength was 82.1%.Conclusion:The rehabilitation program designed with the holistic view is highly consistent with the old injuries of shoulders for athletes,effectively alleviated shoulder pain,significantly improved joint range of motion and muscle strength,basically achieved the expected goal,and played a positive role in the follow-up special training.