肌内效贴扎联合等速肌力训练对肩袖损伤患者肩关节及iEMG的影响

Effect of Intramuscular Binding Combined with Isokinetic Muscle Strength Training on Shoulder Joint and iEMG in Patients with Rotator Cuff Injury

目的:探研肌内效贴扎联合等速肌力训练对肩袖损伤患者肩关节及积分肌电值(iEMG)的影响。方法:选取2020年10月至2021年4月我院119例肩袖损伤患者,随机数字表法分为对照组(n=59)和观察组(n=60)。对照组采取常规康复训练,观察组基于对照组采取等速肌力训练+肌内效贴扎技术,连续干预4个疗程。统计两组干预前后疼痛程度[视觉模拟评分法(VAS)]、肩关节功能[美国加州大学肩关节评分系统(UCLA)]、肩关节活动度(前屈、内旋、外旋、后伸)、肩袖肌iEMG、肌肉萎缩程度、生活质量[简明健康状况量表(SF-36)]。结果:观察组干预2个疗程后、4个疗程后VAS评分(3.05±0.61、1.73±0.53)分低于对照组(3.38±0.65、2.02±0.62)分,差异有统计学意义(t1=2.856,t2=2.744,P<0.05);干预4个疗程后观察组UCLA评分高于对照组,差异有统计学意义(P<0.05);干预4个疗程后观察组肩关节外旋、内旋、前屈、后伸活动度(72.26±5.08、55.31±4.44、170.43±13.38、54.33±4.12)度大于对照组(57.73±5.29、46.62±5.13、145.56±17.73、36.61±4.59)度,差异有统计学意义(t1=15.284,t2=9.886,t3=8.646,t4=22.170,P<0.05);干预4个疗程后观察组角速度60度、120度外展时肩袖肌iEMG(0.56±0.33、0.79±0.23、0.56±0.08)度、(0.48±0.20、0.78±0.24、0.55±0.10、)度高于对照组(0.46±0.15、0.70±0.24、0.42±0.11)度、(0.40±0.17、0.68±0.23、0.44±0.08)度,差异有统计学意义(t1=2.122,t2=2.088,t3=7.950;t4=2.350,t5=2.552,t6=7.221,P<0.05);干预4个疗程后观察组肌肉萎缩程度优于对照组,差异有统计学意义(P<0.05);干预4个疗程后两组SF-36评分高于干预前,差异有统计学意义(P<0.05)。结论:肌内效贴扎技术联合等速肌力训练应用于肩袖损伤患者,可减轻疼痛,改善肌力,扩大肩关节活动度,恢复肩关节功能。

Objective:To explore the effect of intramuscular binding combined with isokinetic muscle strength training on shoulder joint and integrated electromyography(iEMG)in patients with rotator cuff injury.Methods:119 patients with rotator cuff injury in our hospital from October 2020 to April 2021 were randomly divided into control group(n=59)and observation group(n=60).The control group received routine rehabilitation training,and the observation group received isokinetic muscle strength training+intramuscular binding technology based on the control group for 4 consecutive courses of intervention.The degree of pain[visual analogue scale(VAS)],shoulder function[University of California shoulder scoring system(UCLA)],shoulder range of motion(flexion,internal rotation,external rotation and extension),rotator cuff muscle iEMG,degree of muscle atrophy and quality of life[concise health status scale(SF-36)]before and after intervention were counted.Results:The VAS scores(3.05±0.61,1.73±0.53)in the observation group after 2 courses of intervention and 4 courses of treatment were lower than those in the control group(3.38±0.65,2.02±0.62),the difference was statistically significant(T1=2.856,T2=2.744,P<0.05).After 4 courses of intervention,the UCLA score of the observation group was higher than that of the control group(P<0.05).After 4 courses of intervention,the activities of external rotation,internal rotation,flexion and extension of shoulder joint in the observation group(72.26±5.08,55.31±4.44,170.43±13.38,54.33±4.12)°were greater than those in the control group(57.73±5.29,46.62±5.13,145.56±17.73,36.61±4.59)°with significant difference(T1=15.284,T2=9.886,T3=8.646,T4=22.170,P<0.05).The VAS scores(3.05±0.61,1.73±0.53)in the observation group after 2 courses of intervention and 4 courses of treatment were lower than those in the control group(3.38±0.65,2.02±0.62),the difference was statistically significant(T1=2.856,T2=2.744,P<0.05).After 4 courses of intervention,the UCLA score of the observation group was higher than that of the control group(P<0.05).After 4 courses of intervention,the activities of external rotation,internal rotation,flexion and extension of shoulder joint in the observation group(72.26±5.08,55.31±4.44,170.43±13.38,54.33±4.12)°were greater than those in the control group(57.73±5.29,46.62±5.13,145.56±17.73,36.61±4.59)°with significant difference(T1=15.284,T2=9.886,T3=8.646,T4=22.170,P<0.05).Conclusion:The application of intramuscular binding technique combined with isokinetic muscle strength training in patients with rotator cuff injury can reduce pain,improve muscle strength,expand shoulder joint range of motion and restore shoulder joint function.