术后恐动症对肩袖撕裂修补后肩关节功能早期康复的影响

Effect of postoperative kinesophobia on early rehabilitation of shoulder function after repair of rotator cuff tear

目的探讨术后恐动症对肩袖撕裂修补后肩关节功能早期恢复的影响。方法选择2021年6月—2022年6月在扬州大学附属医院行关节镜下肩袖修复手术的65例患者为研究对象。根据术后第1天恐动症评分表(TSK)评分,将患者分为恐动症组(TSK评分>37分)32例和非恐动症组(TSK评分≤37分)33例,其中恐动症组有1例患者研究过程中拒绝接受随访而被排除。比较2组患者不同时点视觉模拟评分法(VAS)评分、牛津肩关节评分问卷(OSS)评分、美国肩肘外科协会评分(ASES)、肩关节Constant评分表评分。结果恐动症组术后1、3 d,术后1、4周以及术后3个月的VAS评分、OSS评分均高于非恐动症组,ASES评分、肩关节Constant评分均低于非恐动症组,差异均有统计学意义(P<0.05)。结论术后恐动症会影响肩袖撕裂修补术后早期肩关节功能的恢复,医护人员应早期识别、早期干预恐动症患者,提高术后康复效果。

Objective To investigate the effect of postoperative kinesophobia on early rehabilitation of shoulder function after repair of rotator cuff tear.Methods A total of 65 patients with arthroscopic repair of rotator cuff in the Affiliated Hospital of Yangzhou University from June 2021 to June 2022 were selected as research objects.According to the score of the Tampa Scale for Kinesophobia(TSK)on the first day after operation,the patients were divided into kinesophobia group with 32 cases(TSK score>37)and non-kinesophobia group with 33 cases(TSK score≤37),and one case in the kinesophobia group refused to accept follow-up during the study was excluded.Scores of the Visual Analogue Scale(VAS),the Oxford Shoulder Scale(OSS),the American Shoulder and Elbow Surgery(ASES)and the Constant shoulder scale were compared at different time points between the two groups.Results At the time points of 1 day and 3 days after operation,1 week and 4 weeks after operation and 3 months after operation,the VAS score and OSS score of the kinesophobia group were significantly higher than those of the non-kinesophobia group,while the ASES score and the Constant score of shoulder joint were significantly lower than those of the non-kinesophobia group(P<0.05).Conclusion Postoperative kinesophobia will affect the early recovery of shoulder function after repair of rotator cuff tear,and the medical staffs should identify and intervene the patients with kinesophobia as early as possible to improve the postoperative rehabilitation effect.