分阶段康复训练对肩关节损伤患者临床症状及肩关节功能的治疗效果

Therapeutic Effects of Phased Rehabilitation Training on Clinical Symptoms and Shoulder Joint Function in Patients with Shoulder Joint Injury

目的:探讨分阶段康复训练对肩关节损伤患者临床症状及肩关节功能的治疗效果。方法:选取2019年6月-2022年6月新沂市中医医院收治的肩关节损伤患者110例为观察对象,根据随机数字表法分为对照组与观察组,各55例。对照组实施常规治疗,研究组在对照组基础上实施分阶段康复训练。比较两组患者肢体功能(Fugl-Meyer量表)、疼痛情况[视觉模拟评分法(VAS)]、肩关节主动活动情况、肩关节功能评分。结果:治疗后,两组患者Fugl-Meyer评分均升高,VAS评分均降低,研究组Fugl-Meyer评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者肩关节前屈、外展主动活动角度均提高,研究组大于对照组,差异有统计学意义(P<0.05);治疗后,两组患者疼痛、肌力、肢体活动度、日常活动功能评分及总分均优于治疗前,研究组优于对照组,差异有统计学意义(P<0.05)。结论:在肩关节损伤患者的治疗中实施分阶段康复训练可缓解疼痛感并改善肩关节功能,提高其肢体运动能力。

Objective:To explore the therapeutic effect of phased rehabilitation training on clinical symptoms and shoulder joint function in patients with shoulder joint injury.Methods:110 patients with shoulder joint injury admitted to Xinyi Traditional Chinese Medicine Hospital from June 2019 to June 2022 were selected as observation subjects and divided into control group and study group according to the random number table method,55 cases each.The control group implemented conventional treatment,and the study group implemented phased rehabilitation training on the basis of the control group.The patients in the two groups were compared in terms of limb function(Fugl-Meyer scale),pain[visual analogue scoring method(VAS)],active shoulder joint movement,and shoulder joint function scores.Results:After treatment,Fugl-Meyer scores increased and VAS scores decreased in both groups.The Fugl-Meyer score in the study group was higher than that in the control group,and the VAS score was lower than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the active movement angles of shoulder forward flexion and abduction were improved in both groups,and the study group was larger than the control group.The difference was statistically significant(P<0.05).After treatment,the pain,muscle strength,limb mobility,daily activity function scores and total scores were better in both groups than before treatment,and the study group was better than the control group.The difference was statistically significant(P<0.05).Conclusion:Implementing phased rehabilitation training in the treatment of patients with shoulder joint injury can relieve pain and improve shoulder joint function and limb movement ability.