筋膜加压带训练联合关节松动术对肩袖损伤患者肩关节功能的影响

Effect of Fascia Compression Band Training Combined with Joint Mobilization Surgery on Shoulder Joint Function in Patients with Rotator Cuff Injury

目的:探讨筋膜加压带训练联合关节松动术治疗肩袖损伤患者的临床效果,并观察其对患者肩关节功能的影响。方法:选取2021年3月—2023年3月天津市天津医院收治的90例肩袖损伤患者为研究对象,按照随机数字表法将患者分为对照组与研究组,各45例。对照组采用关节松动术治疗,研究组在对照组基础上行筋膜加压带训练治疗。对比两组的疼痛程度、肩关节功能、肩关节活动度及生活质量。结果:治疗后,两组疼痛视觉模拟评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组美国加利福尼亚洛杉矶分校肩关节功能评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组肩关节后伸、前屈、外展活动度均大于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组生活质量综合评定问卷-74中的社会功能、心理功能、躯体功能、物质生活状态评分均高于对照组,差异均有统计学意义(P<0.05)。结论:采用筋膜加压带训练联合关节松动术治疗肩袖损伤患者可有效减轻疼痛,改善肩关节功能,扩大肩关节活动度及提高生活质量。

Objective:To investigate the clinical effect of fascia compression band training combined with joint mobilization surgery in the treatment of rotator cuff injury and observe the effect on shoulder joint function.Methods:A total of 90 patients with rotator cuff injury admitted to Tianjin Hospital from March 2021 to March 2023 were selected as the study objects.According to random number table method,the patients were divided into a control group and a study group,with 45 cases in each group.The control group was treated with joint mobilization surgery,and the study group was treated with fascia compression band training on the basis of the control group.Pain degree,shoulder function,shoulder motion and quality of life were compared between the two groups.Results:After treatment,the pain Visual Analogue scale scores in both groups were lower than before treatment,and the study group was lower than that of the control group,with statistical significances(P<0.05).After treatment,the shoulder joint function scores of the two groups were higher than before treatment,and the study group was higher than that of the control group,with statistical significances(P<0.05).After treatment,the activities of extension,flexion and abduction in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the scores of social function,psychological function,physical function and material life status in Generic Quality of Life Inventory-74 in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The use of fascia compression band training combined with joint mobilization surgery in the treatment of patients with rotator cuff injury can effectively reduce pain,improve shoulder joint function,and expand shoulder joint motion and improve quality of life.