| 贾品茹,张静,陆博,成慧.肩周肌群训练联合肌内效贴治疗肩袖损伤的疗效观察[J].中国康复,2022,37(5):289-292 |
| 肩周肌群训练联合肌内效贴治疗肩袖损伤的疗效观察 |
| Curative effect of muscle group around shoulder training combined with Kinesio Taping for rotator cuff injury |
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| DOI： |
| 中文关键词: 肩袖损伤 肌内效贴 肩周肌群训练 |
| 英文关键词: rotator cuff injury Kinesio Taping muscle group around shoulder training |
| 基金项目:河北省医学适用技术跟踪项目（G201731） |
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| 中文摘要: |
| 目的：研究肩周肌群训练联合肌内效贴治疗肩袖损伤的临床疗效。方法：选取符合肩袖损伤标准的患者40例，随机分成研究组和对照组各20例。对照组进行肩周肌群训练，研究组在对照组基础上增加肌内效贴布，治疗疗程为4周。2组在治疗前（T1）、治疗4周后（T2）、治疗结束后1个月随访时（T3）进行评估，评价指标采用视觉模拟评分法（VAS）、Constant-Murley肩关节评分系统(CMS)、美国加州大学肩关节评分系统(UCLA)、患侧肩关节活动范围(ROM)。结果：在T2和T3时，2组患者VAS评分均较T1时明显下降（均P＜0.05），CMS及UCLA评分均较T1时明显提高（均P＜0.05），前屈、外展、内外旋活动度均较T1时明显增加（均P＜0.05），且研究组VAS评分均更低于对照组（均P＜0.05），CMS及UCLA评分均更高于对照组（均P＜0.05），前屈、外展、内外旋活动度均更高于对照组（均P＜0.05）；在T3随访时，研究组VAS评分较T2时明显下降（P＜0.05），CMS及UCLA评分均较T2时明显提高（均P＜0.05），前屈、外展、内外旋活动度均较T2时明显增加（均P＜0.05），而对照组各项评分和肩关节ROM较T2时差异均无统计学意义。结论：说明肩周肌群训练联合肌内效贴治疗肩袖损伤效果更好，而且在治疗结束后1个月内肌内效贴仍能够维持一定的效果，值得临床推广应用。 |
| 英文摘要: |
| Objective: To investigate the clinical effectiveness of muscle group around shoulder training combined with Kinesio Taping in the treatment of rotator cuff injury. Methods: A total of 40 patients with rotator cuff injury were selected and randomly divided into experimental group and control group, 20 cases in each group. Both groups received muscle group around shoulder training, and the experimental group was subjected to Kinesio Taping additionally. The treatment course was 4 weeks. The two groups were evaluated before treatment (T1), 4 weeks after treatment (T2) and 1 month after treatment (T3). The Visual Analogue Scale (VAS), Constant-Murley Shoulder Score System (CMS), University of California at Los Angeles Shoulder Rating Scale (UCLA), and range of motion (ROM) on the side of the affected shoulder joint were used. Results: At T2 and T3, the VAS scores in both groups were significantly lower than those at T1 (all P<0.05), CMS and UCLA scores were significantly higher than those at T1 (all P<0.05), and ROM of the flexion, abduction and internal and external rotation was significantly greater than that at T1 (all P<0.05). The VAS scores in the experimental group were lower than in the control group (P<0.05), CMS and UCLA scores were higher than in the control group (P<0.05), and the ROM of flexion, abduction and internal and external rotation was greater than in the control group (P<0.05). At T3 of follow-up, the VAS score in the experimental group was significantly lower than at T2 (P<0.05), the CMS and UCLA scores were significantly greater than at T2 (P<0.05), and ROM of the flexion, abduction and internal and external rotation was significantly greater than at T2 (P<0.05), while the scores and shoulder ROM in the control group were not significantly different from those at T2. Conclusion: The muscle group around shoulder training combined with Kinesio Taping treatment is more effective in the treatment of rotator cuff injury, and Kinesio Taping can still maintain a certain effect within one month after treatment, which is worthy of clinical application. |
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