| 张怡,邢军.体外冲击波治疗肩袖损伤术后肩关节功能障碍的临床研究[J].中国康复,2023,38(9):543-547 |
| 体外冲击波治疗肩袖损伤术后肩关节功能障碍的临床研究 |
| A randomized controlled clinical study on shoulder trigger point extracorporeal shock wave combined with rehabilitation training in the treatment of shoulder joint dysfunction after rotator cuff injury |
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| DOI： |
| 中文关键词: 肩部触发点 体外冲击波 康复训练 肩袖损伤 肩关节功能 |
| 英文关键词: shoulder trigger point extracorporeal shock wave rehabilitation training rotator cuff injury shoulder joint function |
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| 中文摘要: |
| 目的：肩部触发点体外冲击波联合康复训练治疗肩袖损伤术后的效果分析。方法：于我院收治的肩袖损伤术后患者中抽取80例，以随机数字表法分为对照组和观察组各40例，对照组采用康复训练，观察组采用肩部触发点体外冲击波联合康复训练，对比2组治疗前后Constant-Murley肩关节功能评分量表(CMS)、加州大学肩关节评分（UCLASS）评分和关节活动范围（ROM)、疼痛情况（VAS）、患者满意度和临床疗效等。结果：治疗后，2组CMS评分、UCLASS评分及肩关节ROM均较治疗前明显提高(P<0.05)，且观察组治疗后CMS各项评分均明显高于对照组(P<0.05)，UCLASS中疼痛、功能、肩关节屈曲角度以及满意度等评分均明高于对照组(P<0.05)；观察组治疗后ROM各项评分均明显高于对照组 (P<0.05)；2组VAS评分均较治疗前明显下降(P<0.05)，且观察组治疗后VAS评分均明显低于对照组 (P<0.05)；观察组满意度及治疗优良率均显著高于对照组(P<0.05)。结论：对肩袖损伤患者，采用肩部触发点体外冲击波联合康复训练效果显著，可明显改善患者肩关节功能，缓解疼痛，患者满意度高。 |
| 英文摘要: |
| Objective: To analyze the effect of shoulder trigger point extracorporeal shock wave combined with rehabilitation training in the treatment of rotator cuff injury. Methods: A total of 80 patients with postoperative rotator cuff injury treated in our hospital (from Feb. 2020 to Sep. 2021) were selected and divided into control group (n=40) and observation group (n=40) by a random number table method. The control group received rehabilitation training, and the observation group received shoulder trigger point extracorporeal shock wave combined with rehabilitation training. The Constant-Murley Shoulder Scale (CMS), the University of California Shoulder Score (UCLASS) score, range of motion (ROM), pain status (VAS) and patients’ satisfaction were compared. Results: The CMS and UCLASS scores of both groups showed an upward trend after treatment, and the CMS scores in the observation group were significantly higher than those in the control group (P<0.05). The scores of pain, function, shoulder joint flexion angle, and satisfaction in UCLASS were significantly higher in the observation group than those in the control group (P<0.05). After treatment, the ROM scores in the observation group were significantly higher than those in the control group (P<0.05). The VAS scores in the observation group were significantly lower than those in the control group after treatment (P<0.05). The satisfaction rate and treatment excellence rate in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: For patients with rotator cuff injury, the use of shoulder trigger point extracorporeal shock wave combined with rehabilitation training has a significant effect, which can significantly improve the shoulder joint function of patients, relieve pain, and have high patient’s satisfaction. |
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