| Objective: To observe the effect of staged rehabilitation training combined with divergent shock wave on the rehabilitation of patients after massive rotator cuff tear repair. Methods: A total of 38 patients with massive rotator cuff injury who underwent arthroscopic repair were randomly divided into control group (n=18) and treatment group (n=20). All patients in two groups were given rehabilitation treatment for 12 weeks after operation. Patients in both groups received staged rehabilitation training, and patients in treatment group were additionally treated with extracorporeal divergent shock wave. The patients were evaluated by visual analogue scale (VAS), UCLASS, Constant shoulder joint function scale and joint abduction range of motion (ROM) before treatment, 4 weeks, 8 weeks, 12 weeks after treatment and at the last follow-up. Results: At the 4th, 8th, 12th week after treatment and at the last follow-up, VAS scores in both groups decreased significantly (all P<0.05), UCLASS and Constant scores increased significantly (all P<0.05), and ROM increased significantly (all P<0.05). At the 4th and 8th week after treatment, the VAS scores in the treatment group were significantly lower than those in the control group at the same time point (all P<0.05), while the UCLASS and Constant scores were significantly higher than those in the control group at the same time point (all P<0.05), and the ROM was significantly higher than that in the control group (all P<0.05). At 12th week after treatment, the VAS score in the treatment group was significantly lower than that in the control group at the same time point (P<0.05), and there was no significant difference in other indexes between the two groups. At the last follow-up, there was no significant difference between the two groups. Conclusion: Staged rehabilitation training combined with divergent shock wave can significantly relieve the pain of patients with massive rotator cuff tear repair, and promote the recovery of early activity and function of patients, which is of great significance for early rehabilitation of patients. |
