摘要
目的:比较不同强度运动康复训练在肩关节功能障碍中的效果。方法:选取2021年3月—2024年3月南京医科大学附属淮安第一医院接收的85例肩关节功能障碍患者,按信封抽签法随机分为大强度组(n=42)和小强度组(n=43)。大强度组给予大强度运动康复训练,小强度组给予小强度组运动康复训练。比较两组治疗前后的治疗疗效、肩关节功能、肩关节评分及肩关节活动范围(range of motion,ROM)。结果:治疗后,小强度组的治疗优良率高于大强度组;小强度组Constant-Murley肩关节功能评分量表(Constant-Murley shoulder outcome score,CMS)评分中疼痛、日常活动、关节活动范围、肌力评分均高于大强度组;小强度组的加州大学肩关节评分(University of California shoulder rating scale,UCLASS)中疼痛、功能、肩关节屈曲角度、肩关节屈曲肌力及满意度均高于大强度组;小强度组的肩屈曲、肩外展、侧位内旋、侧位外旋均高于大强度组;结论:小强度的运动康复训练对肩关节功能障碍患者的治疗疗效、肩关节功能、肩关节评分及肩关节ROM的影响较为显著。
Objective To compare the effects of different intensities of exercise rehabilitation training on shoulder joint dysfunction.Methods Eighty-five patients with shoulder joint dysfunction were selected from March 2021 to March 2024 at the First Affiliated Hospital of Nanjing Medical University in Huai'an,and were randomly divided into a high-intensity group(n=42)and a low-intensity group(n=43)using the envelope drawing method.The high-intensity group received high-intensity exercise rehabilitation training,while the low-intensity group received low-intensity exercise rehabilitation training.The therapeutic effects,shoulder joint function,shoulder joint scores,and range of motion(ROM)of the two groups were compared before and after treatment.Results After treatment,the rate of excellent and good outcomes was higher in the low-intensity group than in the high-intensity group.The low-intensity group scored higher in the Constant-Murley Shoulder Outcome Score(CMS)in terms of pain,daily activities,joint range of motion,and muscle strength compared to the high-intensity group.In the University of California Shoulder Rating Scale(UCLASS),the low-intensity group showed better scores in pain,function,shoulder flexion angle,shoulder flexion muscle strength,and satisfaction compared to the highintensity group.Measures of shoulder flexion,shoulder abduction,internal rotation in a lateral position,and external rotation in a lateral position were also higher in the low-intensity group than in the high-intensity group.Conclusion Low-intensity exercise rehabilitation training has a more significant impact on the treatment efficacy,shoulder joint function,shoulder joint scores,and ROM in patients with shoulder joint dysfunction.
作者
钱苏
刘洋
QIAN Su;LIU Yang(Department of Rehabilitation Medicine,Affiliated Huai′an First Hospital of Nanjing Medical University,Huai′an 223000)
出处
《晓庄学院学报(医学版)》
2025年第2期44-48,共5页
Journal of Hunan Normal University(Medical Sciences)
基金
江苏省卫健委老年健康科研面上项目“小强度运动康复训练对肩关节镜术后关节功能障碍的影响”(LKM2022021)
关键词
运动康复训练
肩关节功能障碍
渐进式训练
exercise rehabilitation training
shoulder joint dysfunction
progressive training
