《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (06): 517-520.

• 专题 • 上一篇    下一篇

关节镜下肩袖修补术后的康复治疗

刘晓华1a;郭险峰1a;俞瑾1a;朱以明1b;姜春岩1b;戴红2   

  1. 1.北京积水潭医院，北京市 100035，a:康复医学科，b:运动损伤科;2.首都医科大学公共卫生与家庭医学院，北京市 100069
  • 收稿日期:2009-03-05 修回日期:2009-05-11 出版日期:2009-06-01 发布日期:2009-06-01
  • 通讯作者: 姜春岩

Rehabilitation after Arthroscopic Rotator Cuff Repair

LIU Xiao-hua, GUO Xian-feng，YU Jin, et al   

  1. Department of Rehabilitation Medicine, Beijing Jishuitan Hospital, School of Medicine, Peking University, Beijing 100035, China
  • Received:2009-03-05 Revised:2009-05-11 Published:2009-06-01 Online:2009-06-01

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被引次数

21

摘要： 目的 研究关节镜下肩袖修补术后系统肩关节康复训练的方法。方法 自2002年3月～2006年12月，北京积水潭医院康复科收治86例行“关节镜下应用缝合锚进行肩袖修补术”的患者，随机分为强化组和普通组进行系统康复训练。使用美国肩肘医师协会评分(American Shoulder Elbow Scale, ASES)和 1990年美国医学会修订的《永久病损评定指南（GEPI）》进行肩关节定量评定。结果 两组患者在手术前ASES和GEPI评分均无显著性差异（P>0.05），术后1年两组患者ASES和GEPI评分分别与术前比较，有显著性改变（P<0.05）。而且术后1年时强化组ASES评分高于普通组，GEPI（功能障碍指数）评分低于普通组（P<0.05）。术后7周、12周和1年时肩关节的主动前屈上举和外旋活动范围（ROM），强化组均高于普通组（P<0.05）。结论 关节镜下肩袖修补术后系统的、个性化的肩关节康复训练方法是恢复肩关节功能的有效方法。强化治疗效果更好。

关键词: 肩袖损伤, 肩关节, 康复治疗

Abstract: Objective To explore the proper method of rehabilitation after operation of arthroscopic rotator cuff repair.Methods A total of 86 cases treated by arthroscopic rotator cuff repair in Beijing Jishuitan Hospital from March 2002 to December 2006 were included in our study and randomly divided into two groups which are normal group and intensive group. The two groups were treated with same rehabilitation protocol but had different frequency in hospital. American Shoulder& Elbow Surgeons′ Score (ASES score) and Guides to the Evaluation of Permanent Impairment (GEPI) were adopted before operation and one year follow-up. Results There were no significant difference between two groups in ASES and GEPI scores before the operation(P>0.05). Comparing with preoperation, there were significant difference between the two groups in ASES and GEPI scores 1 year after operation(P<0.05). Comparing with the normal group, the intensive group have higher ASES scores than that of normal group and lower GEPI scores than that of normal group 1 year after operation (P<0.05). The range of motion of active forward flexion and external rotation were tested at the 7th week, 12th week and 1 year after the operation, all the result of intensive group were better than that of normal group (P<0.05).Conclusion Customized and systematic shoulder rehabilitation training therapy for the patients with rotator cuff repaired is an effective method to restore the function of shoulder joint. Intensive treatment has better result.

Key words: rotator cuff repair, shoulder joint, rehabilitation