神经肌肉控制训练治疗粘连性肩关节囊炎的效果

doi:10.3969/j.issn.1006-9771.2022.05.018

摘要/Abstract

摘要：

目的探讨神经肌肉控制训练对粘连性肩关节囊炎患者的治疗效果。方法 2021年2月至8月,北京同仁医院康复科门诊首次发病的原发性粘连性肩关节囊炎患者34例随机分为对照组(n = 17)和观察组(n = 17)。两组均接受常规康复,观察组在此基础上进行神经肌肉控制训练,每天1次,每周5 d,共6周。训练前后,采用日本骨科协会(JOA)肩关节评分进行评定。结果治疗后,两组JOA各项评分及总分均提高(|t| > 14.835, |Z| > 2.070, P < 0.05),观察组JOA的疼痛、ADL、ROM及总分均高于对照组(Z = -2.191, t > 2.060, P < 0.05)。结论神经肌肉控制训练能有效改善粘连性肩关节囊炎患者的肩关节功能。

关键词: 粘连性肩关节囊炎, 肩关节功能, 康复

Abstract:

Objective To investigate the effect of neuromuscular control training on frozen shoulder. Methods From February to August, 2021, 34 patients with first idiopathic frozen shoulder from the outpatients department of Rehabilitation, Beijing Tongren Hospital were randomly assigned into control group (n = 17) and experimental group (n = 17). Both groups received routine rehabilitation training, and the experimental group received neuromuscular control training in addition, one time a day, five days a week, for six weeks. The shoulder joint function was evaluated by Japanese Orthopaedic Association (JOA) score before and after training. Results After training, all the sub-item scores and total score of JOA improved in both groups (|t| > 14.835, |Z| > 2.070, P < 0.05), and the JOA sub-item scores of pain, ADL, ROM and total score were higher in the experimental group than in the control group (Z = -2.191, t > 2.060, P < 0.05). Conclusion Neuromuscular control training could improve the shoulder function of patients with frozen shoulder more effectively.

Key words: frozen shoulder, shoulder function, rehabilitation

中图分类号:

R686.1

王璐,于歌,陈亚平. 神经肌肉控制训练治疗粘连性肩关节囊炎的效果[J]. 《中国康复理论与实践》, 2022, 28(5): 616-620.

WANG Lu,YU Ge,CHEN Yaping. Effect of neuromuscular control training on frozen shoulder[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 616-620.

图/表 2

表1

表2

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组别	n	性别(男/女)/n	年龄/岁	病程/月	患侧(左/右)/n
对照组	17	7/10	55.71±5.94	4.12±1.178	8/9
观察组	17	9/8	53.71±5.53	4.05±1.57	6/11
χ²/t值		0.472	-1.016	-0.136	0.486
P值		0.492	0.317	0.893	0.486

组别	n	时间	疼痛	外展肌力和肌耐力	ADL	ROM	影像学表现	关节稳定性	总分
对照组	17	治疗前	10.59(5.88, 15.30)	2.24±1.56	3.35±1.54	14.06±4.15	3.35(2.54, 4.16)	11.47(9.71, 13.23)	45.06±20.63
		治疗后	16.76(11.88, 21.65)	7.24±1.75	6.53±2.29	22.29±4.92	4.06(3.53, 4.59)	13.53(12.32, 14.74)	70.41±21.04
观察组	17	治疗前	10.00(5.46, 14.54)	1.82±1.59	3.18±1.55	14.88±3.60	3.41(2.75, 4.07)	11.18(9.47, 12.88)	44.47±19.30
		治疗后	23.82(20.48, 27.17)	7.82±1.67	8.00±1.41	25.65±3.81	4.41(3.93, 4.89)	13.82(12.70, 14.95)	83.53±15.70
t/Z值^a			-0.123	-0.761	-0.333	0.618	-0.079	-0.286	-0.086
P值^a			0.902	0.452	0.741	0.541	0.937	0.775	0.932
t/Z值^b			-2.191	1.003	2.250	2.222	-1.043	-0.383	2.060
P值^b			0.028	0.323	0.031	0.033	0.297	0.702	0.048
t/Z值^c			-3.877	-41.231	-14.835	-21.732	-2.070	-2.646	-20.357
P值^c			< 0.001	< 0.001	< 0.001	< 0.001	0.038	0.008	< 0.001
t/Z值^d			-3.653	-34.986	-31.274	-53.387	-3.358	-3.000	-21.390
P值^d			< 0.001	< 0.001	< 0.001	< 0.001	0.001	0.003	< 0.001