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

Abstract

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

CLC Number:

R686.1

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.

Figures/Tables 2

References 36

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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

Effect of neuromuscular control training on frozen shoulder

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