脉冲磁疗配合康复训练辅助肩袖损伤患者关节镜术后功能恢复的疗效观察

Effect of impulse magnetotherapy combined rehabilitation training on patients with rotator cuff injury following arthroscopic surgery

  • 摘要: 目的 观察脉冲磁疗配合康复训练对肩袖损伤关节镜术后患者肩关节功能恢复的作用。方法 选取2018年6-12月于解放军总医院第一医学中心康复医学科的22例肩袖损伤术后康复患者,随机分为磁疗组和对照组,两组均按康复计划行肩关节康复训练,磁疗组在每次训练后加用脉冲磁疗法。于术后1个月、3个月和5个月采用VAS评分法对患者肩关节疼痛进行评定,使用UCLA肩关节评分(加州大学肩关节评分系统)和Constant-Murley肩关节功能评分法对患者肩关节功能进行评分。结果 两组基线资料均无统计学差异。治疗后,两组患者VAS评分随时间显著降低,Constant-Murley评分和UCLA评分显著升高;各个时间点VAS评分磁疗组均低于对照组(术后5个月:0.67±0.87 vs 2.57±1.13),Constant-Murley评分磁疗组均高于对照组(术后5个月:87.56±7.14 vs 74.86±8.47),差异有统计学意义(P均<0.05);两组UCLA评分在各个时间点均无统计学差异。结论 脉冲磁疗配合康复训练可以有效减轻肩关节镜术后患者肩关节疼痛,有助于患者肩关节康复训练,提高患者肩关节运动功能。

     

    Abstract: Objective To evalulate the effect of impulse magnetotherapy combined rehabilitation training on patients with rotator cuff injury following arthroscopic surgery. Methods From June to December in 2018,22 patients with rotator cuff injury treated by arthroscopic surgery in the first medical center of Chinese PLA General Hospital were randomly divided into impulse magnetotherapy group and control group.The two groups both followed rehabilitation program,and only the impulse magnetotherapy group received magnetotherapy after rehabilitation programs.Clinical outcomes assessment included VAS score,UCLA scoring system and Constant-Murley Shoulder Outcome Score at 1,3 and 5 months after surgery. Results There was no significant difference in baseline data between the two groups.After treatment,the VAS score decreased significantly,and the Constant-Murley Shoulder Outcome Score and UCLA score increased significantly over time (all P<0.05).The VAS score was significantly lower in impulse magnetotherapy group when compared with control group at all time points (5 months after surgery,0.67±0.87 vs 2.57±1.13,P<0.05);The Constant-Murley Shoulder Outcome Score was significantly higher in the impulse magnetotherapy group when compared with the control group at all time points (5 months after surgery,87.56±7.14 vs 74.86±8.47,P<0.05);No significant difference was found in UCLA scoring between the two groups at all time points. Conclusion The impulse magnetotherapy is effective to reduce the pain of the shoulder following arthroscopic rotator cuff repair,which is helpful for the rehabilitation exercise progress and improving the mobility of the upper limb.

     

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