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。
Abstract
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 high-intensity 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.
关键词
运动康复训练 /
肩关节功能障碍 /
渐进式训练
Key words
exercise rehabilitation training /
shoulder joint dysfunction /
progressive training
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参考文献
[1] SHINDE S B, SHAH S P.Various Patterns of Spinal Muscle Imbalances in Shoulder Joint Dysfunction-A Systematic Review[J]. Indian Journal of Natural Sciences, 2023, 14(79): 58035-58045.
[2] ALMEIDA K A M, ROCHA A P, CARVAS JR N, et al. Rehabilitation interventions for shoulder dysfunction in patients with head and neck cancer: systematic review and meta-analysis[J]. Physical Therapy, 2020, 100(11): 1997-2008.
[3] 曾德菲, 郑婉, 魏俊萍, 等. 运动康复训练对老年冠心病慢性心力衰竭患者心功能的影响[J]. 中国老年学杂志, 2023, 43(7): 1543-1546.
[4] 周友田, 陈进英, 刘芙蓉, 等. 肢体主动运动康复训练拉力带装置在脑卒中患者中的应用研究[J]. 生命科学仪器, 2023, 21(6): 245-248.
[5] 俞传青, 赵燕敏, 王宁宁. 不同强度运动康复训练对冠心病合并CHF患者症状及心功能的影响[J]. 国际护理学杂志, 2023, 42(19): 3524-3527.
[6] 张怡, 邢军. 体外冲击波治疗肩袖损伤术后肩关节功能障碍的临床研究[J]. 中国康复, 2023, 38(9): 543-547.
[7] 冯金凤, 黄炳杰. 体外冲击波治疗对肩袖损伤术后患者肩关节功能障碍的作用[J]. 现代医学与健康研究电子杂志, 2024, 8(24): 58-60.
[8] 周元元, 郄淑燕, 张兰, 等. 分阶段康复训练联合发散式冲击波促进巨大肩袖撕裂术后康复的疗效研究[J]. 中国康复, 2021, 36(9): 542-545.
[9] 李林, 王宇旭, 王新荣, 等. 头皮针结合电针治疗急性期肩关节周围炎[J]. 中医学报, 2024, 39(6): 1333-1336.
[10] 张杰超, 梁永瑛, 何勇, 等. 丘墟透照海运动针法联合循经按摩对肩袖损伤患者肩关节活动度及自理能力的影响[J]. 针灸临床杂志, 2024, 40(4): 21-25.
[11] WANG I L, CHEN Y M, HU R, et al.Effect of acupuncture on muscle endurance in the female shoulder joint: a pilot study[J]. Evid Based Complement Alternat Med, 2020, 2020(1): 9786367.
[12] 杨锦, 李莉, 姚倩, 等. 永久起搏器植入术后肩关节功能障碍发生情况、功能评估及预防措施[J]. 实用心脑肺血管病杂志, 2024, 32(7): 125-129.
[13] 王诗瑜, 张宇扬, 陈阳, 等. 运动康复训练对先天性心脏病术后患儿干预效果的Meta分析[J]. 护理管理杂志, 2023, 23(7): 551-555.
[14] 茅溢恒, 苏敏, 袁鹏. 不同强度的运动康复训练对慢性心力衰竭患者疗效及安全性比较[J]. 中国康复, 2020, 35(1): 7-11.
[15] 霍婷, 徐向阳, 谢卫国, 等. 运动康复训练在小儿烧伤康复中应用的研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(3): 275-279.
[16] 周庆玺, 赵亮, 刘瑞东. 高强度和大运动量相结合的体能类项目训练模式述评[J]. 成都体育学院学报, 2024, 50(2): 135-142.
[17] 杨文礼, 高艳敏, 翟丰. 高强度间歇训练与中等强度持续运动对肥胖女大学生糖脂代谢及炎性因子的影响[J]. 中华物理医学与康复杂志, 2024, 46(2): 156-159.
[18] 王明强, 马丽, 卢海霞. 低强度抗阻训练结合血流限制在老年肌少症病人中的应用进展[J]. 护理研究, 2024, 38(10): 1780-1783.
[19] 李学茬, 陈美伊, 李春祥, 等. 不同强度任务导向性训练对脑卒中偏瘫病人上肢功能障碍评定量表评分、肘关节肌张力及日常生活活动能力的影响[J]. 安徽医药, 2023, 27(5): 932-936.
[20] 夏汶, 郑洁皎, 张杰, 等. 低强度运动控制训练对老年共病患者下肢肌肉衰减的影响[J]. 老年医学与保健, 2022, 28(5): 1114-1118.
[21] 宫靓雯, 王荣, 李方, 等. 高强度间歇训练处方在癌症病人预康复中应用的研究进展[J]. 护理研究, 2024, 38(9): 1600-1604.
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）
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