目的 探讨肌内效贴支持下的关节持续被动活动(CPM)对肩袖损伤术后患者的疗效。方法 选取2021-06至2023-06武警上海总队医院收治的40例肩袖损伤术后男性患者,随机分为观察组和对照组,每组20例。两组均接受常规康复治疗。对照组自术后第2周起增加CPM治疗,治疗前贴扎无治疗作用的皮肤膜。观察组在对照组基础上,于CPM治疗前贴扎肌内效贴。分别于治疗前、治疗6周后及术后12周随访时,采用视觉模拟评分法(VAS)、肩关节被动活动度(PROM)、Constant-Murley肩关节评分(CMS)和坦帕运动恐惧症量表(TSK)对两组患者进行评估。结果 治疗6周及术后12周,两组VAS评分、TSK评分和肩关节PROM均较治疗前改善,CMS评分提高,差异均有统计学意义(P<0.05);且与对照组比较,观察组在以上各时点的VAS评分和TSK评分均更低,肩关节PROM和CMS评分均更高,差异均有统计学意义(P<0.05)。结论 在常规康复基础上,采用肌内效贴支持下的CPM治疗,能更有效地缓解肩袖损伤术后患者的疼痛,扩大关节活动度,改善肩关节功能,并降低其运动恐惧程度,其疗效优于单纯CPM治疗。
Abstract
Objective To investigate the clinical efficacy of kinesio taping combined with continuous passive motion for patients with post-operative rotator cuff injury. Methods A total of 40 male patients with rotator cuff injury who were admitted to Shanghai Municipal Corps Hospital of Chinese People’s Armed Police Force between June 2021 and June 2023 were selected and randomly divided into an observation group (n=20) and a control group (n=20). Both groups received conventional rehabilitation treatment. Starting from the second postoperative week, the control group received additional CPM therapy preceded by the application of non-therapeutic skin tape, and the observation group received kinesio tape application prior to each CPM session, in addition to the same interventions as the control group. Assessments were conducted before treatment, at 6 weeks of treatment, and at the 12-week postoperative follow-up using the Visual Analogue Scale (VAS), Passive Range of Motion (PROM), Constant-Murley Score (CMS), and the Tampa Scale of Kinesiophobia (TSK). Results At both the 6-week and 12-week follow-ups, both groups showed significant improvements compared to baseline in VAS, TSK scores, shoulder PROM, and CMS (P<0.05). Furthermore, the observation group demonstrated significantly lower VAS and TSK scores, and significantly higher shoulder PROM and CMS scores at all post-intervention time points compared to the control group (P<0.05). Conclusions The integration of kinesio tape-supported CPM into conventional rehabilitation is more effective than CPM alone in alleviating pain, improving shoulder range of motion and function, and reducing kinesiophobia in postoperative patients with rotator cuff injuries.
关键词
肌内效贴 /
持续被动活动 /
肩袖损伤 /
术后康复 /
肩关节功能
Key words
kinesio taping /
continuous passive motion /
rotator cuff injury /
postoperative rehabilitation /
shoulder joint function
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基金
上海市长宁区卫健委青年课题(2022QN29)
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