【摘要】 目的:观察分阶段、渐进性的康复训练对I型骨性BanKart损伤肩关节镜修补后的恢复效果。方法:将33例肩关节I型骨性Bankart损伤行肩关节镜下单排锚钉修补术的患者分为对照组16例和观察组17例,对照组仅在术后进行肩关节的早期制动康复训练,观察组在术后进行渐进性、分阶段的康复训练。通过美国肩肘医师协会评分(ASES)、加州大学肩关节评分系统(UCLASS)对患者术前、术后6及12个月的肩关节功能进行评定。结果:术后6及12个月两组患者ASES、UCLASS评分均明显优于术前(均P<0.05),且观察组ASES、UCLASS评分也显著优于同时间点对照组的评分(P<0.05)。观察组术后12个月的主动前屈、外展和外旋活动度显著优于对照组(P<0.05)。结论:对I型骨性Bankart损伤行肩关节镜下修补术的患者,进行渐进性、分阶段的术后康复训练,能够提供较好的肩关节功能的恢复,获得满意的治疗效果。更多还原

【Abstract】 Objective:To observe the effectiveness of phased and progressive rehabilitation training after shoulder arthroscopic repair of type I bony Bankart injury.Methods:Total 33 patients with type I bony Bankart injury undergoing shoulder arthroscopic repair with single row anchorage were involved in this study:16 patients in control group and 17 patients in treatment group.Control group was given stabilized rehabilitation in the early stage only,and treatment group was subjected to phased and progressive rehabilitation training.Shoulder function evaluations were performed before,and 6 and 12 months after operation using American Shoulder Elbow Scale(ASES)and University of California at Los Angeles shoulder scores(UCLASS).Results:There was no statistically significant difference in the pre-operative ASES and UCLASS scores between control and treatment groups(P>0.05).Postoperative ASES and UCLASS scores at 6 th and 12 th month after operation were significantly higher than pre-operative scores in both groups(P<0.05).Post-operative ASES and UCLASS scores at 6 th and 12 th month in treatment group were significantly higher than those at the same time point in control group(P<0.05).The biggest angles of active forward flexion,abduction and external rotation in treatment group were significantly greater than those in control group(P<0.05).Conclusion:Phased and progressive post-operative rehabilitation training could improve recovery of shoulder function and provide satisfied therapeutic effect after arthroscopic repair of type I bony Bankart injury.更多还原