Heers G, Anders S, Werther M, Lerch K, Hedtmann A, Grifka J
Klinik für Orthopädie der Universität Regensburg, Bad Abbach.
Sportverletz Sportschaden. 2005 Mar;19(1):22-7. doi: 10.1055/s-2004-813883.
Although the outcome of surgical treatment of rotator cuff tears is well documented in the literature, less is known about the efficacy of home exercises for symptomatic rotator cuff tears in correlation to the size of the defect.
A series of 30 patients (38 shoulders) with rotator cuff tears seen by ultrasonography were included in this prospective study. Rotator cuff tears were divided into partial defects (group A), full thickness tears of the supraspinatus tendon (group B), and massive rotator cuff defects (group C). Treatment consisted of a home program of stretching and strengthening exercises that were performed by the patients daily for a period of 12 weeks and controlled by a physician every 2 weeks. Range of motion, a modified constant score, and impingement signs at initial examination and after 12 weeks were compared.
All groups experienced improvement in range of motion. The Constant scores improved significantly (p < 0.05) in all groups (A: 13.0 [+/- 7.9 SD], B: 13.2 [+/- 11.4 SD], and C: 17.5 [+/- 6.6 SD]). Impingement signs showed a downward trend in all groups.
The results of this study show that patients with rotator cuff defects do benefit from simple home exercises independent from the size of the defect.
尽管肩袖撕裂手术治疗的结果在文献中有充分记载，但对于有症状的肩袖撕裂，家庭锻炼的疗效与缺损大小之间的相关性却知之甚少。
本前瞻性研究纳入了30例（38个肩部）经超声检查发现有肩袖撕裂的患者。肩袖撕裂分为部分缺损（A组）、冈上肌腱全层撕裂（B组）和巨大肩袖缺损（C组）。治疗包括一项由患者每天进行的家庭拉伸和强化锻炼计划，为期12周，每2周由医生进行一次指导。比较了初始检查时和12周后的活动范围、改良Constant评分和撞击征。
所有组的活动范围均有改善。所有组的Constant评分均显著提高（p < 0.05）（A组：13.0 [±7.9标准差]，B组：13.2 [±11.4标准差]，C组：17.5 [±6.6标准差]）。所有组的撞击征均呈下降趋势。
本研究结果表明，肩袖缺损患者确实能从简单的家庭锻炼中获益，而与缺损大小无关。
