慢速与加速康复方案对关节镜下肩袖修补术后活动范围的影响。
Effects of slow and accelerated rehabilitation protocols on range of motion after arthroscopic rotator cuff repair.
作者信息
Düzgün İrem, Baltacı Gül, Turgut Elif, Atay O Ahmet
机构信息
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
出版信息
Acta Orthop Traumatol Turc. 2014;48(6):642-8. doi: 10.3944/AOTT.2014.13.0125.
OBJECTIVE
The aim of the study was to investigate the effects of the early initiation of passive and active range of motion exercises following arthroscopic rotator cuff repair.
METHODS
The study included 40 patients who underwent arthroscopic rotator cuff repair. Patients were quasi-randomly assigned into accelerated (ACCEL) protocol (n=19) and slow (SLOW) protocol (n=21) groups. Patients in both groups were treated with the same protocol. Active range of motion was begun at the 3rd week in the ACCEL group and the 6th week in the SLOW group. Range of motion was recorded at postoperative weeks 3, 5, 8, 12, and 24.
RESULTS
While active range of motion for all measurements improved across weeks, there were no differences between groups, with the exception of active total elevation which was greater at all time point measurements in the ACCEL group (p<0.05).
CONCLUSION
The early initiation of passive and gentle controlled active motion exercise following rotator cuff repairs does not appear to affect range of motion in the first 6 postoperative months.
目的
本研究旨在调查关节镜下肩袖修复术后早期开始被动和主动活动度练习的效果。
方法
本研究纳入40例行关节镜下肩袖修复术的患者。患者被准随机分为加速（ACCEL）方案组（n = 19）和慢速（SLOW）方案组（n = 21）。两组患者均采用相同方案治疗。ACCEL组在第3周开始主动活动度练习，SLOW组在第6周开始。在术后第3、5、8、12和24周记录活动度。
结果
虽然所有测量的主动活动度在各周均有改善，但除主动总抬高外，两组之间无差异，ACCEL组在所有时间点测量的主动总抬高均更大（p<0.05）。
结论
肩袖修复术后早期开始被动和轻柔控制的主动运动练习似乎不会影响术后前6个月的活动度。
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