Kang Jeong-Il, Jeong Dae-Keun, Choi Hyun
Department of Physical Therapy, Sehan University, Republic of Korea.
Department of Physical Therapy, Mokpo Mirae Hospital: 351 Seokhyeon-dong, Mokpo-si, Jeonnam 530-828, Republic of Korea.
J Phys Ther Sci. 2018 Jan;30(1):37-41. doi: 10.1589/jpts.30.37. Epub 2018 Jan 27.
[Purpose] The purpose of the present study was to apply early intervention via microcurrent and cryotherapy in patients who underwent rotator cuff reconstruction surgery, and to investigate the effects of such interventions on pain and inflammation levels based on the analysis of C-reactive protein (CRP) levels, and on changes in muscle tone. [Subjects and Methods] The study population consisted of 30 patients who had undergone rotator cuff reconstruction surgery, with 10 patients each assigned to the control, experimental I (E-1), and experimental II (E-II) groups. On the day after surgery, muscle tone, blood CRP level, and pain were measured. For the following two weeks, continues passive motion (CPM), icing, cryotherapy, and microcurrent were applied to the each group. After the respective interventions, CRP levels, pain, and muscle tone near the shoulder area were measured again. [Results] In the post-hoc test of between-group comparison, a statistically significant difference in CRP level was found in the cryotherapy group. A difference in shoulder muscle tone appeared only in the supraspinatus muscle, with post-hoc test results showing that the biggest change occurred in the cryotherapy group. [Conclusion] Cryotherapy may be able to help stabilize inflammation as well as reduce pain and muscle tension when applied in patients following rotator cuff reconstruction.
[目的] 本研究旨在对接受肩袖重建手术的患者应用微电流和冷冻疗法进行早期干预,并基于对C反应蛋白(CRP)水平的分析,探讨此类干预对疼痛和炎症水平的影响,以及对肌张力变化的影响。[对象与方法] 研究对象为30例接受肩袖重建手术的患者,每组10例,分别分为对照组、实验组I(E-1)和实验组II(E-II)。术后第一天,测量肌张力、血液CRP水平和疼痛程度。在接下来的两周内,对每组患者进行持续被动运动(CPM)、冰敷、冷冻疗法和微电流治疗。在各自的干预措施后,再次测量CRP水平、疼痛程度和肩部区域附近的肌张力。[结果] 在组间比较的事后检验中,冷冻疗法组的CRP水平存在统计学上的显著差异。肩部肌张力的差异仅出现在冈上肌,事后检验结果表明,冷冻疗法组的变化最大。[结论] 对于接受肩袖重建手术的患者,应用冷冻疗法可能有助于稳定炎症,以及减轻疼痛和肌肉紧张。