Yu Mingkun, Tang Zhifeng
Department of Arthrology and Sports Medicine, Chengyang District People's Hospital, 266109 Qingdao, Shandong, China.
The Second Ward of Trauma Orthopedics, Yantaishan Hospital, 264003 Yantai, Shandong, China.
Ann Ital Chir. 2024;95(6):1231-1239. doi: 10.62713/aic.3632.
This study aims to evaluate the impact of early scapular rehabilitation training in patients after rotator cuff injury. Furthermore, it sought to analyze the application of this approach in promoting surgical site healing and enhancing shoulder joint function recovery.
This retrospective study obtained the clinical data from 74 patients who underwent rotator cuff repair between July 2022 and June 2024. Patients were divided into two experimental groups: the control group (n = 35), including those who underwent routine rehabilitation exercises after rotator cuff repair, and the exposed group (n = 39), who received scapular training exercises. The patients were followed up and examined at 8 weeks and 16 weeks after surgery. The range of motion (adduction and abduction), shoulder muscle strength (adduction and abduction), Visual Analogue Scale (VAS) scores, and the University of California-Los Angeles (UCLA) shoulder scales were compared between the two groups before rotator cuff repair.
We observed that after 8 weeks of treatment-post-surgery, both the groups showed significant improvement in the range of motion (adduction and abduction) and the muscle strength (adduction and abduction) within the shoulder joint compared with those observed before treatment (p < 0.05). After 16 weeks of treatment, the range of motion (adduction and abduction) and shoulder muscle strength (adduction and abduction) further improved compared to those observed after 8 weeks of treatment (p < 0.05). After 8 weeks and 16 weeks of treatment, the University of California shoulder joint scores in both groups were significantly better compared to those before treatment (p < 0.05), and the VAS score significantly decreased (p < 0.05), with the effects after 16 weeks of treatment being better than those observed after 8 weeks (p < 0.05). Additionally, there was no difference in the overall incidence of complications between the two groups (p > 0.05).
Early scapular training, following rotator cuff injury, is beneficial in functional recovery of shoulder joint function, which improves rehabilitation outcomes and ultimately promotes patient prognosis.
本研究旨在评估肩袖损伤患者早期肩胛骨康复训练的影响。此外，本研究还试图分析该方法在促进手术部位愈合和增强肩关节功能恢复方面的应用。
本回顾性研究获取了2022年7月至2024年6月期间接受肩袖修复术的74例患者的临床资料。患者被分为两个实验组：对照组（n = 35），包括肩袖修复术后接受常规康复锻炼的患者；暴露组（n = 39），接受肩胛骨训练锻炼的患者。在术后8周和16周对患者进行随访和检查。比较两组在肩袖修复术前的运动范围（内收和外展）、肩部肌肉力量（内收和外展）、视觉模拟评分（VAS）以及加州大学洛杉矶分校（UCLA）肩部评分。
我们观察到，术后8周治疗后，两组肩关节的运动范围（内收和外展）和肌肉力量（内收和外展）与治疗前相比均有显著改善（p < 0.05）。治疗16周后，与8周治疗后相比，运动范围（内收和外展）和肩部肌肉力量（内收和外展）进一步改善（p < 0.05）。治疗8周和16周后，两组的加州大学肩关节评分均显著优于治疗前（p < 0.05），VAS评分显著降低（p < 0.05），16周治疗后的效果优于8周治疗后（p < 0.05）。此外，两组并发症的总发生率无差异（p > 0.05）。
肩袖损伤后早期进行肩胛骨训练有利于肩关节功能的恢复，可改善康复效果，最终促进患者预后。
