改良五禽戏改善老年肩袖损伤患者康复成效的临床观察

Clinical observation of improving rehabilitation effects of modified Wuqinxi in elderly patients with rotator cuff injury

中文关键词: 老年  肩袖损伤  五禽戏  肩关节功能  病人自强评估量表

英文关键词: elderly  rotator cuff injury  Wuqinxi  shoulder joint function  Patient Enablement Instrument

中文摘要:

      目的 观察常规康复基础上加入改良五禽戏改善社区老年慢性肩袖损伤患者的康复成效.方法 选取2023年1月—2024年6月于上海市静安区宝山路街道社区卫生服务中心康复科门诊就诊的老年慢性肩袖损伤患者60例,采用随机数字表法分为试验组(n=30)和对照组(n=30).对照组采用常规康复,试验组采用在常规康复的基础上加入改良五禽戏,2组均干预3个月.分别在入组、治疗1个月、治疗2个月、治疗结束时,采用病人自强评估量表(PEI)评定患者自强能力,采用VAS评分表进行疼痛评分,采用Constant-Murley肩关节评分表评定肩关节功能,然后进行数据比较与分析.结果 治疗前,2组患者PEI评分、VAS评分、Constant-Murley评分差异均无统计学意义(P＞0.05).治疗后,同组不同时间点PEI评分、VAS评分、Constant-Murley评分差异均有统计学意义(P＜0.001),2组组间差异均有统计学意义(P＜0.001),且二者存在交互作用;治疗1个月后、2个月后、3个月后,2组患者PEI评分均高于、VAS评分均低于、Constant-Murley评分均高于同组治疗前(P＜0.05).结论 常规康复基础上加入改良五禽戏可使老年慢性肩袖损伤患者自强能力提高、肩关节疼痛减轻、肩关节活动度改善,获得更大的康复成效,具有一定的临床应用价值.

英文摘要:

      Objective To observe the rehabilitation effects of modified Wuqinxi on elderly patients with chronic rotator cuff injury in the community.Methods 60 elderly patients with chronic rotator cuff injury treated in Department of Rehabilita-tion Medicine of Baoshan Street Community Health Service Center from January 2023 to June 2024 were selected and divided into experimental group(n=30)and control group(n=30)by random number table method.The control group received con-ventional rehabilitation,while the experimental group received modified Wuqinxi on the basis of conventional rehabilitation.Both groups received intervention for 3 months.At enrollment,1 month after treatment,2 months after treatment,and at the end of treatment,the Patient Enablement Instrument(PEI)was used to assess self-reliance ability of patients,VAS rating scale was used to assess pain degree,Constant-Murley Shoulder Joint Score Scale was used to assess shoulder joint function.Then the data of the two groups were compared and analyzed.Results Before treatment,there was no statistically significant difference in PEI score,VAS score and Constant-Murley score between the two groups(P＞0.05).After treatment,there were statisti-cally significant differences in PEI score,VAS score,and Constant Murley score at different time points in the same group(P＜0.001),and there were also statistically significant differences between the two groups(P＜0.001).After 1 month,2 months,and 3 months of treatment,PEI score and Constant-Murley score of both groups were higher than those of the same group before treatment,and VAS score was lower than that of the same group before treatment(P＜0.05).Conclusion On the basis of conventional rehabilitation,the addition of modified Wuqinxi can improve the self-reliance ability of elderly patients with chronic rotator cuff injury,alleviate shoulder joint pain,improve shoulder joint mobility.It can make patients to achieve better rehabilitation effect and has certain clinical application value.