[1]邓明月,杨金松△,向明,等.手法松解结合早期肩部肌群针对性训练治疗肩袖损伤的疗效观察[J].中国中医骨伤科杂志,2026,34(02):69-73.[doi:10.20085/j.cnki.issn1005-0205.260211]
　DENG Mingyue,YANG Jinsong,XIANG Ming,et al.Curative Effect of Manipulation under Anesthesia Combined with Early Targeted Training of Shoulder Muscles in Rotator Cuff Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(02):69-73.[doi:10.20085/j.cnki.issn1005-0205.260211]
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手法松解结合早期肩部肌群针对性训练治疗肩袖损伤的疗效观察()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年02期
页码:
69-73
栏目:
临床研究
出版日期:
2026-02-15

文章信息/Info

Title:
Curative Effect of Manipulation under Anesthesia Combined with Early Targeted Training of Shoulder Muscles in Rotator Cuff Injury
文章编号:
1005-0205(2026)02-0069-05
作者:
邓明月1; 杨金松1△; 向明1; 陈杭1; 胡晓川1
1四川省骨科医院(成都,610041)
Author(s):
DENG Mingyue1; YANG Jinsong1△; XIANG Ming1; CHEN Hang1; HU Xiaochuan1
1Sichuan Province Orthopedic Hospital,Chengdu 610041,China.
关键词:
肩袖损伤;  早期肩部肌群针对性训练;  手法松解术;  肩关节功能
Keywords:
rotator cuff injury;  early targeted training of shoulder muscle;  manipulation under anesthesia;  shoulder function
分类号:
R686.1
DOI:
10.20085/j.cnki.issn1005-0205.260211
文献标志码:
A
摘要:
目的:探讨手法松解结合早期肩部肌群针对性训练治疗肩袖损伤的疗效。方法:选取2022年5月至2024年2月收治的肩袖损伤患者92例为研究对象,按照随机数表法分为观察组和对照组,每组各46例,对照组给予麻醉下手法松解术(MUA)联合常规康复训练,观察组给予麻醉下手法松解联合早期肩部肌群针对性训练。比较两组美国肩与肘协会(ASES)评分、不同体位下的肩胛骨内下角到棘突距离(LSST)、肩关节活动度、疼痛视觉模拟量表(VAS)评分。结果:术后2周和6周,观察组ASES评分高于对照组,差异有统计学意义(P<0.05); 术后6周,观察组放松位、外展位下内下角到棘突距离低于对照组; 治疗6周后,观察组前曲、外伸、内旋、外旋活动度高于对照组; 术后2周和6周,观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。结论:手法松解结合早期肩部肌群针对性训练治疗肩袖损伤可有效修复肩袖损伤患者异常肩肱节律,扩大肩关节活动度,恢复肩关节功能,减轻疼痛。
Abstract:
Objective:To explore the curative effect of manipulation under anesthesia(MUA)combined with early targeted shoulder muscles training in rotator cuff injury.Methods:A total of 92 patients with rotator cuff injuries were enrolled as the research objects between May 2022 and February 2024.According to random number table method,they were divided into control group(MUA combined with routine rehabilitation training)and observation group(MUA combined with early targeted shoulder muscle training),with 46 cases in each group.The scores of American shoulder elbow surgeons(ASES)form,lateral scapular slide test(LSST)in different positions,shoulder range of motion,and visual analogue scale(VAS)scores were compared between the two groups.Results:At 2 and 6 weeks after surgery,ASES scores in the observation group were higher than those in the control group(P<0.05).At 6 weeks after surgery,LSST under the released position and abduction position in the observation group was lower than that in the control group.After 6 weeks of treatment,shoulder range of motion(flexion,extension,internal rotation,external rotation)in the observation group was greater than that in the control group.At 2 and 6 weeks after surgery,VAS scores in the observation group were lower than those in the control group(P<0.05).Conclusion:MUA combined with early targeted training of shoulder muscles can effectively correct abnormal scapulohumeral rhythm,increase shoulder range of motion,recover shoulder function,and relieve pain in patients with rotator cuff injury.

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(收稿日期:2025-09-06)

备注/Memo

备注/Memo:
基金项目:四川省中医药科学技术研究专项(2016C040)
△通信作者 E-mail:1640275013@qq.com
更新日期/Last Update: 2026-02-15