首页|期刊导航|武警医学|肌内效贴支持下的关节持续被动活动对肩袖损伤术后患者的疗效

肌内效贴支持下的关节持续被动活动对肩袖损伤术后患者的疗效OA

Clinical efficacy of kinesio taping combined with continuous passive motion for patients with post-operative rotator cuff injury

中文摘要英文摘要

目的 探讨肌内效贴支持下的关节持续被动活动(CPM)对肩袖损伤术后患者的疗效.方法 选取 2021-06 至2023-06 武警上海总队医院收治的 40 例肩袖损伤术后男性患者,随机分为观察组和对照组,每组 20 例.两组均接受常规康复治疗.对照组自术后第 2 周起增加CPM治疗,治疗前贴扎无治疗作用的皮肤膜.观察组在对照组基础上,于CPM治疗前贴扎肌内效贴.分别于治疗前、治疗 6 周后及术后 12 周随访时,采用视觉模拟评分法(VAS)、肩关节被动活动度(PROM)、Constant-Murley肩关节评分(CMS)和坦帕运动恐惧症量表(TSK)对两组患者进行评估.结果 治疗 6 周及术后 12 周,两组VAS评分、TSK评分和肩关节PROM均较治疗前改善,CMS评分提高,差异均有统计学意义(P<0.05);且与对照组比较,观察组在以上各时点的 VAS 评分和 TSK 评分均更低,肩关节 PROM 和 CMS 评分均更高,差异均有统计学意义(P<0.05).结论 在常规康复基础上,采用肌内效贴支持下的CPM治疗,能更有效地缓解肩袖损伤术后患者的疼痛,扩大关节活动度,改善肩关节功能,并降低其运动恐惧程度,其疗效优于单纯CPM治疗.

Objective To investigate the clinical efficacy of kinesio taping combined with continuous passive motion for pa-tients with post-operative rotator cuff injury.Methods A total of 40 male patients with rotator cuff injury who were admitted to Shang-hai Municipal Corps Hospital of Chinese People's Armed Police Force between June 2021 and June 2023 were selected and randomly divided into an observation group(n=20)and a control group(n=20).Both groups received conventional rehabilitation treatment.Starting from the second postoperative week,the control group received additional CPM therapy preceded by the application of non-ther-apeutic skin tape,and the observation group received kinesio tape application prior to each CPM session,in addition to the same inter-ventions as the control group.Assessments were conducted before treatment,at 6 weeks of treatment,and at the 12-week postoperative follow-up using the Visual Analogue Scale(VAS),Passive Range of Motion(PROM),Constant-Murley Score(CMS),and the Tam-pa Scale of Kinesiophobia(TSK).Results At both the 6-week and 12-week follow-ups,both groups showed significant improvements compared to baseline in VAS,TSK scores,shoulder PROM,and CMS(P<0.05).Furthermore,the observation group demonstrated significantly lower VAS and TSK scores,and significantly higher shoulder PROM and CMS scores at all post-intervention time points compared to the control group(P<0.05).Conclusions The integration of kinesio tape-supported CPM into conventional rehabilitation is more effective than CPM alone in alleviating pain,improving shoulder range of motion and function,and reducing kinesiophobia in postoperative patients with rotator cuff injuries.

张开毅;齐晓东;沈美华;叶青;何博;刘红玲

201103,武警上海总队医院康复医学与理疗科201103,武警上海总队医院康复医学与理疗科201103,武警上海总队医院重症医学科201103,武警上海总队医院特色专业二科201103,武警上海总队医院康复医学与理疗科201103,武警上海总队医院康复医学与理疗科

医药卫生

肌内效贴持续被动活动肩袖损伤术后康复肩关节功能

kinesio tapingcontinuous passive motionrotator cuff injurypostoperative rehabilitationshoulder joint function

《武警医学》 2026 (1)

36-40,5

上海市长宁区卫健委青年课题(2022QN29)

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