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肩膀关节整形手术后的子骨特异性康复的效果:一个前性,双盲,随机对照试验

Lafi S Khalil¹, Muhammad J Abbas², Tahsin M Rahman²

¹Divison of Sports Medicine, Department of Orthopaedic Surgery, McLaren Flint Hospital, Flint, MI, USA.

Journal of shoulder and elbow surgery

|June 1, 2023

概括

在全肩关节整形术 (TSA) 后添加特定的 subscapularis 运动并没有改善力量. 传统和特定康复组的患者在TSA后三个月恢复了基线内部旋转强度.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
康复科学康复科学康复科学

背景情况:

在全肩关节整形术 (TSA) 后,需要通过deltopectoral方法修复下肌.
没有标准化的术后指导方针存在于 subscapularis 康复.
这项研究调查了 subscapularis 特定的疗法是否可以改善 TSA 后的强度和功能.

研究的目的:

为了比较传统康复 (TR) 和 subscapularis康复 (SR) 组之间的 subscapularis强度和功能,后解剖TSA.
为了评估早期,专注的甲下运动对康复结果的影响.

主要方法:

成年患有关节骨关节炎的成年患者接受了解剖学TSA,随机分为TR或SR组.
SR包括传统疗法加上早期 subscapularis 炼.
骨下骨的强度,功能,运动范围 (ROM) 和患者报告的结果措施 (PROM) 在手术前和手术后的3,6个月和12个月被评估.

主要成果:

分析了66名患者 (32名TR,34名SR);没有基线差异.
在手术后的任何时间点,群体之间没有观察到 subscapularis 强度的显著差异.
与基线相比,这两组在强度,功能,ROM和PROM方面都有相似的改善.

结论:

患者在解剖学TSA后3个月内达到基线内部旋转强度.
在TSA后观察到功能,ROM和PROM的显著改善.
早期的,专注的甲下部炼与传统的康复计划相比,没有提供额外的好处.

关键词:

肩部整体关节整形术肩部整体关节整形在Deltopectoral,这是一个特殊的例子.物理治疗疗法物理治疗康复康复康复康复康复康复肩部置换肩部置换肩部置换在 subscapularis 的修复.

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