肩周肌群功能训练对肩峰下撞击综合征的疗效观察

关键词：肩周肌群  功能训练  肩峰下撞击综合征  疗效

Keywords:muscle group around shoulder  functional training  subacromial impingement syndrome  curative efficacy

摘要：

      摘要 目的：探讨肩周肌群功能训练方法对肩峰下撞击综合征（subacromial impingement syndrome, SIS）的疗效。 方法：将确诊为SIS的患者随机分为3组，每组各15例，Ⅰ组为肩胛肌群功能训练组、Ⅱ组为肩袖肌群功能训练组、Ⅲ组为肩胛肌群加肩袖肌群功能训练组，分别有各自的训练负荷，循序渐进各训练4周，隔天1次。评价指标：Neer试验、Hawkins试验和PENN SHOULDER SCORE评分量表。分别于治疗前、治疗后和随后3个月后进行以上指标的评价 结果:所有患者接受肩周肌群功能训练治疗后，Neer试验和Hawkins试验都转为阴性，疼痛度都较治疗前非常显著下降（P≤0.01），满意度、功能都较治疗前非常显著提升（P≤0.01）；分别与Ⅰ和Ⅱ相比，Ⅲ组接受治疗后疼痛度下降最显著（P≤0.01），满意度和功能提升最显著（P≤0.01）。 结论：肩周肌群功能训练无论是肩胛肌群的功能训练还是肩袖肌群的功能训练对肩峰下撞击综合征的治疗都非常有效，但肩胛肌群和肩袖肌群同时进行的功能训练对肩峰下撞击综合征的治疗效果最为显著。

Abstract:

      Abstract Objective: To study the curative efficacy of functional training focusing on muscle group around shoulder for subacromial impingement syndrome. Method: Forty five patients with subacromial impingement syndrome (SIS) were randomly grouped into three groups (fifteen patients for each group). Patients in Group I were trained only on muscles around scapula. Patients in Group Ⅱ were treated on rotator cuff muscles. While patients in Group Ⅲ were treated on both. The training goes every 2 days and last for 4 weeks. The indexes for evaluating curative efficacy included: the Neer-test, the Hawkins-test and the Peen Shoulder Score. These indexes were measured immediately and three months after the four week treatment. Result: After treatment of the functional training focusing on muscle group around shoulder, Neer-tests and Hawkins-tests of all of patients were changed from positive to negative, the degree of pain compared with pain before the treatment declined apparently（P<0.01），at the same time， the degree of satisfaction and the function went up remarkablely（P<0.01）. Compared with group Ⅰ and group Ⅱ, it dropped the most notably on the degree of pain in the group Ⅲ（P<0.01）, however, the degree of satisfaction and the function rose most apparently（P<0.01） Conclusion: The curative efficacy of functional training focusing on muscle group around shoulder for sub-acromial impingement syndrome was effective apparently. But the efficacy of treated focusing on both muscles around scapula and rotator cuff was the most remarkably.