Abstract:Objective To investigate the reasonsof shoulder dysfunctioncomplications developed in patients with hand injury and the treatments for these patients.Methods 167 patients were included in this study and received rehabilitation therapy in our department from 2014 to 2016.Among the patients.128 of them were male and 39 were female.The age range from 20 to 58 with an average of 34.3.The patientswho had a history of shoulder injury were excluded.Considering the time and the type of the developed shoulder dysfunctioncomplications by reviewingthe patients' medical history,the patients were divided into three groups according to the time point for starting the rehabilitation therapy.Results 43 patients (25.75%) developed shoulder dysfunctioncomplications 4~8 weeks after they had the hand injury.The mean age of the patients with shoulder complications was 34.81 years,roughly equal to the average age of the patient without shoulder dysfunctioncomplications.And the difference was not statistically significant by the chi-square test.The optimal rate of improvement of shoulder joint function was 100% in the group of 3 months after the system rehabilitation training.Inthe 3~6 months of rehabilitation training group,the optimal rate was 95.8%.Inthe 6~12 months of rehabilitation training group,the optimal rate was 27.3%.Conclusion As compared the patients who take the therapy 6 months after hand injury,the shoulder complication significantly relieved in patients who received the therapy in 3 month after injury.Early rehabilitation therapy can significantly reduce the chance of shoulder dysfunction complication developed in patients with hand injury.
[1]徐磊.人体上肢运动链基本动作的生物力学分析[D].石家庄:河北师范大学,2015.
[2]Arentson-Lantz E,English KL,Paddon-Jones D,et al.Fonteen days of bed rest induces a decline cell content and robust atrophy of skeletal muscle fibers in middle-aged adults[J].Appl Physiol,2016,15(8):965-975.
[3]Dustin L Crouch,Ian D Hutchinson,Johannes F Plate,et al.Biomechanical basis of shoulder osseous deformity and contracture in a rat model of brachial plexus birth palsy[J].J Bone Joint Surg(Am),2015,97(15):1264 -1271.
[4]Giannotti S,Bottai V.Disuse osteoporosis of the upper limb:assessment of thirty patients[J].Clin Cases Miner Bone Metab,2013,10(2):129-132.
[5]苟三杯.废用性肩关节僵硬症30例报告[J].上海医学,1990,13(8):471-472.
[6]王常启,王华林.科雷氏骨折致肩关节黏连性关节囊炎32 例报告[J].中医正骨,1993,5(4):27.
[7]蔡桦,关伟山.肩关节外的上肢骨折致废用性肩关节僵硬症[J].中国骨伤,1999,12(2):36-37.
[8]娄湘红,李萍.手Ⅱ区屈肌腱损伤修复术后早期综合康复训练[J].护理学杂志(外科版),2006,21(16):71-72.
[9]张新,吴洪.手外伤康复治疗的成本效果研究[J].中国康复医学杂志,2009,24(1):33-36.
[10]荆凤英.腋气囊在手外伤带蒂皮瓣移植术患者中的应用及效果评价[J].护理研究,2012,26(4):899-900.
[11]凌宇,朱志华.综合疗法治疗手外伤术后关节僵硬症临床疗效观察[J].浙江中医药大学学报,2009,33(6):808-809.
[12]杜长亮,贡建传.电刺激对大鼠废用性肌萎缩的抑制作用及调控机制研究[J].中国运动医学杂志,2014,33(1):42-46.
[13]黄春霞,方静.系统康复治疗对腹部带蒂皮瓣引发废用性肩关节僵硬的干预效果[J].解放军护理杂志,2011,28(9):28-29;41.
[14]郭文龙.手外伤术后住院患者早期综合康复治疗的疗效[J].临床医学文献杂志,2015,2(7):1275.
[15]刘磊.手外伤患者工伤职业康复早期介入效果研究[J].大家健康,2016,10(8):99-100.