康复学报 (Jun 2018)
Effect of Sustained Translatory Joint-play Techniques Combined with Stretching Technique on Shoulder Dysfunction after Rotator Cuff Injury
Abstract
Objective:To investigate effects of sustained translatory joint-play techniques combined with stretching technique on the patients with shoulder dysfunction after rotator cuff injury.Methods:Thirty-six patients with shoulder dysfunction after rotator cuff injury were divided into control group and treatment group according to the random number table, with 18 cases in each group. The control group accepted converser treatment including tepid magnetic vibration therapy, lower power He-Ne laser therapy, range of motion exercise, shoulder muscle strengthen exercise, rotator cuff muscle strengthen exercise, Maitland joint mobilization and cold therapy, once a day,6 days per week, lasted for four weeks. The treatment group added the sustained translatory joint-play techniques and rotator cuff muscle hold-relax stretching, for 30 minutes, once a day,6 days per week, lasted for four weeks. The sustained translatory joint-play techniques focused on sternoclavicular joint, acromioclavicular joint, glenohumeral ioint and scapula-chest joint. Cuff muscle stretching included stretch of subscapularis, supraspintus, teres minor and infraspintus. In both groups, patients were assessed respectively by the range of motion (ROM) and Constant-Murley shoulder function score scale (CMS) before and after treatment.Results:The scores of CMS in both groups were significantly increased (P<0.01) after treatment. Compared with the control group, the scores including pain, daily activities and activities items in the treatment group were much better (P<0.01).ROM of patients in both groups were significantly improved after treatment (P<0.01).Compared with the control group, ROM in the treatment group were much better (P<0.01).Conclusion:The sustained translatory joint-play techniques combined with stretching technique can significantly increase the range of shoulder joint activity in patients with shoulder cuff injury, relieve pain and promote the recovery of shoulder joint movement function.
