The effect of progressive strength training on joint function rehabilitation in patients with rotator cuff tear after arthroscopic surgery
10.3969/j.issn.1000-6710.2025.03.003
- VernacularTitle:肩袖撕裂关节镜术后循序渐进强度肌力训练对患者关节功能康复的影响
- Author:
Hualiang ZHANG
1
;
Shengyang ZHANG
1
;
Wei LU
1
;
Siyu ZHU
1
Author Information
1. 绍兴市中医院(浙江 绍兴 312000)
- Publication Type:Journal Article
- Keywords:
tear of rotator cuff;
arthroscopic surgery;
step by step strength training;
inflammatory re-action
- From:
Chinese Journal of Sports Medicine
2025;44(3):184-189
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of progressive intensity muscle training on joint function and inflammatory response after arthroscopic rotator cuff tear surgery.Methods Totally 226 patients with rotator cuff tear injuries and admitted to Shaoxing Traditional Chinese Medicine Hospital between April 2020 and April 2022 were selected,and randomly divided into a study group and a control group,each of 113,using a double-blind random number table.After the arthroscopic surgery,the study group received progressive intensity muscle strength training,while the control group was given routine functional training and rehabilitation.Before and 8 weeks after surgery,both groups were evaluated us-ing the Constant Murley shoulder joint function(CMSJF),Unilaterally Controlled Latin Assets(UCLA),and Fugl Meyer scale(FMA).Moreover,their Activities of Daily Living(ADL)score,se-rum inflammatory factors,and upper limb function score were compared.Results Before surgery,there was no significant difference between the two groups in the average CMSJF score,UCLA score,EMA score,ADL score and the range of motion(ROM)(P>0.05).However,8 weeks after the surgery,all the above values improve significantly,with significantly greater improvement in the study group than the control group(P<0.05).Moreover,before the surgery,there was no significant difference be-tween the two groups in the serum interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),interleu-kin-10(IL-10)and transformative growth factor-β(TGF-β)(P>0.05).However,8 weeks after the surgery,a significant increase was observed in the average IL-10 and TGF-β,with a significant de-crease in the average TNF-α and IL-6(P<0.05 for both).Conclusion After arthroscopic surgery for ro-tator cuff tear,progressive muscle strength training has a significant clinical effect on relieving pain,promoting muscle function and strength,and improving the function of the affected limb.
