Citation: | GUI Dongmei, CHEN Hao, LYU Fei, WU Deluo, SHI Dai, ZHOU Xuemei, HU Dandan, TU Jiayuan. Effect of postoperative kinesophobia on early rehabilitation of shoulder function after repair of rotator cuff tear[J]. Journal of Clinical Medicine in Practice, 2022, 26(24): 130-133. DOI: 10.7619/jcmp.20223172 |
To investigate the effect of postoperative kinesophobia on early rehabilitation of shoulder function after repair of rotator cuff tear.
A total of 65 patients with arthroscopic repair of rotator cuff in the Affiliated Hospital of Yangzhou University from June 2021 to June 2022 were selected as research objects. According to the score of the Tampa Scale for Kinesophobia (TSK) on the first day after operation, the patients were divided into kinesophobia group with 32 cases (TSK score>37) and non-kinesophobia group with 33 cases (TSK score ≤ 37), and one case in the kinesophobia group refused to accept follow-up during the study was excluded. Scores of the Visual Analogue Scale (VAS), the Oxford Shoulder Scale (OSS), the American Shoulder and Elbow Surgery (ASES) and the Constant shoulder scale were compared at different time points between the two groups.
At the time points of 1 day and 3 days after operation, 1 week and 4 weeks after operation and 3 months after operation, the VAS score and OSS score of the kinesophobia group were significantly higher than those of the non-kinesophobia group, while the ASES score and the Constant score of shoulder joint were significantly lower than those of the non-kinesophobia group (P < 0.05).
Postoperative kinesophobia will affect the early recovery of shoulder function after repair of rotator cuff tear, and the medical staffs should identify and intervene the patients with kinesophobia as early as possible to improve the postoperative rehabilitation effect.
[1] |
KIM D, LEE B, YEOM J, et al. Three-dimensional in vivo comparative analysis of the kinematics of normal shoulders and shoulders with massive rotator cuff tears with successful conservative treatment[J]. Clin Biomech (Bristol, Avon), 2020, 75: 104990. doi: 10.1016/j.clinbiomech.2020.104990
|
[2] |
STRUYF F, NIJS J, MOTTRAM S, et al. Clinical assessment of the scapula: a review of the literature[J]. Br J Sports Med, 2014, 48(11): 883-890. doi: 10.1136/bjsports-2012-091059
|
[3] |
冯建, 孔亚明. 术前疼痛对关节镜下肩袖撕裂手术患者创伤后应激障碍的影响[J]. 中国内镜杂志, 2022, 28(2): 49-55. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ202202009.htm
|
[4] |
谢露, 罗丁元, 王玮宁, 等. 肩袖撕裂与肩胛骨动力障碍相关性研究进展[J]. 中国矫形外科杂志, 2022, 30(11): 1002-1006. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS202211008.htm
|
[5] |
伍晨亮, 苏为, 赵松, 等. 不可修复性肩袖损伤动力性重建研究进展[J]. 国际骨科学杂志, 2020, 41(6): 323-329. https://www.cnki.com.cn/Article/CJFDTOTAL-GWGK202006001.htm
|
[6] |
NYFFELER R W, SCHENK N, BISSIG P. Can a simple fall cause a rotator cuff tear Literature review and biomechanical considerations[J]. Int Orthop, 2021, 45(6): 1573-1582. doi: 10.1007/s00264-021-05012-6
|
[7] |
CARBONE S, CANDELA V, GUMINA S. High rate of return to CrossFit training after arthroscopic management of rotator cuff tear[J]. Orthop J Sports Med, 2020, 8(4): 2325967120911039.
|
[8] |
胡文. 简体中文版TSK和FABQ量表的文化调适及其在退行性腰腿痛中的应用研究[D]. 上海: 第二军医大学, 2012.
|
[9] |
LUQUE-SUAREZ A, MARTINEZ-CALDERON J, FALLA D. Role of kinesophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review[J]. Br J Sports Med, 2019, 53(9): 554-559.
|
[10] |
WERTLI M M, RASMUSSEN-BARR E, WEISER S, et al. The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: a systematic review[J]. Spine J, 2014, 14(5): 816-836, e4.
|
[11] |
ALSALEEM M K, ALKHARS A M, ALALWAN H A, et al. Kinesophobia post total hip arthroplasty: a retrospective study[J]. Cureus, 2021, 13(6): e15991.
|
[12] |
DAMAR H T, BILIK Ö, BAKSI A, et al. Examining the relationship between elderly patients' fear of falling after spinal surgery and pain, kinesophobia, anxiety, depression and the associated factors[J]. Geriatr Nurs, 2021, 42(5): 1006-1011.
|
[13] |
姚轶超, 王春光, 张麒. 术后恐动症对膝关节置换患者住院期间康复效果的影响[J]. 护理实践与研究, 2022, 19(15): 2290-2295. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202215018.htm
|
[14] |
郦杭婷, 沈娇妮, 万昕瑞, 等. 髋膝关节置换术患者康复自我效能感在正念与恐动症间的中介效应研究[J]. 中华护理杂志, 2022, 57(10): 1177-1183. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202210004.htm
|
[15] |
WANG H H, HU F N, LYU X L, et al. Kinesophobia could affect shoulder function after repair of rotator cuff tears[J]. BMC Musculoskelet Disord, 2022, 23(1): 714.
|
[16] |
ZALE E L, LANGE K L, FIELDS S A, et al. The relation between pain-related fear and disability: a meta-analysis[J]. J Pain, 2013, 14(10): 1019-1030.
|
[17] |
潘界恩, 陈刚, 蔡震海, 等. 关节镜下两种双排缝合技术治疗肩袖大型撕裂的中期疗效比较[J]. 中国内镜杂志, 2020, 26(4): 29-34. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGNJ202004007.htm
|
[18] |
FOSSATI C, STOPPANI C, MENON A, et al. Arthroscopic rotator cuff repair in patients over 70 years of age: a systematic review[J]. J Orthop Traumatol, 2021, 22(1): 3.
|
[19] |
张乃. 肩袖损伤的发病机制、分型及治疗进展[J]. 实用临床医药杂志, 2020, 24(16): 129-132. doi: 10.7619/jcmp.202016036
|
[20] |
SHAFFER B, HUTTMAN D. Rotator cuff tears in the throwing athlete[J]. Sports Med Arthrosc Rev, 2014, 22(2): 101-109.
|
[21] |
SPICER P J, FAIN A D, SOLIMAN S B. Ultrasound in sports medicine[J]. Radiol Clin North Am, 2019, 57(3): 649-656.
|
[22] |
CLAUSEN M B, WITTEN A, HOLM K, et al. Glenohumeral and scapulothoracic strength impairments exists in patients with subacromial impingement, but these are not reflected in the shoulder pain and disability index[J]. BMC Musculoskelet Disord, 2017, 18(1): 302.
|
[23] |
VERWOERD A J, LUIJSTERBURG P A, KOES B W, et al. Does kinesophobia modify the effects of physical therapy on outcomes in patients with sciatica in primary care?subgroup analysis from a randomized controlled trial[J]. Phys Ther, 2015, 95(9): 1217-1223.
|
[24] |
KERNAN T, RAINVILLE J. Observed outcomes associated with a quota-based exercise approach on measures of kinesophobia in patients with chronic low back pain[J]. J Orthop Sports Phys Ther, 2007, 37(11): 679-687.
|
[25] |
MARSHALL P W M, SCHABRUN S, KNOX M F. Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain[J]. PLoS One, 2017, 12(7): e0180788.
|
[26] |
FARRIS S G, ABRANTES A M, BOND D S, et al. Anxiety and fear of exercise in cardiopulmonary rehabilitation: patient and practitioner perspectives[J]. J Cardiopulm Rehabil Prev, 2019, 39(2): E9-E13.
|
[27] |
黄成龙, 陈刚, 徐红伟, 等. 关节镜下大肩袖撕裂修补术后早期行积极被动活动锻炼的疗效观察[J]. 浙江临床医学, 2020, 22(6): 823-825.
|
[28] |
尹朱丹, 钟琦, 包倪荣, 等. 早期锻炼对关节镜下肩袖修补术后康复影响的系统评价再评价[J]. 中华现代护理杂志, 2022, 28(7): 886-892.
|