鏡視下腱板修復術後のRSD様症状の予防
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We experienced some cases with RSD symptoms of wrist and finger after ARCR. Such cases tended to have a hard time in physical therapy. We performed two therapeutic exercises, and investigated about prevention of each RSD symptom and the difference of changing ROM. The control group who had only normal physical therapy was 26 cases. The finger group who had finger exercise added was 39 cases. The rotator cuff group who had rotator cuff exercise added was 30 cases. We examined the changes in passive elevation angles until post-operative three weeks. We evaluated RSD findings in score that each symptom of pain, skin change, swelling and contracture got one point. In the ratio of RSD score 1 & 2 & 3 & 4, the control group was 38.5% and the finger group was 23.1% and the rotator cuff group was 13.3%. In the ratio of RSD score 3 & 4, the control group was 15.4% and the finger group was 7.6% and the rotator cuff group was 0%. In the changes of elevation angle (pre-operation, post-operative one, two, three weeks), the control group was 133.8 degrees, 121.3 degrees, 136.9 degrees, and 145.2 degrees. The finger group was 138.7 degrees, 137.6 degrees, 148.6 degrees, and 151.4 degrees. The rotator cuff group was 140.8 degrees, 132.7 degrees, 147.0 degrees, and 153.5 degrees. The incidence of RSD symptoms decreased in comparison with the control group significantly in the finger group, and the rotator cuff group. We showed that finger therapeutic exercise and rotator cuff muscle exercise together were effective in preventing RSD symptom. We showed that the changes of elevation angle in the two self exercise groups were significantly improved earlier than in the control group for post-operative one and two weeks.
- 2010-08-04
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