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Effect of Intramuscular Binding Combined with Isokinetic Muscle Strength Training on Shoulder Joint and iEMG in Patients with Rotator Cuff Injury |
LU Boxun, et al |
Beijing Shijitan Hospital, Beijing 100038, China |
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Abstract Objective: To explore the effect of intramuscular binding combined with isokinetic muscle strength training on shoulder joint and integrated electromyography (iEMG) in patients with rotator cuff injury. Methods: 119 patients with rotator cuff injury in our hospital from October 2020 to April 2021 were randomly divided into control group (n = 59) and observation group (n = 60). The control group received routine rehabilitation training, and the observation group received isokinetic muscle strength training + intramuscular binding technology based on the control group for 4 consecutive courses of intervention. The degree of pain [visual analogue scale (VAS)], shoulder function [University of California shoulder scoring system (UCLA)], shoulder range of motion (flexion, internal rotation, external rotation and extension), rotator cuff muscle iEMG, degree of muscle atrophy and quality of life [concise health status scale (SF-36)] before and after intervention were counted. Results: The VAS scores (3.05 ± 0.61, 1.73 ± 0.53) in the observation group after 2 courses of intervention and 4 courses of treatment were lower than those in the control group (3.38 ± 0.65, 2.02 ± 0.62), the difference was statistically significant (T1 = 2.856, T2 = 2.744, P<0.05). After 4 courses of intervention, the UCLA score of the observation group was higher than that of the control group (P<0.05). After 4 courses of intervention, the activities of external rotation, internal rotation, flexion and extension of shoulder joint in the observation group (72.26 ± 5.08, 55.31 ± 4.44, 170.43 ± 13.38, 54.33 ± 4.12) ° were greater than those in the control group (57.73 ± 5.29, 46.62 ± 5.13, 145.56 ± 17.73, 36.61 ± 4.59) ° with significant difference (T1 = 15.284, T2 = 9.886, T3 = 8.646, T4 = 22.170, P<0.05). The VAS scores (3.05 ± 0.61, 1.73 ± 0.53) in the observation group after 2 courses of intervention and 4 courses of treatment were lower than those in the control group (3.38 ± 0.65, 2.02 ± 0.62), the difference was statistically significant (T1 = 2.856, T2 = 2.744, P<0.05). After 4 courses of intervention, the UCLA score of the observation group was higher than that of the control group (P<0.05). After 4 courses of intervention, the activities of external rotation, internal rotation, flexion and extension of shoulder joint in the observation group (72.26 ± 5.08, 55.31 ± 4.44, 170.43 ± 13.38, 54.33 ± 4.12) ° were greater than those in the control group (57.73 ± 5.29, 46.62 ± 5.13, 145.56 ± 17.73, 36.61 ± 4.59) ° with significant difference (T1 = 15.284, T2 = 9.886, T3 = 8.646, T4 = 22.170, P<0.05). Conclusion: The application of intramuscular binding technique combined with isokinetic muscle strength training in patients with rotator cuff injury can reduce pain, improve muscle strength, expand shoulder joint range of motion and restore shoulder joint function.
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