Clinical study on the intervention of dynamic joint mobilization combined with muscle strength training for musculoskeletal pain in rotator cuff injury
动态关节松动术结合肌力训练干预肩袖损伤肌骨疼痛的临床研究

摘要

目的 探究动态关节松动术结合肌力训练干预应用于肩袖损伤肌骨疼痛患者中的作用效果。方法 自2025年4月起，开始收集本院诊治肩袖损伤肌骨疼痛的患者，至2026年4月止共采集148例，通过双盲法平均分组。其中74例开展常规康复训练作为参照组；另74例开展动态关节松动术结合肌力训练作为实验组。对比两组肌骨疼痛程度、肢体肌力、肩关节功能等情况。结果 实验组肌骨疼痛评分明显小于参照组（P<0.05），而肩关节功能评分明显高于参照组（P<0.05）。实验组肢体肌力、生活自理能力评分明显高于参照组（P<0.05）。结论 对肩袖损伤肌骨疼痛患者实施动态关节松动术结合肌力训练，能够有效降低肌骨疼痛感，有效改善肩关节功能、提升肢体肌力，有利于其生活自理能力的提升，应积极推广。

Abstract

Objective To explore the effect of dynamic joint mobilization combined with muscle strength training intervention in patients with rotator cuff injury and musculoskeletal pain.
Methods Starting from April 2025, patients diagnosed with rotator cuff injuries and musculoskeletal pain at our hospital were enrolled in the study. A total of 148 cases were collected by April 2026 and randomly divided into two groups using a double-blind method. The control group (n=74) received conventional rehabilitation training, while the experimental group (n=74) underwent dynamic joint mobilization combined with strength training. The outcomes, including the degree of musculoskeletal pain, limb muscle strength, and shoulder joint function, were compared between the two groups.
Results The muscle and bone pain score of the experimental group was significantly lower than that of the reference group (P<0.05), while the shoulder joint function score was significantly higher than that of the reference group (P<0.05). The scores of limb muscle strength and self-care ability in the experimental group were significantly higher than those in the reference group (P<0.05).
Conclusion   Dynamic joint mobilization combined with muscle strengthening exercises for patients with musculoskeletal pain due to rotator cuff injuries can effectively reduce pain, improve shoulder joint function, and enhance limb strength, thereby promoting greater independence in daily living. This approach should be actively promoted.