The effect of optimizing the functional exercise program on the recovery of shoulder and arm function after breast surgery
功能锻炼方案优化在乳腺术后肩臂功能恢复中的成效

摘要

目的 探究优化后的功能锻炼方案在乳腺术后患者肩臂功能恢复中的实际成效，为临床制定更科学有效的康复方案提供依据。方法 在2024年1月至2025年1月期间，于我院乳腺外科按照严格的纳入与排除标准选取100例乳腺术后患者，随机分为对照组和实验组，每组50例。对照组实施常规功能锻炼方案，实验组采用优化后的功能锻炼方案。结果 术后3个月，实验组患者肩关节外展、前屈、后伸活动度平均值分别为（145.2±8.3）°、（152.1±7.6）°、（43.5±5.2）°，显著高于对照组的（120.3±7.8）°、（128.5±6.9）°、（32.1±4.5）°（P<0.05）；实验组肩臂肌肉力量平均为（28.6±3.2）kg，高于对照组的（22.5±2.8）kg（P<0.05）；实验组患者肩臂功能恢复自我满意度达92%，高于对照组的70%（P<0.05）。结论 优化后的功能锻炼方案能有效促进乳腺术后患者肩臂功能恢复，提高肩关节活动度和肌肉力量，提升患者康复满意度，值得在临床推广应用。

Abstract

Objective To explore the actual effect of the optimized functional exercise program on the recovery of shoulder and arm function in patients after breast surgery, and to provide a basis for the clinical formulation of more scientific and effective rehabilitation programs.
Methods From January 2024 to January 2025, 100 patients after breast surgery were selected from the Department of Breast Surgery of our hospital according to strict inclusion and exclusion criteria and randomly divided into a control group and an experimental group, with 50 cases in each group. The control group implemented a conventional functional exercise program, and the experimental group adopted an optimized functional exercise program.
Results Three months after surgery, the average range of motion of the abduction, flexion and extension of the shoulder joint in the experimental group was (145.2±8.3)°, (152.1±7.6)° and (43.5±5.2)°, respectively, which were significantly higher than those in the control group (120.3±7.8)°, (128.5±6.9)° and (32.1±4.5)° (P<0.05). The average shoulder and arm muscle strength in the experimental group was (28.6±3.2) kg, which was higher than that in the control group (22.5±2.8) kg (P<0.05). The self-satisfaction of the shoulder and arm function recovery in the experimental group was 92%, which was higher than that in the control group (70%) (P<0.05).
Conclusion   The optimized functional exercise program can effectively promote the recovery of shoulder and arm function in patients after breast surgery, improve the range of motion and muscle strength of the shoulder joint, and enhance the patient's satisfaction with rehabilitation. It is worthy of clinical promotion and application.