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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第25卷

期數(shù):

2013年02期

頁碼:

13-15

欄目:

臨床研究

出版日期:

2013-02-20

文章信息/Info

Title:

Extracorporeal shock wave combined with massage therapy in the treatment of Achilles tendon enthesitis

作者:

周春龍; 蔡建浩; 許易

浙江體育職業(yè)技術學院附屬體育醫(yī)院,浙江 杭州 311231

Author(s):

ZHOU Chun-long^*; CAI Jian-hao; XU Yi.

^*The affiliated sports hospital of Zhejiang college of sports,Hangzhou 311231,Zhejiang,China

關鍵詞:

末端病 跟腱 體外沖擊波 推拿

Keywords:

Enthesitis;  Achilles's tendon;  Extracorporeal shock wave;  Massage

摘要:

目的:觀察體外沖擊波結合推拿治療跟骨跟腱止點末端病的療效。方法:將來自本學院田徑、羽毛球和體操專業(yè)的56例跟骨跟腱止點末端病運動員隨機分成試驗組和對照組,每組28例。試驗組采用體外沖擊波同時結合推拿手法治療,對照組采用體外沖擊波治療。間隔3 d治療1次,10次為1個療程。治療期間未停止訓練,訓練中使用肌內貼支持帶保護跟腱,訓練后充分牽拉小腿三頭肌。應用視覺模擬疼痛評分法(VAS)和軟組織張力測試,對所有患者治療前、末次治療后和末次隨訪時進行評分和測試。結果:試驗組和對照組VAS評分末次治療后及末次隨訪時差異有統(tǒng)計學意義(F=59.258,P<0.001); 試驗組VAS均顯著低于對照組(P<0.001),差異有統(tǒng)計學意義。試驗組和對照組軟組織張力末次治療后及末次隨訪時差異有統(tǒng)計學意義(F=55.615,P<0.001); 試驗組軟組織張力均顯著高于對照組(P<0.001),差異有統(tǒng)計學意義。結論:兩組均有效,但試驗組優(yōu)于對照組。提示體外沖擊波結合推拿治療較單純的體外沖擊波治療對跟腱止點末端病的改善作用更為顯著,且遠期療效確切。

Abstract:

Objective:To evaluate the clinical effects of the extracorporeal shock wave combined with massage therapy in the treatment of the Achilles tendon enthesitis.Methods:56 athletes majored in track and field,badminton or gymnastics with Achilles tendon enthesitis in our college were randomly divided into the treatment group and the control group with 28 cases in each group.The athletes in the treatment group received extracorporeal shock wave combined with massage therapy and those in the control group were treated with extracorporeal shock wave therapy alone.Each athlete received the treatment once every four days and the duration of the the treatment was forty days.The sports training was not terminated during the treatment with a support belt being used to protect the Achilles tendon.The triceps muscle of calf was passively stretched after the sports training.The soft tissue tension test and visual analogue scales(VAS)were used to access the clinical effects at the beginning and the end of the treatment and the last follow-up visit.Results:The improvement of VAS in the treatment group was both better than that in the control group at the end of the treatment and the last follow-up visit with statistical significance(F=59.258,P<0.001).The improvement of the soft tissue test in the treatment group was higher than that in the control group with statistical significance at the end of the treatment and the last follow-up visit(F=55.615,P<0.001).Conclusion:The clinical improvement was gotten in both groups and the improvement in the treatment group was better than that in the control group.The extracorporeal shock wave combined with massage therapy was more effective than the extracorporeal shock wave therapy alone for Achilles tendon enthesitis.

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更新日期/Last Update: 2013-02-20