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[1]蔣擁軍,李克軍,陳佳旭,等.榮肌揉筋手法治療成人肱骨髁間骨折術(shù)后肘關(guān)節(jié)僵硬[J].中醫(yī)正骨,2016,28(06):21-23,27.
　JIANG Yongjun,LI Kejun,CHEN Jiaxu,et al.Rongji Roujin(榮肌揉筋)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(06):21-23,27.
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榮肌揉筋手法治療成人肱骨髁間骨折術(shù)后肘關(guān)節(jié)僵硬()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年06期
頁碼:
21-23,27
欄目:
臨床研究
出版日期:
2016-06-20

文章信息/Info

Title:
Rongji Roujin(榮肌揉筋)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture
作者:
蔣擁軍; 李克軍; 陳佳旭; 魯常武
深圳平樂骨傷科醫(yī)院,廣東 深圳 518010
Author(s):
JIANG Yongjun; LI Kejun; CHEN Jiaxu; LU Changwu
Shenzhen Pingle Orthopedic Hospital,Shenzhen 518010,Guangdong,China
關(guān)鍵詞:
肘關(guān)節(jié);  手術(shù)后并發(fā)癥;  肘關(guān)節(jié)僵硬;  肱骨骨折;  推拿;  榮肌揉筋手法;  肌肉骨骼手法;  臨床試驗
Keywords:
elbow joint;  postoperative complications;  elbow joint stiffness;  humeral fractures;  TUINA;  Rongji Roujin manipulation;  musculoskeletal manipulations;  clinical trial
摘要:
目的:觀察榮肌揉筋手法治療成人肱骨髁間骨折術(shù)后肘關(guān)節(jié)僵硬的臨床療效。方法:將84例成人肱骨髁間骨折患者隨機分為2組,每組42例,分別采用榮肌揉筋手法和傳統(tǒng)手法治療。每日治療1次,每次20 min,10 d為1個療程,療程間休息2 d,連續(xù)治療6個療程。分別于治療前和治療6個療程后記錄并比較2組患者肘關(guān)節(jié)屈伸活動度和美國特種外科醫(yī)院(hospital for special surgery,HSS)肘關(guān)節(jié)功能評分。結(jié)果:部分患者未能堅持完成全部療程而脫落,其中榮肌揉筋手法組8例、傳統(tǒng)手法組10例。治療前2組患者肘關(guān)節(jié)屈曲活動度、HSS肘關(guān)節(jié)功能評分比較,組間差異均無統(tǒng)計學(xué)意義[48.76°±9.84°,53.76°±7.81°,t=0.391,P=0.697;(43.84±11.62)分,(44.73±12.15)分,t=0.437,P=0.752]。治療6個療程后,榮肌揉筋手法組肘關(guān)節(jié)屈曲活動度與傳統(tǒng)手法組比較,差異無統(tǒng)計學(xué)意義(123.57°±9.24°,113.27°±7.14°,t=1.357,P=0.235); HSS肘關(guān)節(jié)功能評分高于傳統(tǒng)手法組[(93.28±8.74)分,(73.82±8.18)分,t=3.412,P=0.037]; 2組肘關(guān)節(jié)屈曲活動度、HSS肘關(guān)節(jié)功能評分均高于治療前(t=0.542,P=0.024; t=0.614,P=0.042; t=0.561,P=0.025; t=0.576,P=0.031)。結(jié)論:榮肌揉筋手法和傳統(tǒng)手法均能增加肘關(guān)節(jié)活動范圍,改善肘關(guān)節(jié)功能; 但是在改善肘關(guān)節(jié)功能方面,榮肌揉筋手法的療效優(yōu)于傳統(tǒng)手法。
Abstract:
Objective:To observe the curative effect of Rongji Roujin(榮肌揉筋,RJRJ)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture.Methods:Eighty-four patients with humeral intercondylar fracture were randomly divided into 2 groups,42 cases in each group.The patients were treated with RJRJ manipulation therapy(group A)and traditional manipulation therapy(group B)respectively for consecutive 6 course of treatment,10 days for each course with a 2-day rest-insertion between courses and once a day for 20 minutes at a time.The elbow flexion-extension range and Hospital for Special Surgery(HSS)elbow performance scores were recorded and compared between the 2 groups before the treatment and after 6-course treatment.Results:Eight patients in group A and 10 patients in group B dropped out and the treatment were finished in other patients.There was no statistical difference in elbow flexion-extension range and HSS elbow performance scores between the 2 groups before the treatment(48.76+/-9.84 vs 53.76+/-7.81 degrees,t=0.391,P=0.697; 43.84+/-11.62 vs 44.73+/-12.15 points,t=0.437,P=0.752).After 6-course treatment,there was no statistical difference in the elbow flexion-extension range between the 2 groups(123.57+/-9.24 vs 113.27+/-7.14 degrees,t=1.357,P=0.235)and HSS elbow performance scores were higher in group A compared to group B(93.28+/-8.74 vs 73.82+/-8.18 points,t=3.412,P=0.037).Both elbow flexion-extension range and HSS elbow performance scores were higher after 6-course treatment compared to pre-treatment in the 2 groups(t=0.542,P=0.024; t=0.614,P=0.042; t=0.561,P=0.025; t=0.576,P=0.031).Conclusion:Both RJRJ manipulation therapy and traditional manipulation therapy can increase the elbow flexion-extension range and improve the elbow performance,however,the former surpasses the latter in improving the elbow performance,so it is worthy of popularizing in clinic.

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備注/Memo

備注/Memo:
通訊作者:蔣擁軍 E-mail:[email protected]
更新日期/Last Update: 2016-06-30