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[1]蘇瑾,王平,劉愛峰.三維動態(tài)牽伸回旋手法對凍結(jié)期凍結(jié)肩患者 體表紅外熱像的影響[J].中醫(yī)正骨,2015,27(07):11-14.
　SU Jin,WANG Ping,LIU Aifeng.Influence of three-dimensional dynamic drafting and convolution manipulation on body surface infrared thermal imaging in patients with frozen shoulder during frozen period[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(07):11-14.
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三維動態(tài)牽伸回旋手法對凍結(jié)期凍結(jié)肩患者 體表紅外熱像的影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年07期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2015-07-31

文章信息/Info

Title:
Influence of three-dimensional dynamic drafting and convolution manipulation on body surface infrared thermal imaging in patients with frozen shoulder during frozen period
作者:
蘇瑾; 王平; 劉愛峰
天津中醫(yī)藥大學(xué)第一附屬醫(yī)院,天津 300193
Author(s):
SU Jin; WANG Ping; LIU Aifeng
The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China
關(guān)鍵詞:
肩凝癥;  手法; 骨科;  紅外熱成像
Keywords:
frozen shoulder;  manipulation; orthopedic;  infrared thermal imaging
摘要:
目的:探討三維動態(tài)牽伸回旋手法對凍結(jié)期凍結(jié)肩患者體表熱像的影響。方法:11例凍結(jié)期凍結(jié)肩患者,男1例,女10例。年齡47～64歲,中位數(shù)52歲。左肩7例,右肩4例。病程3～12個月,中位數(shù)6個月。采用醫(yī)用遠紅外熱成像儀采集靜息狀態(tài)下雙肩肱二頭肌肌腱長頭、三角肌抵止點和岡上肌、岡下肌、小圓肌等肌腱和肌腹紅外熱成像圖,采集完成后對圖像進行存儲、編輯。采用三維動態(tài)回旋手法治療前比較患側(cè)與健側(cè)三角肌抵止點、肱二頭肌肌腱長頭、岡上肌、岡下肌、小圓肌等區(qū)域皮膚溫度,并于治療2個療程后比較患側(cè)治療前后肱二頭肌肌腱長頭、岡上肌、岡下肌、小圓肌等區(qū)域皮膚溫度變化情況。結(jié)果:治療前患側(cè)肱二頭肌肌腱長頭、岡上肌、岡下肌、小圓肌色碼溫值均高于健側(cè)[(28.263±1.511)℃,(27.409±1.672)℃,t=8.225,P=0.000;(28.154±1.912)℃,(27.309±1.893)℃,t=5.047,P=0.000;(27.846±1.393)℃,(26.927±1.429)℃,t=6.095,P=0.000;(27.673±1.720)℃,(26.964±1.759)℃,t=4.535,P=0.001]; 雙側(cè)三角肌抵止點色碼溫值比較,差異無統(tǒng)計學(xué)意義[(27.655±1.236)℃,(27.372±0.816)℃,t=1.460,P=0.175]。治療2個療程后,患側(cè)肱二頭肌肌腱長頭、岡上肌、岡下肌、小圓肌色碼溫值均高于治療前[(29.018±1.393)℃,(28.263±1.511)℃,t=6.404,P=0.000;(29.956±1.799)℃,(28.154±1.912)℃,t=8.476,P=0.000;(28.800±1.363)℃,(27.846±1.393)℃,t=14.342,P=0.000;(28.573±1.756)℃,(27.673±1.720)℃,t=14.925,P=0.000]。結(jié)論:三維動態(tài)牽伸回旋手法治療凍結(jié)期凍結(jié)肩,可提高肩部皮膚溫度,這為臨床上手法治療凍結(jié)肩提供了切實有效的依據(jù)。
Abstract:
Objective:To explore the influence of three-dimensional dynamic drafting and convolution manipulation on body surface infrared thermal imaging in patients with frozen shoulder during frozen period.Methods:The patients with frozen shoulder during frozen period consisted of 1 male and 10 females,and ranged in age from 47 to 64 years(Median=52 yrs).The frozen shoulder located in left for 7 patients and right for 4 patients.The course of disease ranged from 3 to 12 months(Median=6 months).The infrared thermal imaging pictures of long head of biceps brachii tendons,starting point and ending point of deltoideus and tendon and muscle bellys of supraspinatus,infraspinatus and teres minor muscle were collected in the relaxed state by using the medical far-infrared thermal image instrument.Then the pictures were reserved and edited.The skin temperatures were compared between affected side and healthy side in starting point and ending point of deltoideus,long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle before the treatment; and after two-course treatment,the skin temperature changes in the long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle on the affected side were studied.Results:The color code values of skin temperature of long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle of affected side were higher than that of healthy side before the treatment(28.263+/-1.511 vs 27.409+/-1.672 ℃,t=8.225,P=0.000; 28.154+/-1.912 vs 27.309+/-1.893 ℃,t=5.047,P=0.000; 27.846+/-1.393 vs 26.927+/-1.429 ℃,t=6.095,P=0.000; 27.673+/-1.720 vs 26.964+/-1.759 ℃,t=4.535,P=0.001).There was no statistical difference in the color code values of skin temperature of starting point and ending point of deltoideus between the 2 sides(27.655+/-1.236 vs 27.372+/-0.816 ℃,t=1.460,P=0.175).After two-course treatment,the color code values of long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle of affected side increased(29.018+/-1.393 vs 28.263+/-1.511 ℃,t=6.404,P=0.000; 29.956+/-1.799 vs 28.154+/-1.912 ℃,t=8.476,P=0.000; 28.800+/-1.363 vs 27.846+/-1.393 ℃,t=14.342,P=0.000; 28.573+/-1.756 vs 27.673+/-1.720 ℃,t=14.925,P=0.000).Conclusion:The three-dimensional dynamic drafting and convolution manipulation can enhance the skin temperature of the shoulder in the treatment of frozen shoulder,so it provides effective evidence for treatment of frozen shoulder by manipulation in clinic.

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備注/Memo

備注/Memo:
2014-02-25收稿 2014-05-15修回
基金項目:天津市應(yīng)用基礎(chǔ)及前沿技術(shù)研究計劃項目(12JCYBJC17500)
通訊作者:王平 E-mail:[email protected]
更新日期/Last Update: 2015-07-30