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[1]李克軍,蔣擁軍,袁海花.功能性磁刺激在創(chuàng)傷后肘關(guān)節(jié)僵硬康復(fù)治療中的應(yīng)用[J].中醫(yī)正骨,2017,29(05):7-9.
　LI Kejun,JIANG Yongjun,YUAN Haihua.Application of functional magnetic stimulation in the treatment of post-traumatic elbow joint stiffness[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(05):7-9.
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功能性磁刺激在創(chuàng)傷后肘關(guān)節(jié)僵硬康復(fù)治療中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年05期
頁碼:
7-9
欄目:
臨床研究
出版日期:
2017-05-20

文章信息/Info

Title:
Application of functional magnetic stimulation in the treatment of post-traumatic elbow joint stiffness
作者:
李克軍; 蔣擁軍; 袁海花
深圳平樂骨傷科醫(yī)院,廣東 深圳 518010
Author(s):
LI Kejun; JIANG Yongjun; YUAN Haihua
Shenzhen Pingle Orthopedic Hospital,Shenzhen 518010,Guangdong,China
關(guān)鍵詞:
肘關(guān)節(jié);  僵硬;  磁場(chǎng)療法;  電刺激療法;  肌肉骨骼手法;  牽引術(shù);  運(yùn)動(dòng)療法;  康復(fù)
Keywords:
Key words elbow joint;  rigidity;  magnetic field therapy;  electric stimulation therapy;  musculoskeletal manipulations;  traction;  exercise therapy;  rehabilitation
摘要:
目的:探討功能性磁刺激治療創(chuàng)傷后肘關(guān)節(jié)僵硬的臨床療效。方法:創(chuàng)傷后肘關(guān)節(jié)僵硬患者70例,按就診順序采用隨機(jī)數(shù)字表隨機(jī)分為常規(guī)康復(fù)治療組和功能性磁刺激治療組,每組35例。常規(guī)康復(fù)治療組患者進(jìn)行常規(guī)康復(fù)治療,包括中頻脈沖電治療、蠟療、手法治療、彈力帶持續(xù)屈曲牽引及運(yùn)動(dòng)療法; 功能性磁刺激治療組患者在此基礎(chǔ)上增加功能性磁刺激治療。共治療8周。分別于治療前和治療8周后,測(cè)量2組患者的肘關(guān)節(jié)活動(dòng)度,并依據(jù)Mayo肘關(guān)節(jié)功能評(píng)分量表評(píng)價(jià)肘關(guān)節(jié)功能。結(jié)果:治療前,2組患者肘關(guān)節(jié)屈伸活動(dòng)度及Mayo肘關(guān)節(jié)功能評(píng)分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[65.46°±10.67°,64.74°±11.25°,t=0.849,P=0.126;(51.27±4.36)分,(53.06±3.18)分,t=0.853,P=0.486]。治療8周后,2組患者肘關(guān)節(jié)屈伸活動(dòng)度及Mayo肘關(guān)節(jié)功能評(píng)分均較治療前增加[114.68°±8.38°,65.46°±10.67°,t=2.715,P=0.019; 95.42°±9.75°,64.74°±11.25°,t=2.672,P=0.043;(85.17±8.73)分,(51.27±4.36)分,t=2.813,P=0.011;(75.64±8.49)分,(53.06±3.18)分,t=2.154,P=0.045],且功能性磁刺激治療組肘關(guān)節(jié)屈伸活動(dòng)度及Mayo肘關(guān)節(jié)功能評(píng)分均高于常規(guī)康復(fù)治療組[114.68°±8.38°,95.42°±9.75°,t=2.547,P=0.036;(85.17±8.73)分,(75.64±8.49)分,t=2.183,P=0.046]。結(jié)論:對(duì)于創(chuàng)傷后肘關(guān)節(jié)僵硬患者,在常規(guī)康復(fù)治療的基礎(chǔ)上增加功能性磁刺激治療,更有利于肘關(guān)節(jié)屈伸活動(dòng)度及肘關(guān)節(jié)功能的恢復(fù)。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of functional magnetic stimulation in the treatment of post-traumatic elbow joint stiffness.Methods:Seventy patients with post-traumatic elbow joint stiffness were randomly divided into conventional rehabilitation therapy group and functional magnetic stimulation therapy group according to the visit sequence by using random digits table,35 cases in each group.All patients in both of the 2 groups were treated for consecutive 8 weeks with conventional rehabilitation therapy,including medium-frequency pulse electrotherapy,wax therapy,manipulation therapy,continuous flexion traction with elastic band and exercise therapy.Meanwhile the patients in functional magnetic stimulation therapy group were treated with functional magnetic stimulation.The range of motion of elbow joint were measured and compared between the 2 groups before treatment and after 8-week treatment respectively,and the elbow joint function were evaluated by using Mayo elbow joint function scale.Results:There was no statistical difference in elbow flexion-extension range and Mayo elbow joint function scores between the 2 groups before the treatment(65.46+/-10.67 vs 64.74+/-11.25 degrees,t=0.849,P=0.126; 51.27+/-4.36 vs 53.06+/-3.18 points,t=0.853,P=0.486).Both elbow flexion-extension range and Mayo elbow joint function scores increased in the 2 groups after 8-week treatment(114.68+/-8.38 vs 65.46+/-10.67 degrees,t=2.715,P=0.019; 95.42+/-9.75 vs 64.74+/-11.25 degrees,t=2.672,P=0.043; 85.17+/-8.73 vs 51.27+/-4.36 points,t=2.813,P=0.011; 75.64+/-8.49 vs 53.06+/-3.18 points,t=2.154,P=0.045),and the elbow flexion-extension range and Mayo elbow joint function scores were higher in functional magnetic stimulation therapy group compared to conventional rehabilitation therapy group(114.68+/-8.38 vs 95.42+/-9.75 degrees,t=2.547,P=0.036; 85.17+/-8.73 vs 75.64+/-8.49 points,t=2.183,P=0.046).Conclusion:For patients with post-traumatic elbow joint stiffness,combination of conventional rehabilitation therapy with functional magnetic stimulation therapy is more conducive to the recovery of elbow flexion-extension range and elbow joint function.

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更新日期/Last Update: 2017-05-20