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[1]李正祥,王海梁,易文靜,等.松解三法聯(lián)合功能鍛煉治療黏連期肩周炎的臨床研究[J].中醫(yī)正骨,2017,29(06):35-38.
　LI Zhengxiang,WANG Hailiang,YI Wenjing,et al.Clinical study on manipulative release combined with functional exercises for treatment of adhesion-stage periarthritis humeroscapularis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(06):35-38.
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松解三法聯(lián)合功能鍛煉治療黏連期肩周炎的臨床研究()
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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06期
頁(yè)碼:
35-38
欄目:
臨床研究
出版日期:
2017-06-20

文章信息/Info

Title:
Clinical study on manipulative release combined with functional exercises for treatment of adhesion-stage periarthritis humeroscapularis
作者:
李正祥; 王海梁; 易文靜; 王立新; 徐靈聰; 李秀彬; 張陽(yáng)春; 王玲
浙江省溫嶺市中醫(yī)院,浙江 溫嶺 317500
Author(s):
LI Zhengxiang; WANG Hailiang; YI Wenjing; WANG Lixin; XU Lingcong; LI Xiubin; ZHANG Yangchun; WANG Ling
Wenling Hospital of Traditional Chinese Medicine,Wenling 317500,Zhejiang,China
關(guān)鍵詞:
肩凝癥;  肩周炎;  手法; 骨科;  功能鍛煉;  臨床試驗(yàn)
Keywords:
Key words frozen shoulder;  periarthritis humeroscapularis;  manipulation; orthopedic;  functional exercise;  clinical trial
摘要:
目的:探討松解三法聯(lián)合功能鍛煉治療黏連期肩周炎的臨床療效。方法:將符合要求的90例黏連期肩周炎患者隨機(jī)分為2組,每組45例。聯(lián)合治療組采用松解三法聯(lián)合功能鍛煉治療,手法治療組采用松解三法治療。松解三法治療和功能鍛煉均每日1次,10次為1個(gè)療程,間隔3日后進(jìn)入下一療程,共治療3個(gè)療程。分別于治療前和治療結(jié)束后采用視覺(jué)模擬量表(visual analogue scale,VAS)和Melle評(píng)分量表評(píng)定患者的肩部疼痛情況和肩關(guān)節(jié)活動(dòng)度,并于治療結(jié)束后采用《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中肩周炎的療效標(biāo)準(zhǔn)評(píng)定綜合療效。結(jié)果:治療前2組患者肩關(guān)節(jié)疼痛VAS評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義[(8.22±1.42)分,(8.36±1.33)分,t=0.483,P=0.631]; 治療結(jié)束后2組患者的肩關(guān)節(jié)疼痛VAS評(píng)分均降低(t=20.073,P=0.000; t=20.047,P=0.000),聯(lián)合治療組的VAS評(píng)分低于手法治療組[(1.52±0.86)分,(3.24±1.08)分,t=8.357,P=0.000]。治療前2組患者肩關(guān)節(jié)Melle評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義[(10.22±3.02)分,(10.46±2.83)分,t=0.389,P=0.698]; 治療結(jié)束后2組患者的Melle評(píng)分均降低(t=7.734,P=0.000; t=5.900,P=0.000),聯(lián)合治療組的Melle評(píng)分低于手法治療組[(4.96±1.42)分,(6.67±1.25)分,t=2.434,P=0.017]。治療結(jié)束后,聯(lián)合治療組治愈23例、好轉(zhuǎn)20例、未愈2例,手法治療組治愈11例、好轉(zhuǎn)31例、未愈3例,聯(lián)合治療組的綜合療效優(yōu)于手法治療組(R^-聯(lián)合治療組=39.52,R^-手法治療組=51.48,Z=-2.483,P=0.013)。結(jié)論:松解三法聯(lián)合功能鍛煉能有效減輕黏連期肩周炎患者的肩部疼痛,改善肩關(guān)節(jié)活動(dòng)度,療效優(yōu)于單純松解三法治療。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of manipulative release combined with functional exercises for treatment of adhesion-stage periarthritis humeroscapularis.Methods:Ninety patients with adhesion-stage periarthritis humeroscapularis were enrolled in the study and were divided into combination therapy group and manipulation therapy group,45 cases in each group.The patients in combination therapy group were treated with manipulative release combined with functional exercises,while the patients in manipulation therapy group were treated with manipulative release,once a day for consecutive 3 course of treatment,10 times for each course with a 3-day rest-insertion between courses.The shoulder pain and shoulder range of motion were evaluated by using visual analogue scale(VAS)and Melle scoring scale before treatment and after the end of treatment respectively,and the total curative effects were evaluated after the end of the treatment according to the therapeutic effect evaluation standard of periarthritis humeroscapularis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:There was no statistical difference in shoulder pain VAS scores between the 2 groups before the treatment(8.22+/-1.42 vs 8.36+/-1.33 points,t=0.483,P=0.631).The shoulder pain VAS scores decreased in both of the 2 groups after the end of the treatment(t=20.073,P=0.000; t=20.047,P=0.000).The VAS scores were lower in combination therapy group compared to manipulation therapy group(1.52+/-0.86 vs 3.24+/-1.08 points,t=8.357,P=0.000).There was no statistical difference in Melle shoulder scores between the 2 groups before the treatment(10.22+/-3.02 vs 10.46+/-2.83 points,t=0.389,P=0.698).The Melle shoulder scores decreased in both of the 2 groups after the end of the treatment(t=7.734,P=0.000; t=5.900,P=0.000).The Melle scores were lower in combination therapy group compared to manipulation therapy group(4.96+/-1.42 vs 6.67+/-1.25 points,t=2.434,P=0.017).After the end of the treatment,23 patients obtained an excellent result,20 good and 2 poor in combination therapy group; and 11 patients obtained an excellent result,31 good and 3 poor in manipulation therapy group. The combination therapy group surpassed the manipulation therapy group in the total curative effect(R^-combination therapy group=39.52,R^-manipulation therapy group=51.48,Z=-2.483,P=0.013).Conclusion:The combination therapy of manipulative release and functional exercises can effectively alleviate the shoulder pain,improve the shoulder range of motion in patients with adhesion-stage periarthritis humeroscapularis,and its curative effect is better than that of monotherapy of manipulative release.

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備注/Memo

備注/Memo:
基金項(xiàng)目:溫嶺市科技項(xiàng)目(2014C312082) 通訊作者:王海梁 E-mail:362348221@qq.com
更新日期/Last Update: 2017-06-20