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[1]屠夏蕓,汪萍,戚陳玉,等.經(jīng)皮穴位電刺激聯(lián)合持續(xù)被動運動治療凍結(jié)肩的臨床研究[J].中醫(yī)正骨,2017,29(07):30-33.
　TU Xiayun,WANG Ping,QI Chenyu,et al.Clinical study on transcutaneous electrical acupoint stimulation combined with continuous passive motion for treatment of frozen shoulder[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(07):30-33.
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經(jīng)皮穴位電刺激聯(lián)合持續(xù)被動運動治療凍結(jié)肩的臨床研究()
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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07期
頁碼:
30-33
欄目:
臨床研究
出版日期:
2017-07-20

文章信息/Info

Title:
Clinical study on transcutaneous electrical acupoint stimulation combined with continuous passive motion for treatment of frozen shoulder
作者:
屠夏蕓; 汪萍; 戚陳玉; 胡雪蓉; 趙友
浙江省新華醫(yī)院,浙江 杭州 310005
Author(s):
TU Xiayun; WANG Ping; QI Chenyu; HU Xuerong; ZHAO You
Zhejiang Xinhua Hospital,Hangzhou 310005,Zhejiang,China
關(guān)鍵詞:
肩凝癥;  經(jīng)皮神經(jīng)電刺激;  運動療法; 持續(xù)被動性;  臨床試驗
Keywords:
Key words frozen shoulder;  transcutaneous electric nerve stimulation;  motion therapy; continuous passive;  clinical trial
摘要:
目的:觀察經(jīng)皮穴位電刺激(transcutaneous electrical acupoint stimulation,TEAS)聯(lián)合持續(xù)被動運動治療凍結(jié)肩的臨床療效。方法:將符合要求的60例凍結(jié)肩患者隨機分為2組,每組30例; 觀察組采用TEAS聯(lián)合持續(xù)被動運動治療,對照組采用口服塞來昔布膠囊聯(lián)合持續(xù)被動運動治療。TEAS及持續(xù)被動運動均為隔日治療1次,連續(xù)治療8周; 口服塞來昔布膠囊,每日2次,每次0.2 g,連續(xù)服用8周。比較治療前及治療結(jié)束后2組患者的肩部疼痛視覺模擬量表(visual analogue scale,VAS)評分及肩關(guān)節(jié)外展上舉、前屈上舉、后伸活動度和牛津大學肩關(guān)節(jié)評分(Oxford shoulder score,OSS)。結(jié)果:治療前2組患者的肩痛VAS評分及肩關(guān)節(jié)外展上舉、前屈上舉、后伸活動度和OSS評分比較,組間差異均無統(tǒng)計學意義[79.1°±9.6°,76.9°±10.5°,t=0.362,P=0.708; 51.3°±7.2°,50.7°±6.7°,t=0.268,P=0.833; 21.6°±4.8°,22.4°±5.2°,t=0.207,P=0.875;(49.2±2.7)分,(48.6±2.9)分,t=0.218,P=0.804]; 治療結(jié)束后,2組患者的肩痛VAS評分和OSS評分均較治療前降低[(5.1±0.3)分,(1.1±0.4)分,t=25.962,P=0.000;(5.2±0.5)分,(2.6±0.4)分,t=10.451,P=0.000;(49.2±2.7)分,(23.7±3.3)分,t=15.118,P=0.000;(48.6±2.9)分,(32.4±2.5)分,t=9.637,P=0.000],肩關(guān)節(jié)外展上舉、前屈上舉及后伸活動度均較治療前增加(79.1°±9.6°,135.6°±8.7°,t=17.251,P=0.000; 76.9°±10.5°,120.9°±9.6°,t=16.078,P=0.000; 51.3°±7.2°,132.2°±9.1°,t=18.372,P=0.000; 50.7°±6.7°,103.5°±8.8°,t=14.215,P=0.000; 21.6°±4.8°,40.3°±3.4°,t=14.438,P=0.000; 22.4°±5.2°,32.4°±5.1°,t=8.917,P=0.000); 且觀察組的肩痛VAS評分及OSS評分均低于對照組[(1.1±0.4)分,(2.6±0.4)分,t=3.021,P=0.000;(23.7±3.3)分,(32.4±2.5)分,t=2.769,P=0.000],肩關(guān)節(jié)外展上舉、前屈上舉及后伸活動度均大于對照組(135.6°±8.7°,120.9°±9.6°,t=2.893,P=0.000; 132.2°±9.1°,103.5°±8.8°,t=2.415,P=0.000; 40.3°±3.4°,32.4°±5.1°,t=2.862,P=0.000)。結(jié)論:TEAS聯(lián)合持續(xù)被動運動治療凍結(jié)肩,可以有效緩解肩部疼痛、增加肩關(guān)節(jié)活動度,綜合療效優(yōu)于口服塞來昔布膠囊聯(lián)合持續(xù)被動運動,值得臨床推廣應用。
Abstract:
ABSTRACT Objective:To observe the clinical curative effects of transcutaneous electrical acupoint stimulation(TEAS)combined with continuous passive motion(CPM)for treatment of frozen shoulder.Methods:Sixty patients with frozen shoulder were enrolled in the study and were randomly divided into observation group and control group,30 cases in each group.The patients in observation group were treated with combination therapy of TEAS and CPM,and the patients in control group were treated with combination therapy of oral application of celecoxib capsules and CPM.Both TEAS and CPM were performed every other day for consecutive 8 weeks,and the celecoxib capsules were taken twice a day for consecutive 8 weeks,0.2 g at a time.The shoulder pain visual analogue scale(VAS)scores,the range of motion(ROM)of shoulder(abduction-raising,anteflexion-raising and backward extension)and Oxford shoulder score(OSS)were recorded and compared between the 2 groups before the treatment and after the end of the treatment.Results:There was no statistical difference in shoulder pain VAS scores,ROM of shoulder(abduction-raising,anteflexion-raising and backward extension)and OSS scores between the 2 groups before the treatment(79.1+/-9.6 vs 76.9+/-10.5 degrees,t=0.362,P=0.708; 51.3+/-7.2 vs 50.7+/-6.7 degrees,t=0.268,P=0.833; 21.6+/-4.8 vs 22.4+/-5.2 degrees,t=0.207,P=0.875; 49.2+/-2.7 vs 48.6+/-2.9 points,t=0.218,P=0.804).The shoulder pain VAS scores and OSS scores decreased in both of the 2 group after the end of the treatment compared to pre-treatment(5.1+/-0.3 vs 1.1+/-0.4 points,t=25.962,P=0.000; 5.2+/-0.5 vs 2.6+/-0.4 points,t=10.451,P=0.000; 49.2+/-2.7 vs-------------------- 23.7+/-3.3 points,t=15.118,P=0.000; 48.6+/-2.9 vs 32.4+/-2.5 points,t=9.637,P=0.000),while the ROM of shoulder(abducent aforenamed,anteflexed aforenamed and rear protraction)increased in both of the 2 group after the end of the treatment compared to pre-treatment(79.1+/-9.6 vs 135.6+/-8.7 degrees,t=17.251,P=0.000; 76.9+/-10.5 vs 120.9+/-9.6 degrees,t=16.078,P=0.000; 51.3+/-7.2 vs 132.2+/-9.1 degres,t=18.372,P=0.000; 50.7+/-6.7 vs 103.5+/-8.8 degrees,t=14.215,P=0.000; 21.6+/-4.8 vs 40.3+/-3.4 degrees,t=14.438,P=0.000; 22.4+/-5.2 vs 32.4+/-5.1 degrees,t=8.917,P=0.000).The shoulder pain VAS scores and OSS scores were lower in observation group compared to control group(1.1+/-0.4 vs 2.6+/-0.4 points,t=3.021,P=0.000; 23.7+/-3.3 vs 32.4+/-2.5 points,t=2.769,P=0.000),while the ROM of shoulder(abducent aforenamed,anteflexed aforenamed and rear protraction)were greater in observation group compared to control group(135.6+/-8.7 vs 120.9+/-9.6 degrees,t=2.893,P=0.000; 132.2+/-9.1 vs 103.5+/-8.8 degrees,t=2.415,P=0.000; 40.3+/-3.4 vs 32.4+/-5.1 degrees,t=2.862,P=0.000)after the end of the treatment.Conclusion:The therapy of TEAS combined with CPM can effectively relieve the shoulder pain and increase the shoulder ROM in the treatment of frozen shoulder,and its comprehensive curative effect is better than that of oral application of celecoxib capsules combined with CPM,so it is worthy of popularizing in clinic.

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相似文獻/References:

[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.
　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.
[2]王史潮,吳云剛,徐仲翔,等.綜合療法治療創(chuàng)傷性肩關(guān)節(jié)周圍炎[J].中醫(yī)正骨,2015,27(04):52.
[3]趙明宇,楊超凡,趙啟,等.“筋滯骨錯”理論指導下手法治療黏連期肩凝癥[J].中醫(yī)正骨,2016,28(04):57.
[4]孫 飛.臭氧水關(guān)節(jié)腔沖洗配合穴位注射治療肩周炎34例[J].中醫(yī)正骨,2016,28(10):67.
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通訊作者:趙友 E-mail:[email protected]
更新日期/Last Update: 2017-12-29