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[1]吳國林,陳紅衛(wèi),季向榮,等.放射式體外沖擊波運動靶點治療肩關(guān)節(jié)周圍炎的臨床研究[J].中醫(yī)正骨,2018,30(05):10-13.
　WU Guolin,CHEN Hongwei,JI Xiangrong,et al.A clinical study of radial type extracorporeal shockwave acting on moving targets for treatment of periarthritis of shoulder[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(05):10-13.
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放射式體外沖擊波運動靶點治療肩關(guān)節(jié)周圍炎的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年05期
頁碼:
10-13
欄目:
臨床研究
出版日期:
2018-05-20

文章信息/Info

Title:
A clinical study of radial type extracorporeal shockwave acting on moving targets for treatment of periarthritis of shoulder
作者:
吳國林1; 陳紅衛(wèi)1; 季向榮1; 黃洪斌1; 陳超麗1; 何元誠2; 黃民鋒2
1.浙江省義烏市中心醫(yī)院,浙江 義烏 322000; 2.廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院,廣西 南寧 530011
Author(s):
WU Guolin1; CHEN Hongwei1; JI Xiangrong1; HUANG Hongbin1; CHEN Chaoli1; HE Yuancheng2; HUANG Minfeng2
1.Yiwu Central Hospital,Yiwu 322000,Zhejiang,China 2.Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China
關(guān)鍵詞:
肩凝癥;  體外沖擊波治療;  運動靶點;  臨床試驗
Keywords:
frozen shoulder;  extracorporeal shockwave therapy;  moving target;  clinical trial
文獻標(biāo)志碼:
A
摘要:
目的:觀察放射式體外沖擊波運動靶點治療肩關(guān)節(jié)周圍炎的臨床療效。方法:將46例符合要求的肩關(guān)節(jié)周圍炎患者隨機分為2組,每組23例。2組均采用放射式體外沖擊波治療。固定靶點組選擇治療前確定的固定壓痛點進行治療; 運動靶點組在固定壓痛點治療的基礎(chǔ)上,對被動活動肩關(guān)節(jié)過程中出現(xiàn)的疼痛點進行治療。采用視覺模擬評分量表(visual analogue scale,VAS)評定肩部疼痛程度,測定肩關(guān)節(jié)活動度,以Constant-Murley肩關(guān)節(jié)評分量表評定總體療效。結(jié)果:①肩部疼痛VAS評分。時間因素和分組因素存在交互效應(yīng)(F=103.092,P=0.000); 2組患者肩部疼痛VAS評分總體比較,差異有統(tǒng)計學(xué)意義,即存在分組效應(yīng)(F=4.169,P=0.000); 治療前后不同時間點間肩部疼痛VAS評分的差異有統(tǒng)計學(xué)意義,即存在時間效應(yīng)(F=128.706,P=0.000); 2組肩部疼痛VAS評分隨時間變化均呈降低趨勢,但2組降低的趨勢不完全一致; 治療前、治療1次后、治療2次后,2組肩部疼痛VAS評分的組間差異均無統(tǒng)計學(xué)意義[(8.00±1.21)分,(7.96±1.30)分,t=1.000,P=0.328;(6.35±1.30)分,(6.30±1.33)分,t=1.000,P=0.238;(4.48±1.34)分,(4.30±1.33)分,t=1.699,P=0.103]; 治療3次后、治療4次后,運動靶點組的肩部疼痛VAS評分均小于固定靶點組[(3.70±1.26)分,(3.43±1.04)分,t=2.787,P=0.011;(3.43±0.90)分,(3.22±0.85)分,t=2.472,P=0.022]。②肩關(guān)節(jié)活動度。治療前2組患者肩關(guān)節(jié)前屈、后伸、外展、內(nèi)旋、外旋活動度比較,組間差異均無統(tǒng)計學(xué)意義(74.74°±16.59°,75.00°±16.80°,t=0.053,P=0.958; 22.13°±4.08°,22.09°±4.11°,t=0.036,P=0.971; 70.09°±15.65°,70.04°±15.97°,t=0.009,P=0.993; 34.91°±2.86°,34.87°±2.88°,t=0.051,P=0.959; 44.43°±6.13°,44.39°±6.07°,t=0.024,P=0.981); 治療4次后,運動靶點組肩關(guān)節(jié)前屈、后伸、外展、內(nèi)旋、外旋活動度均大于固定靶點組(127.13°±17.71°,138.09°±19.87°,t=-2.030,P=0.048; 39.48°±6.19°,43.04°±5.49°,t=-2.067,P=0.045; 91.04°±16.29°,103.48°±24.25°,t=-2.041,P=0.047; 49.61°±6.52°,66.30°±9.46°,t=-6.971,P=0.000; 52.09°±4.27°,70.74°±4.27°,t=-14.813,P=0.000)。③Constant-Murley評分。治療前2組患者的Constant-Murley評分比較,差異無統(tǒng)計學(xué)意義(t=0.238,P=0.813)。治療4次后,2組患者的Constant-Murley評分均增加[(48.96±11.07)分,(78.26±10.48)分,t=-49.290,P=0.000;(48.17±11.21)分,(84.48±10.35)分,t=-46.320,P=0.000],運動靶點組的評分大于固定靶點組(t=-2.024,P=0.049)。結(jié)論:放射式體外沖擊波運動靶點治療能有效減輕肩關(guān)節(jié)周圍炎患者的肩部疼痛、改善肩關(guān)節(jié)活動度,其療效優(yōu)于放射式體外沖擊波固定靶點治療。
Abstract:
Objective:To observe the clinical curative effect of radial type extracorporeal shockwave(ESW)acting on moving targets in the treatment of periarthritis of shoulder.Methods:Forty-six patients with periarthritis of shoulder were enrolled in the study and were randomly divided into fixed targets group and moving targets group,23 cases in each group.The patients in the 2 groups were treated with radial type ESW at the confirmed fixed tenderness points,moreover,the patients in moving targets group were treated with radial type ESW at the pain-points that appeared in the process of passive activities of shoulder.The shoulder pain degree and the total clinical curative effects were evaluated by using visual analogue scale(VAS)and Constant-Murley shoulder scoring scale respectively,and the shoulder range of motion(ROM)was measured.Results:There was interaction between time factor and group factor in shoulder pain VAS scores(F=103.092,P=0.000).There was statistical difference in shoulder pain VAS scores between the 2 groups in general,in other words,there was group effect(F=4.169,P=0.0000).There was statistical difference in shoulder pain VAS scores between different timepoints before and after treatment,in other words,there was time effect(F=128.706,P=0.000).The shoulder pain VAS scores presented a time-dependent decreasing trend in both of the 2 groups,while the 2 groups were inconsistent with each other in the decreasing trend of shoulder pain VAS scores.There was no statistical difference in shoulder pain VAS scores between the 2 groups before the treatment and after 1- and 2-time treatment(8.00+/-1.21 vs 7.96+/-1.30 points,t=1.000,P=0.328; 6.35+/-1.30 vs 6.30+/-1.33 points,t=1.000,P=0.238; 4.48+/-1.34 vs 4.30+/-1.33 points,t=1.699,P=0.103).The shoulder pain VAS scores were lower in moving targets group compared to fixed targets group after 3- and 4-time treatment(3.70+/-1.26 vs 3.43+/-1.04 points,t=2.787,P=0.011; 3.43+/-0.90 vs 3.22+/-0.85 points,t=2.472,P=0.022).There was no statistical difference between the 2 groups in the shoulder ROM(anteflexion,backward extension,abduction,inward rotation and outward rotation)before the treatment(74.74+/-16.59 vs 75.00+/-16.80 degrees,t=0.053,P=0.958; 22.13+/-4.08 vs 22.09+/-4.11 degrees,t=0.036,P=0.971; 70.09+/-15.65 vs 70.04+/-15.97 degrees,t=0.009,P=0.993; 34.91+/-2.86 vs 34.87+/-2.88 degrees,t=0.051,P=0.959; 44.43+/-6.13 vs 44.39+/-6.07 degrees,t=0.024,P=0.981).The shoulder ROM(anteflexion,backward extension,abduction,inward rotation and outward rotation)were greater in moving targets group compared to fixed targets group after 4-time treatment(127.13+/-17.71 vs 138.09+/-19.87 degrees,t=-2.030,P=0.048; 39.48+/-6.19 vs 43.04+/-5.49 degrees,t=-2.067,P=0.045; 91.04+/-16.29 vs 103.48+/-24.25 degrees,t=-2.041,P=0.047; 49.61+/-6.52 vs 66.30+/-9.46 degrees,t=-6.971,P=0.000; 52.09+/-4.27 vs 70.74+/-4.27 degrees,t=-14.813,P=0.000).There was no statistical difference in Constant-Murley scores between the 2 groups before the treatment(t=0.238,P=0.813).The Constant-Murley scores increased in both of the 2 groups after 4-time treatment,and the scores were higher in moving targets group compared to fixed targets group(48.96+/-11.07 vs 78.26+/-10.48 points,t=-49.290,P=0.000; 48.17+/-11.21 vs 84.48+/-10.35 points,t=-46.320,P=0.000; t=-2.024,P=0.049).Conclusion:The therapy of radial type ESW acting on moving targets can effectively alleviate the shoulder pain and improve the shoulder ROM in patients with periarthritis of shoulder,and its curative effect is better than that of the therapy of radial type ESW acting at fixed targets.

參考文獻/References:

[1] CSÁSZÁR NB,ANGSTMAN NB,MILZ S,et al.Radial Shock Wave Devices Generate Cavitation[J].PLoS One,2015,10(10):0140541.
[2] 吳國林,陳紅衛(wèi),季向榮,等.體外沖擊波結(jié)合局部腧穴治療肩關(guān)節(jié)周圍炎的療效觀察[J].中國中醫(yī)骨傷科雜志,2017,25(10):14-18.
[3] 黃曉琳,燕鐵斌.康復(fù)醫(yī)學(xué)[M].5版.北京:人民衛(wèi)生出版社,2013:215-218.
[4] CONSTANT CR,MURLEY AH.A clinical method of functional assessment of the shoulder[J].Clin Orthop Relat Res,1987,(214):160-164.
[5] CHENG JH,WANG CJ.Biological mechanism of shockwave in bone[J/OL].Int J Surg,2015,24(Pt B):143-146.
[6] WANG L,JIANG Y,JIANG Z,et al.Effect of low-energy extracorporeal shock wave on vascular regeneration after spinal cord injury and the recovery of motor function[J].Neuropsychiatr Dis Treat,2016,12:2189-2198.
[7] CASSAR A,PRASAD M,RODRIGUEZ-PORCEL M,et al.Safety and efficacy of extracorporeal shock wave myocardial revascularization therapy for refractory angina pectoris[J].Mayo Clin Proc,2014,89(3):346-354.
[8] ROMPE JD,KIRKPATRICK CJ,KÜLLMER K,et al.Dose-related effects of shock waves on rabbit tendo Achillis.A sonographic and histological study[J].J Bone Joint Surg Br,1998,80(3):546-552.
[9] CHANG KV,CHEN SY,CHEN WS,et al.Comparative effectiveness of focused shock wave therapy of different intensity levels and radial shock wave therapy for treating plantar fasciitis:a systematic review and network Meta-Analysis[J].Arch Phys Med Rehabil,2012,93(7):1259-1268.
[10] DYMAREK R,HALSKI T,PTASZKOWSKI K,et al.Extracorporeal shock wave therapy as an adjunct wound treatment:a systematic review of the literature[J].Ostomy Wound Manage,2014,60(7):26-39.

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備注/Memo

備注/Memo:
基金項目:浙江省醫(yī)學(xué)會臨床科研基金項目(2016ZYC-A100); 浙江省義烏市公益性科技計劃項目(2016-S-16) 通訊作者:吳國林 E-mail:[email protected]
更新日期/Last Update: 1900-01-01