首页|体外冲击波联合Mulligan动态关节松动术对肩周炎患者疼痛程度及关节活动度的影响

体外冲击波联合Mulligan动态关节松动术对肩周炎患者疼痛程度及关节活动度的影响

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目的 观察体外冲击波联合Mulligan动态关节松动术对肩周炎患者疼痛程度及关节活动度的影响.方法 选取北京燕化医院 2021年 12 月—2022 年 12 月收治的 40 例肩周炎患者为研究对象,随机将其分为对照组和研究组,每组 20 例.两组均采用常规康复治疗,在此基础上,对照组采用Mulligan动态关节松动术治疗,研究组采用Mulligan动态关节松动术联合体外冲击波治疗.比较两组患者的关节活动度、疼痛程度及日常生活能力.结果 治疗后,研究组的肩关节前屈、后伸、外展上举、外旋、内旋活动度均大于对照组,组间差异有统计学意义(P<0.05).治疗后,研究组的疼痛视觉模拟评分为(1.77±0.48)分,低于对照组的(3.46±1.05)分,差异有统计学意义(P<0.05).治疗后,研究组的百分五级评分为(88.15±8.43)分,高于对照组的(76.77±8.16)分,差异有统计学意义(P<0.05).结论 采用体外冲击波联合Mulligan动态关节松动术治疗肩周炎的效果显著,可减轻患者疼痛,改善关节活动度,提高其日常生活能力,值得临床推广使用.
Effects of Extracorporeal Shock Wave Combined with Mulligan Dynamic Joint Loosening on Pain Degree and Joint Range of Motion in Patients with Scapulohumeral Periarthritis
Objective To observe the effects of extracorporeal shock wave combined with Mulligan dynamic joint loosening on pain degree and joint range of motion in patients with scapulohumeral periarthritis.Methods A total of 40 patients with scapulohumeral periarthritis admitted to Beijing Yanhua Hospital from December 2021 to December 2022 were randomly divided into a control group and a research group,with 20 cases in each group.Both groups were treated with conventional rehabilitation therapy,on this basis,the control group was treated with Mulligan dynamic joint loosening,and the research group was treated with Mulligan dynamic joint loosening combined with extracorporeal shock wave therapy.The joint range of motion,pain degree and ability of daily living were compared between the two groups.Results After treatment,the motion ranges of shoulder flexion,extension,abduction upward lift,external rotation and internal rotation in the research group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the Visual Analogue Scale score of the research group was(1.77±0.48)points,lower than(3.46±1.05)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the fifth grade score of the research group was(88.15±8.43)points,higher than(76.77±8.16)points of the control group,the difference was statistically significant(P<0.05).Conclusion Extracorporeal shock wave combined with Mulligan dynamic joint loosening is effective in the treatment of scapulohumeral periarthritis,which can reduce pain,improve joint range of motion and enhance daily living ability of patients,and is worthy of clinical application.

Scapulohumeral periarthritisExtracorporeal shock waveMulligan dynamic joint looseningJoint range of motion

孙宜文、李冻冻

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北京燕化医院康复医学科,北京 102500

中国康复研究中心运动疗法三科,北京 100068

肩周炎 体外冲击波 Mulligan动态关节松动术 关节活动度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)
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