首页|镜像疗法对冻结肩的临床疗效研究

镜像疗法对冻结肩的临床疗效研究

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目的:探讨镜像疗法治疗冻结肩的临床疗效.方法:纳入 2021年 3月—2023年 3月就诊于上海市静安区彭浦新村街道社区卫生服务中心门诊的冻结肩患者 90 例,按随机号码表法分为对照组和治疗组各 45 例.两组均口服双氯芬酸钠双释放肠溶胶囊每天 1次,每次 1粒,连续 10 d,并参加为期 4周的常规康复治疗,每次 40 min,1次/d,5 d/周.对照组增加肩关节松动术,每次 20 min,5 d/周,10次为 1个疗程,连续 2个疗程.治疗组增加肩关节镜像疗法,每天训练 1次,5 d/周,10次为 1个疗程,连续治疗 2个疗程.于治疗前、治疗 1个和 2个疗程后评估患者肩关节疼痛及活动范围.结果:与治疗前相比,治疗 1 个和 2 个疗程后,两组肩关节疼痛均有所减轻,关节活动度均有所提高(每天训练 1次,5 d/周,10次为 1个疗程,连续治疗 2个疗程.P<0.01);治疗组 2个疗程后的效果更为明显(P<0.01).结论:采用镜像疗法治疗冻结肩患者,能够增加患者肩关节的活动范围,提高肩关节的运动功能,降低患者的疼痛感,是一种简单、安全、低成本的治疗方法,值得在社区康复中推广.
Clinical efficacy of mirror therapy on frozen shoulder
Objective:To explore the clinical efficacy of mirror therapy in the treatment of frozen shoulder.Methods:Ninety frozen shoulder patients who received outpatient treatment from March 2021 to March 2023 were selected and randomly divided into a control group and a treatment group with 45 cases in each group with a number table method.Both groups took diclofenac sodium dual release enteric-coated capsule orally once a day,one capsule each time,for 10 consecutive days,and took part in routine rehabilitation treatment for four weeks,40 minutes per session,once a day,5 days per week.The control group added shoulder mobilization surgery,20 minutes per session,5 days per week,10 sessions as one course of treatment,for two consecutive courses.The treatment group added mirror therapy,and trained once a day,5 days per week,10 times as a course of treatment,for 2 consecutive courses of treatment.Shoulder joint pain and range of motion before and after 1 and 2 courses of treatment for the patients were assessed.Results:Comparing to before treatment,shoulder joint pain in the two groups after 1 and 2 courses of treatment was reduced,and joint motion was improved in both groups(P<0.01).The effect in the treatment group was more significant after 2 courses of treatment(P<0.01).Conclusion:Applying mirror therapy in the treatment of frozen shoulder patients can increase the range of motion,improve the motor function of the shoulder joint,and reduce the patient's pain,which is a simple,safe,and low-cost treatment method,and worth promoting in community rehabilitation.

frozen shouldermirror therapyrehabilitation

侯晓敏、傅颂华

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上海市静安区彭浦新村街道社区卫生服务中心,外科,上海 200435

上海市静安区彭浦新村街道社区卫生服务中心,全科,上海 200435

冻结肩 镜像疗法 康复

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(14)