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悬吊推拿运动技术治疗冻结肩的远期疗效

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目的 探讨悬吊推拿运动技术治疗冻结肩患者的远期疗效及对炎性因子的影响.方法 选取2022年1-12月于山东中医药大学第二附属医院就诊的冻结肩患者67例,按照随机数字表法分为对照组33例和试验组34例.2组患者均给予常规健康教育和中频脉冲电治疗,对照组在此基础上给予牵伸训练和关节松动术治疗,试验组给予悬吊推拿运动技术治疗,2组治疗周期均为4周.比较2组治疗前、治疗4周后、治疗后3个月肩部疼痛程度[采用视觉模拟评分法(VAS)评估]、肩关节活动度、肩关节功能[采用Constant-Murley肩关节功能评分(CMS)量表评估]及治疗前后血清IL-10水平,记录3组治疗期间平均每天主动运动时间,分析血清IL-10水平和主动运动时间、CMS评分的相关性.结果 治疗4周后及治疗后3个月,2组患者VAS评分均较治疗前明显降低(P均<0.05),肩关节活动度和CMS评分均较治疗前明显升高(P均<0.05),且试验组VAS评分明显低于对照组(P<0.05),肩关节活动度和CMS评分明显高于对照组(P均<0.05);治疗4周后2组血清IL-10水平均较治疗前明显升高(P均<0.05),且试验组血清IL-10水平明显高于对照组(P<0.05);血清IL-10水平与主动运动时间呈正相关(r=0.675,P<0.05),治疗后CMS评分与血清IL-10水平呈正相关(r=0.816,P<0.05).结论 悬吊推拿运动技术治疗冻结肩在调节肩关节力学平衡与炎性因子水平方面更具优势,临床治疗效果显著且疗效持续时间长.
Long-term curative effect of suspension massage exercise on frozen shoulder
Objective It is to explore the long-term effect of suspension massage exercise on frozen shoulder and its in-fluence on inflammatory factors.Methods Sixty-seven patients with frozen shoulder treated in the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from January to September 202 were selected and randomly divided into two groups according to random number method,namely the control group(n=33)and the experimental group(n=34).The patients in both groups received normal health education and medium-frequency impulse electrotherapy.On this basis,the control group was treated with stretching and pulling exercise plus joint mobilization,while the experimental group was treated with suspension massage exercise.Both groups were treated.The shoulder pain degree[assessed by visu-al analog scale(VAS)],shoulder mobility,shoulder function[assessed by Constant-Murley Score(CMS)]before and af-ter treatment for 4 weeks,and in 3 months after treatment,and serum level of IL-10 level before and after treatment were compared between the two groups,the average times of daily active exercise of the three groups during treatment were recor-ded,and the correlations between serum IL-10 and active exercise time and CMS score were analyzed.Results After treat-ment for 4 weeks and in 3 months after treatment,the VAS scores of patients in both groups were significantly lower,while the shoulder mobility and CMS scores were significantly higher than those before treatment(all P<0.05),and the VAS scores of the experimental group was lower,while shoulder mobility and CMS scores were significantly higher than those of the control group(all P<0.05).After treatment,the levels of serum IL-10 of patients in both groups were significantly higher than those before treatment(both P<0.05),and the level of serum IL-10 in the experimental group was higher than that in the control group(P<0.05).The level of serum IL-10 was positively correlated with active exercise time(r=0.675,P<0.05),and CMS score was positively correlated with level of serum IL-10 after treatment(r=0.816,P<0.05).Conclusion Suspension massage exercise is more advantageous in regulating the mechanical balance of shoulder joint and levels of inflammatory factors in the treatment of frozen shoulder,its clinical therapeutic effect is remarkable with long duration.

frozen shouldersuspension exercisemassageinflammatory factorcorrelation analysis

廖烜东、翟霞、王雪妍、丁懿、冯会越、付钰、李丽

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山东中医药大学康复医学院,山东济南 250014

山东中医药大学第二附属医院,山东济南 250000

冻结肩 悬吊运动 推拿 炎性因子 相关性分析

山东省重点研发计划山东省中医院科技项目

2017GSF191142021M006

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(9)
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