不同治疗频次对动态关节松动术治疗肱骨外上髁炎的疗效  

Effects of mobilization with movement on lateral epicondylalgia administered with different frequencies

作　　者：张瑾[1] 张顺喜[1] 华学锋[2] 邓卫兵[1] 刘月萍[1] 温优良[1] 王东山[1] 彭源[1] 安莹[1] 

机构地区：[1]广州市第一人民医院康复科,广东广州510180 [2]中山大学附属第三医院外科,广东广州510630

出　　处：《广州医学院学报》2014年第1期13-17,共5页Academic Journal of Guangzhou Medical College

基　　金：广州市卫生局一般引导项目基金资助。基金号:20121A011012

摘　　要：目的:研究动态关节松动术(MWM)治疗肱骨外上髁炎时治疗频次和临床疗效的关系。方法:选取2012年10月至2012年5月在广州市第一人民医院及中山大学附属第三医院外科和康复科门诊确诊的肱骨外上髁炎患者40人,将患者随机归入治疗1组24例和治疗2组16例。治疗1组予患者1周内单次治疗,治疗2组予1周内2次治疗。记录两组患者治疗前和治疗后患肢无痛握力(pain-free grip strength,PFG)及健、患肢最大握力(maximum grip strength,MGS),以患肢元痛握力和最大握力分别与健肢最大握力的比值(PFG_(患侧)/MGS_(健侧),MGS_(患侧)/MGS_(健侧))作为参数进行统计学比较。结果:治疗前2组的PFG_(患侧)/MGS_(健侧)和MGS_(患侧)/MGS_(健侧)无明显差别,各组内MGS_(患侧)/MGS_(健侧)明显大于PFG_(患侧)/MGS_(健侧)(P<0.05)。治疗后治疗2组的差别消失,而治疗1组的差别仍存在。治疗后治疗2组的PFG_(患侧)/MGS_(健侧)较治疗前显著提高(0.84±0.18对比0.45±0.19,P<0.05),同时明显高于治疗后的治疗1组(0.84±0.18对比0.48±0.18,P<0.05)。结论:MWM是一种针对肱骨外上髁炎有应用前景的康复治疗方式,1周治疗2次的治疗频次可达到有效疗效。Objective:To examine the association of the efficacy of mobilization with movement(MWM) in lateral epicondylalgia and the frequency of administration.Methods:Between October 2012 and May 2013,we recruited 40 subjects with lateral epicondylalgia from the departments of orthopedics and rehabilitation,Guangzhou First People' s Hospital and The Third Affiliated Hospital of Sun Yat-sen University.Patients were randomly assigned to receive MWM once weekly(group 1,n = 24) or twice weekly(group 2,n =16).The painfree grip strength(PFG) of the affected limb and maximum grip strength(MGS) of the affected and unaffected limbs were measured before and after the intervention with MWM.The ratio of the PFG or MGS of the affected limb and the MGS of the unaffected limb(PFG_(affected)/MGS_(unaffected),MGS_(affected)/MGS_(unaffected)) were compared.Results:Before intervention with MWM,the PFGaffected /MGSunaffected and MGSaffected /MGSunaffected were comparable between both groups.In respective group,the MGS_(affected)/MGS_(unaffected) was markedly higher than the PFG_(affected)/MGS_(unaffected).Following intervention with MWM,the difference was insignificant in group 1,but not in group2.Intervention with MWM led to a significant increase in the PFG_(affected)/MGS_(unaffected)(0.84±0.18 vs.0.45±0.19,P<0.05) in group2.The post-treatment PFG_(affected)/MGS_(unaffected)in group2 was also higher significantly than that in groupl(0.84±0.18 vs.0.48±0.18,P<0.05).Conclnsion:MWM is a promising for lateral epicondylalgia and may be effective when administered twice weekly.

关 键 词：肱骨外上髁炎 动态关节松动术 无痛握力 频次 

分 类 号：R291.8[医药卫生—民族医学]