CPM配合治疗肱骨近端骨折后肩关节功能障碍  

Effectiveness of CPM in the Treatment of Shoulder Dysfunction after Fracture of the Proximal Humerus

作　　者：曹曼林[1] 江澜[1] 俞红[1] 张冥[1] 周俊[1] 吴国贞[1] 马峥[1] 

机构地区：[1]上海交通大学附属第六人民医院康复科,上海200233

出　　处：《中国康复》2008年第2期94-95,共2页Chinese Journal of Rehabilitation

摘　　要：目的:观察关节持续被动活动(CPM)治疗肱骨近端骨折后致肩关节功能障碍的临床疗效。方法:63例肱骨近端骨折后导致肩关节功能障碍患者随机分为CPM组31例和对照组32例,均采用心理疏导和调制中频电治疗,CPM组同时增加前屈及外展方向的CPM。结果:治疗2个月后,CPM组肩关节前屈、后伸、内收、外展活动度与治疗前及对照组比较均有明显改善(P<0.01),肩关节内、外旋活动度与治疗前及对照组比较差异无统计学意义。结论:CPM配合调制中频电及心理支持能明显提高骨折后肩关节功能障碍的疗效。Objective：To observe the clinical effectiveness of continuous passive motion （CPM） in the treatment of shoulder dysfunction induced by fracture of the proximal humerus. Methods：All 63 patients with shoulder dysfunction induced by fracture of the proximal humerus were divided randomly into an experimental group （n=31） and a control group （n=32）. Both groups received psychotherapy and modulated medium frequency electrotherapy. Meanwhile the experimental group received CPM. All the subjects were assessed by the joint motive degrees before and after 6 courses treatment. The parameters included forward flexion, backward extension, adduction, abduction, inward rotation and outward rotation direction. Results： There was no significant difference between the two groups in the joint motive degrees before the treatment. After 6 courses treatment, significant difference was found between the two groups in the forward flexion, backward extension, adduction, abduction （P〈0.01）, with the experimental group better than the control group. There was no significant difference between the two groups in inward rotation and outward rotation direction. Conclusion：CPM with modulated medium frequency electrotherapy is more effective than the modulated medium frequency electrotherapy for the shoulder dysfunction induced by fracture of the proximal humerus.

关 键 词：CPM 肱骨近端骨折 肩关节功能障碍 

分 类 号：R683[医药卫生—骨科学]