体外冲击波结合推拿治疗跟骨跟腱止点末端病的临床研究  

Extracorporeal shock wave combined with massage therapy in the treatment of Achilles tendon enthesitis

作　　者：周春龙[1] 蔡建浩[1] 许易[1] 

机构地区：[1]浙江体育职业技术学院附属体育医院,浙江杭州311231

出　　处：《中医正骨》2013年第2期13-15,18,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察体外冲击波结合推拿治疗跟骨跟腱止点末端病的疗效。方法:将来自本学院田径、羽毛球和体操专业的56例跟骨跟腱止点末端病运动员随机分成试验组和对照组,每组28例。试验组采用体外冲击波同时结合推拿手法治疗,对照组采用体外冲击波治疗。间隔3 d治疗1次,10次为1个疗程。治疗期间未停止训练,训练中使用肌内贴支持带保护跟腱,训练后充分牵拉小腿三头肌。应用视觉模拟疼痛评分法(VAS)和软组织张力测试,对所有患者治疗前、末次治疗后和末次随访时进行评分和测试。结果:试验组和对照组VAS评分末次治疗后及末次随访时差异有统计学意义(F=59.258,P<0.001);试验组VAS均显著低于对照组(P<0.001),差异有统计学意义。试验组和对照组软组织张力末次治疗后及末次随访时差异有统计学意义(F=55.615,P<0.001);试验组软组织张力均显著高于对照组(P<0.001),差异有统计学意义。结论:两组均有效,但试验组优于对照组。提示体外冲击波结合推拿治疗较单纯的体外冲击波治疗对跟腱止点末端病的改善作用更为显著,且远期疗效确切。To evaluate the clinical effects of the extracorporeal shock wave combined with massage therapy in the treatment of the Achilles tendon enthesitis. Methods：56 athletes majored in track and field,badminton or gymnastics with Achilles tendon enthesitis in our college were randomly divided into the treatment group and the control group with 28 cases in each group. The athletes in the treatment group received extracorporeal shock wave combined with massage therapy and those in the control group were treated with extracorporeal shock wave therapy alone. Each athlete received the treatment once every four days and the duration of the the treatment was forty days. The sports training was not terminated during the treatment with a support belt being used to protect the Achilles tendon. The triceps muscle of calf was passively stretched after the sports training. The soft tissue tension test and visual analogue scales（VAS） were used to access the clinical effects at the beginning and the end of the treatment and the last follow-up visit. Results ： The improvement of VAS in the treatment group was both better than that in the control group at the end of the treatment and the last follow-up visit with statistical significance（F = 59, 258 ,P 〈 0.001 ）. The improvement of the soft tissue test in the treatment group was higher than that in the control group with statistical significance at the end of the treatment and the last follow-up visit （ F = 55. 615, P 〈 0. 001 ）. Conclusion ： The clinical improvement was gotten in both groups and the improvement in the treatment group was better than that in the control group. The extracorporeal shock wave combined with massage therapy was more effective than the extracorporeal shock wave therapy alone for Achilles tendon enthesitis.

关 键 词：末端病 跟腱 体外冲击波 推拿 

分 类 号：R87[医药卫生—运动医学]