离心收缩训练联合体外冲击波治疗肱骨外上髁炎的疗效分析  

Efficacy of eccentric exercise combined with extracorporeal shock wave therapy on lateral epicondylitis

作　　者：陈建新[1] 刘光华[1] 林瑜玮 吴一鸣[1] 刘邦忠[1] 

机构地区：[1]复旦大学附属中山医院康复医学科,上海200032

出　　处：《中国临床医学》2016年第3期303-306,共4页Chinese Journal of Clinical Medicine

基　　金：复旦大学附属中山医院青年基金资助项目(2014ZSQN23)~~

摘　　要：目的:比较离心收缩训练(eccentric exercise,EE)、体外冲击波疗法(extracorporeal shock wave therapy,ESWT)及EE联合ESWT对肱骨外上髁炎(lateral epicondylitis,LE)的疗效。方法:选择60例LE受试者,随机分为EE治疗组、ESWT治疗组及EE联合ESWT治疗组,每组20例。分别在治疗前、治疗结束后2周运用视觉模拟评分(visual analogue scale,VAS)、握力测试评估各组治疗效果并比较。结果:3组治疗结束后2周VAS评分较治疗前均明显降低(P<0.05);3组治疗后VAS评分组间两两比较,差异均无统计学意义。3组治疗结束后2周握力值较治疗前均明显增加(P<0.05);EE联合ESWT治疗组的治疗后握力值较EE治疗组(P<0.05)和ESWT治疗组均明显增加(P<0.05);EE治疗组的治疗后握力值与ESWT治疗组差异无统计学意义。EE联合ESWT治疗组总有效率(100%)明显高于EE治疗组(64.70%)和ESWT治疗组(68.42%),差异均有统计学意义(P<0.05);EE治疗组总有效率与ESWT治疗组差异无统计学意义。结论:EE和ESWT两种治疗对LE的疗效相当,两者联合应用的疗效更优。Objective： To compare clinical efficacy of three different treatments,eccentric exercise（EE）,extracorporeal shock wave therapy（ESWT）,and EE combined with ESWT on lateral epicondylitis（LE）.Methods：Sixty subjects with LE were selected and randomly assigned to EE group（n=20）,ESWT group（n=20） and EE combined with ESWT group（n=20）.All of the subjects were evaluated through the visual analogue scale（VAS）and hand-grip strength test at baseline and 2 weeks after the end of treatment respectively.All data were analyzed by SPSS 17.0.Results：The VAS scores dramatically decreased from baseline to 2 weeks after the end of treatment in all three groups（P〈0.05）;however,there were no significant differences in VAS scores between any two groups 2 weeks after the end of treatment.As to hand-grip strength,there was significant increase from baseline to 2 weeks after the end of treatment in all three groups（P〈0.05）;moreover,the hand-grip strength of EE combined with ESWT group was significantly higher than that of EE group（P〈0.05）and ESWT group（P〈0.05）at 2weeks after the end of treatment;however,no significant difference of the hand-grip strength emerged between EE group and ESWT group at the same time point.The overall response rate of EE combined with ESWT group was 100%,which was significantly higher than that of EE group（64.70%,P〈0.05） and ESWT group（68.42%,P〈0.05）;no statistically significant difference of overall response rate was found between EE group and ESWT group.Conclusions：EE and ESWT were both effective and showed similar efficacy in the treatment of LE.In addition,the combination therapy of EE and ESWT was better than either single therapy.

关 键 词：肱骨外上髁炎 离心收缩训练 体外冲击波疗法 

分 类 号：R681.7[医药卫生—骨科学]