肩袖及肱二头肌能量技术对肱二头肌长头肌腱炎的远期疗效观察  

Long term effect of muscle energy technique compared to corticosteroid injection in treating tendinitis of long head of biceps brachii

作　　者：朱迪[1,2] 张大威[2] 章丽雅[2] 

机构地区：[1]浙江中医药大学,浙江余杭311115 [2]浙江省人民医院,杭州310000

出　　处：《中国康复》2016年第4期270-272,共3页Chinese Journal of Rehabilitation

摘　　要：目的:应用肌肉能量技术(MET)对肩袖及肱二头肌进行干预,观察其对肱二头肌长头肌腱炎的远期疗效。方法:选取肱二头肌长头肌腱炎患者42例,随机分为观察组和对照组各21例,对观察组患者肩袖及肱二头肌应用MET治疗,对照组进行鞘内注射封闭治疗,共治疗3周。分别于治疗前后进行疼痛视觉模拟评分(VAS)及肱二头肌肌力评定,并于治疗后3个月、6个月、1年对患者进行随访。结果:治疗后,2组的VAS评分均显著低于治疗前(P<0.01),且对照组显著低于观察组(P<0.01);2组的肱二头肌肌力均显著大于治疗前(P<0.01),且观察组显著大于对照组(P<0.01)。治疗后3个月、6个月、1年随访,2组Constant评分均显著高于治疗前;且观察组Constant评分均显著高于对照组(P<0.01)。结论:鞘内封闭注射的短期镇痛效果显著优于MET,但MET的远期疗效显著优于鞘内封闭注射治疗。Objective： To observe the long term effect of muscle energy technique （MET） used in the treatment of tendinitis of long head of biceps brachii. Methods： Forty-two patients with tendinitis of long head of biceps brachii were randomly assigned into 2 groups （n= 21 each）. The control group was treated with corticosteroid injection, and the observation group was given MET. The two groups were assessed with muscle strength test and visual analogue scale （VAS） before treatment and at the end of the treatment period （3 weeks）, and assessed with Constant at 3rd month, 6th month and 1st year during the follow-up period after the treatment. Results： At the end of treatment （3 weeks）, the strength of the biceps was significantly higher than before treatment （P〈0.01）, more significantly in the observation group than in the control group （P〈0.01）. The VAS scores in the two groups were significantly decreased after treatment as compared with those before treatment （P〈0.01）, more significantly in the control group than in the observation group （P〈0.01）. At 3rd month, 6th month, and 1st year during the follow-up peri od after the treatment, the Constant scores in two groups were higher than pretreatment, and those in the observa tion group were significantly higher than those in the control group （P〈0.01）. Conclusion： The short-term analgesic efficacy of corticosteroid injection in the tendinitis of long head of biceps brachii is better than MET, but the long term effect of MET in treating tendinitis of long head of biceps brachii is affirmative, and was obviously better than corticosteroid injection.

关 键 词：肌肉能量技术 封闭治疗 肱二头肌长头肌腱炎 

分 类 号：R686.1[医药卫生—骨科学]