功能性磁刺激在创伤后肘关节僵硬康复治疗中的应用  

Application of functional magnetic stimulation in the treatment of post-traumatic elbow joint stiffness

作　　者：李克军[1] 蒋拥军[1] 袁海花[1] 

机构地区：[1]深圳平乐骨伤科医院,广东深圳518010

出　　处：《中医正骨》2017年第5期7-9,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:探讨功能性磁刺激治疗创伤后肘关节僵硬的临床疗效。方法:创伤后肘关节僵硬患者70例,按就诊顺序采用随机数字表随机分为常规康复治疗组和功能性磁刺激治疗组,每组35例。常规康复治疗组患者进行常规康复治疗,包括中频脉冲电治疗、蜡疗、手法治疗、弹力带持续屈曲牵引及运动疗法;功能性磁刺激治疗组患者在此基础上增加功能性磁刺激治疗。共治疗8周。分别于治疗前和治疗8周后,测量2组患者的肘关节活动度,并依据Mayo肘关节功能评分量表评价肘关节功能。结果:治疗前,2组患者肘关节屈伸活动度及Mayo肘关节功能评分比较,组间差异均无统计学意义[65.46°±10.67°,64.74°±11.25°,t=0.849,P=0.126;(51.27±4.36)分,(53.06±3.18)分,t=0.853,P=0.486]。治疗8周后,2组患者肘关节屈伸活动度及Mayo肘关节功能评分均较治疗前增加[114.68°±8.38°,65.46°±10.67°,t=2.715,P=0.019;95.42°±9.75°,64.74°±11.25°,t=2.672,P=0.043;(85.17±8.73)分,(51.27±4.36)分,t=2.813,P=0.011;(75.64±8.49)分,(53.06±3.18)分,t=2.154,P=0.045],且功能性磁刺激治疗组肘关节屈伸活动度及Mayo肘关节功能评分均高于常规康复治疗组[114.68°±8.38°,95.42°±9.75°,t=2.547,P=0.036;(85.17±8.73)分,(75.64±8.49)分,t=2.183,P=0.046]。结论:对于创伤后肘关节僵硬患者,在常规康复治疗的基础上增加功能性磁刺激治疗,更有利于肘关节屈伸活动度及肘关节功能的恢复。Objective ：To explore the clinical curative effects of functional magnetic stimulation in the treatment of post - traumatic el- bow joint stiffness. Methods： Seventy patients with post - traumatic elbow joint stiffness were randomly divided into conventional rehabilitation therapy group and functional magnetic stimulation therapy group according to the visit sequence by using random digits table,35 cases in each group. All patients in both of the 2 groups were treated for consecutive 8 weeks with conventional rehabilitation therapy, including medium - frequency pulse electrotherapy, wax therapy, manipulation therapy, continuous flexion traction with elastic band and exercise ther- apy. Meanwhile the patients in functional magnetic stimulation therapy group were treated with functional magnetic stimulation. The range of motion of elbow joint were measured and compared between the 2 groups before treatment and after 8 - week treatment respectively, and the elbow joint function were evaluated by using Mayo elbow joint function scale. Results ：There was no statistical difference in elbow flexion - extension range and Mayo elbow joint function scores between the 2 groups before the treatment（65.46 ＋/- 10.67 vs 64.74 ＋/- 11.25 degrees, t = 0. 849,P = 0.126 ;51.27 ＋/- 4.36 vs 53.06 ＋/- 3.18 points, t = 0. 853, P = 0.486 ）. Both elbow flexion - extension range and Mayo elbow joint function scores increased in the 2 groups after 8 - week treatment（ 114.68 ＋/- 8.38 vs 65.46 ＋/- 10. 67 degrees, t = 2.715,P=0.019;95.42＋/-9.75 vs 64.74 ＋/-11.25 degrees,t =2. 672,P =0. 043;85.17 ＋/-8.73 vs 51.27 ＋/-4.36 points,t = 2. 813,P =0.011 ;75.64 ＋/-8.49 vs 53106 ＋/-3.18 points,t =2. 154,P=0.045） ,and the elbow flexion -extension range and Mayo el- bow joint function scores were higher in functional magnetic stimulation therapy group compared to conventional rehabilitation therapy group （114.68 ＋/-8.38 vs 95.42 ＋/-9.75 degrees,t =2. 547,P=0.036;85.17 ＋/-8.73 vs 75.64 ＋/-8.49 points,t =2. 1

关 键 词：肘关节 僵硬 磁场疗法 电刺激疗法 肌肉骨骼手法 牵引术 运动疗法 康复 

分 类 号：R684[医药卫生—骨科学]