红外偏振光治疗肩周炎的临床疗效观察  

Clinical efficacy of infrared polarized light in the treatment of frozen shoulder

作　　者：韩秀娟[1] Han Xiujuan(Department of Rehabilitation,Tianjin Union Medical Center,Tianjin 300121,China)

机构地区：[1]天津市人民医院康复科,300121

出　　处：《国际生物医学工程杂志》2019年第6期508-511,共4页International Journal of Biomedical Engineering

摘　　要：目的评价红外偏振光照射治疗肩周炎的临床疗效。方法选取2015年10月至2018年12月于天津市人民医院康复科就诊的肩周炎患者150例,利用随机数字表随机分为对照组(75例)和治疗组(75例);实际完成治疗的患者120例,其中治疗组67例,对照组53例。治疗组采用红外偏振光照射治疗联合肩关节松动治疗,对照组单纯采用肩关节松动治疗,共治疗2周,每周5次,红外偏振光照射治疗每次10 min,关节松动治疗每次15~20 min。在首次治疗前和治疗2周后对患者的疼痛[视觉模拟评分法(VAS)]、关节活动范围(ROM)、肌力及情绪[焦虑自评量表(SAS)]进行康复评定。结果治疗前两组肩周炎患者间VAS评分、ROM、肌力评分和SAS评分差异均无统计学意义(均P>0.05);与治疗前相比,治疗2周后两组肩周炎患者的VAS评分和SAS评分明显降低,ROM和肌力评分明显升高,差异均具有统计学意义(均P<0.01);治疗2周后,两组肩周炎患者的VAS评分、肌力评分以及ROM的前屈、后伸、内收、外展比较,差异均具有统计学意义(均P<0.05),而SAS评分和ROM的内旋、外旋比较,差异均无统计学意义(均P>0.05),且治疗组治疗前后的改善幅度大于对照组。结论红外偏振光照射治疗可显著提高肩周炎的综合治疗效果。Objective To evaluate the clinical effect of infrared polarized light irradiation in the treatment of frozen shoulder.Methods A total of 150 patients with frozen shoulder who were treated in the rehabilitation department of Tianjin People’s Hospital from October 2015 to December 2018 were randomly divided into a control group(75 cases)and a treatment group(75 cases)using a random number table.Finally,120 patients who underwent the complete treatment were enrolled including 67 in the treatment group and 53 in the control group.The patients in the treatment group was treated with infrared polarized light irradiation combined with shoulder joint mobilization,and in the control group was treated with shoulder mobilization alone.The whole course is 2 months,and the treatment was 5 times a week.In each treatment,the duration of infrared polarized light irradiation is 10 min and the duration of joint mobilization is 15 to 20 min.Rehabilitation assessment of pain(visual analogue scale,VAS),range of motion(ROM),muscle strength and self-rating anxiety scale(SAS)were performed before the first treatment and after 2 weeks of treatment.Results Before the treatment,there were no statistically significant differences in VAS,ROM,muscle strength and SAS scores between the two groups(all P>0.05).Compared with that before treatment,VAS and SAS scores were significantly decreased,ROM and muscle strength scores were significantly increased in the two groups after 2 weeks treatment(all P<0.01).After 2 weeks of treatment,there were significant differences in VAS scores,muscle strength scores,the ROM of flexion,extension,adduction and abduction between the two groups(all P<0.05),but there were no significant difference in ROM of internal rotation,external rotation and SAS scores between the two groups(all P>0.05).The improvements of the indicators in the treatment group was greater than that of the control group.Conclusions Infrared polarized light irradiation can significantly improve the treatment effect of frozen shoulder.

关 键 词：肩周炎 红外偏振光 康复评定 

分 类 号：R6[医药卫生—外科学]