悬吊训练技术治疗顽固性肩周炎的疗效分析  

Analysis of Suspension Technique in the Treatment of Refractory Scapulohumeral Periarthritis

作　　者：宋艳萍[1] 聂真新[2] 陈奇刚[1] 王森[1] 王龙 祁应虎 丁昂 高志祥 SONG Yan-ping;NIE Zhen-xin;CHEN Qi-gang;WANG Sen;WANG Long;QI Ying-hu;DING Ang;GAO Zhi-xiang(KunMing traditional medicine hospital,Kunming Yunnan 650011;Yunnan normal university,Kunming Yunnan 650500)

机构地区：[1]昆明市中医医院,云南昆明650011 [2]云南师范大学,云南昆明650500

出　　处：《按摩与康复医学》2021年第14期17-19,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：昆明市卫生科技人才培养项目暨“十百千”工程培养计划(2019-SW(后备)-41)。

摘　　要：目的:分析悬吊训练在治疗顽固性肩周炎中的生理机制,为进一步探讨悬吊技术治疗顽固性慢性疾病提供依据。方法:将35例顽固性肩周炎患者随机分为治疗组18例和对照组17例。两组患者均接受关节松动术等常规康复治疗,治疗组在此基础上应用悬吊训练技术。于治疗前、治疗4周、治疗8周后分别用疼痛目测类比法(visual analogy score,VAS)评价肩部疼痛程度;量角器测量关节活动度;巴氏指数评定表(Barthel index,BI)评价日常生活活动能力。结果:治疗4周后,治疗组VAS评分、ROM (屈曲)评分、BI评分均较治疗前明显改善(P<0.05),对照组VAS评分、ROM(屈曲)评分较治疗前明显改善(P<0.05),BI评分无明显改善(P<0.05)。治疗8周后,35名患者的观察指标(疼痛评分、关节活动度和生活活动能力)均较治疗前明显改善,治疗组结果明显优于对照组(P<0.05)。结论:在常规康复治疗的基础上,应用悬吊训练技术治疗顽固性肩周炎,可更有效减轻肩痛程度,提高上肢运动功能和日常生活活动能力。Objective:To analyze the physiological mechanism in the treatment of the refractory shoulder,to further discuss the suspension techniques to treat intractable chronic diseases.Methods:The 35 patients with intractable periarthritis of shoulder were randomly divided into the treatment group in 18 cases and the control group in 17 cases.Two groups of patients received conventional rehabilitation therapy such as joint loosening,and the treatment group applied suspension training technique on this basis.Before and after 4 weeks,8 weeks,the pain level of the shoulder was assessed by visual analogy score(VAS);the protractor measures the motion of the joints;Barthel index(BI) evaluates the ability of daily life activities.Results:After 4 weeks of treatment,the VAS score,ROM(flexion) score and BI score of the treatment group were significantly improved(P<0.05),and the VAS score and ROM(flexion) score of the control group were significantly improved(P<0.05),and the BI score showed no significant improvement(P<0.05).After 8 weeks of treatment,all the indicators were significantly improved compared with those before treatment,and the treatment group was better than the control group(P<0.05).Conclusion:The application of suspension training technique to treat refractory shoulder periarthritis can alleviate shoulder pain more effectively,improve upper limb movement function and daily life activity ability.

关 键 词：肩周炎 悬吊训练技术 顽固性 

分 类 号：R274.9[医药卫生—中西医结合]