关节松动术配合体外冲击波在肩关节运动损伤患者中的应用  

Application of joint mobilization combined with extracorporeal shock wave therapy in patients with shoulder joint sports injury

作　　者：王士冲 陶高见[1] 马超 宁本翔 WANG Shichong;TAO Gaojian;MA Chao;NING Benxiang(Department of Pain,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Jiangsu Province,Nanjing210000,China)

机构地区：[1]南京大学医学院附属南京鼓楼医院疼痛科,江苏南京210000

出　　处：《中国当代医药》2023年第11期88-91,共4页China Modern Medicine

摘　　要：目的探讨关节松动术配合体外冲击波(ESWT)在肩关节运动损伤患者中的应用效果。方法选取2020年5月至2021年12月南京大学医学院附属南京鼓楼医院疼痛科收治的62例肩关节运动损伤患者作研究对象,采用随机数字表法分为对照组与联合组,每组各31例,对照组采用物理因子治疗+关节松动术治疗,联合组采用物理因子治疗+关节松动术治疗+ESWT的治疗方案,比较两组患者治疗前后肩关节活动范围(前屈、后伸、内旋、外旋)、疼痛[静息状态与运动状态的视觉模拟评分法(VAS)评分及Constant-Murley肩关节功能评分(C-M评分)]。结果治疗前,两组患者的前屈、后伸、内旋、外旋活动范围比较,差异无统计学意义(P>0.05);治疗后,两组患者的前屈、后伸、内旋、外旋活动范围均大于本组治疗前,且联合组大于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的静息状态与运动状态VAS评分比较,差异无统计学意义(P>0.05);治疗后,两组患者的静息状态与运动状态VAS评分均低于本组治疗前,且联合组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的C-M评分比较,差异无统计学意义(P>0.05);治疗后,两组患者的C-M评分均高于本组治疗前,且联合组高于对照组,差异有统计学意义(P<0.05)。结论关节松动术配合ESWT在肩关节运动损伤患者中应用效果优于关节松动术,其能够有效改善患者肩关节活动范围,减轻疼痛,提升肩关节功能。Objective To investigate the application of joint mobilization combined with extracorporeal shock wave therapy(ESWT)in patients with shoulder joint sports injury.Methods A total of 62 patients with shoulder joint sports injury who were admitted to the Department of Pain,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School from May 2020 to December 2021 were selected as research subjects,and they were divided into the control group and the combined group by random number table method,with 31 cases in each group.The control group was treated with physical factor therapy+joint mobilization.The combined group was treated with physical factor therapy+joint mobilization therapy+ESWT.The range of motion(flexion,extension,internal rotation,external rotation),pain(resting state and motion state visual analogue scale[VAS]score and Constant-Murley shoulder function score[C-M score])were compared between the two groups before and after treatment.Results Before treatment,there were no significant differences in the range of motion of flexion,extension,internal rotation and external rotation between the two groups(P>0.05).After treatment,the flexion,extension,internal rotation and external rotation of the two groups were greater than those before treatment,and those of the combined group were greater than those of the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in VAS scores of resting state and movement state between the two groups(P>0.05).After treatment,the VAS scores of resting state and motion state of the two groups were lower than those before treatment,and those of the combined group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in C-M score between the two groups(P>0.05).After treatment,the C-M scores of the two groups were higher than those before treatment, and th

关 键 词：肩关节运动损伤 关节松动术 体外冲击波 视觉模拟评分法 肩关节功能 

分 类 号：R684[医药卫生—骨科学]