威伐光结合Mulligan动态关节松动术治疗老年原发性冻结肩的临床疗效  

Effects of Mulligan’s mobilization with movement combined with water-filtered infrared-A in the treatment of primary frozen shoulder in the elderly

作　　者：王建建 孟兆祥[1] 费文勇 杨康 袁超群 高伟[1] 王鑫[1] WANG Jian-jian;MENG Zhao-xiang;FEI Wen-yong;YANG Kang;YUAN Chao-qun;GAO Wei;WANG Xin(Department of Rehabilitation Medicine,Yangzhou School of Clinical Medicine of Nangjing Medical University,Yangzhou 225001,China)

机构地区：[1]南京医科大学扬州临床医学院康复医学科,江苏省扬州市225001

出　　处：《实用老年医学》2023年第9期898-901,共4页Practical Geriatrics

基　　金：江苏省卫健委科研课题(M2021042);国家自然科学基金资助项目(82072533)。

摘　　要：目的观察威伐光(wIRA)结合Mulligan动态关节松动术(MWM)治疗老年冻结肩(FS)的临床疗效。方法将2021年1月至2022年6月在我院骨科就诊的58例老年FS病人,随机分为对照组和观察组,每组29例。对照组接受MWM治疗,观察组在MWM的基础上增加wIRA照射。于治疗前和治疗后分别进行疼痛数字评定量表(NRS)、肩关节活动度(ROM)、上肢残疾功能量表(SPADI)及阿森斯失眠量表(AIS)的评定。结果治疗前,2组NRS评分、肩关节ROM、SPADI评分及AIS评分比较,差异均无统计学意义(P>0.05)。治疗后,2组NRS评分、SPADI评分及AIS评分比较,差异均有统计学意义(P<0.05),但肩关节ROM(前屈、后伸、外展、外旋、内旋)差异无统计学意义(P>0.05)。结论wIRA结合MWM能有效改善老年FS病人的肩痛,提高睡眠质量,促进肩关节功能的快速恢复,值得临床推广应用。Objective To observe the clinical effect of water-filtered infrared-A(wIRA)combined with Mulligan’s mobilization with movement(MWM)in the treatment of frozen shoulder(FS)in the elderly.Methods A total of 58 elderly patients with FS treated in Department of Orthopedics of our hospital from January 2021 to June 2022 were randomly divided into the control group and the observation group,with 29 patients in each group.The control group was treated with MWM,and the observation group was treated with wIRA on the basis of MWM.The Numeric Rating Scale(NRS),shoulder range of motion(ROM),Shoulder Pain and Disability Index(SPADI)and Athens Insomnia Scale(AIS)were evaluated before and after treatment.Results Before treatment,there were no significant differences in NRS score,shoulder ROM,SPADI score and AIS score between the two groups(P>0.05).After treatment,there were significant differences in NRS score,SPADI score and AIS score between the two groups(P<0.05),but there was no significant difference in shoulder ROM(flexion,posterior extension,abduction,external rotation and internal rotation)(P>0.05).Conclusions wIRA combined with MWM can effectively improve the shoulder pain and sleep quality in the elderly patients with FS,and can promote the rapid recovery of shoulder joint function,which is worthy of clinical application.

关 键 词：Mulligan动态关节松动术 威伐光 冻结肩 睡眠质量 老年人 

分 类 号：R454[医药卫生—治疗学]