推拿和器具辅助松解治疗肱骨外上髁炎的疗效比较  

Therapeutic efficacy of massage versus instrument-assisted soft tissue mobilization in patients with lateral epicondylitis of the humerus

作　　者：刘洋[1,2] 吴廉卿[2,3] Liu Yang;Wu Lianqing(Graduate School,Wrestling and Flexibility,Wuhan Sports University,Wuhan 430079,Hubei Province,China;School of Arts(China Fitness and Bodybuilding Institute),Wrestling and Flexibility,Wuhan Sports University,Wuhan 430079,Hubei Province,China;Department of Weightlifting,Wrestling and Flexibility,Wuhan Sports University,Wuhan 430079,Hubei Province,China)

机构地区：[1]武汉体育学院研究生院,湖北省武汉市430079 [2]武汉体育学院艺术学院(中国健身健美学院),湖北省武汉市430079 [3]武汉体育学院举摔柔教研室,湖北省武汉市430079

出　　处：《中国组织工程研究》2024年第26期4226-4233,共8页Chinese Journal of Tissue Engineering Research

摘　　要：背景:器械辅助软组织松解作为一种非入侵性的治疗方法常被应用于软组织(骨骼肌、韧带、筋膜)损伤及术后恢复,可改善关节活动范围内的疼痛并提升力量。目的:比较器具辅助软组织松解与推拿治疗肱骨外上髁炎的临床疗效。方法:纳入武汉体育学院学生中肱骨外上髁炎患者25例,采用随机数字表法分为试验组(n=13)与对照组(n=12),分别接受器具辅助软组织松解与推拿治疗,每周干预2次,连续干预4周。治疗前后进行肘关节目测类比评分、Mayo肘关节功能评分、手臂握力及关节运动范围评估。结果与结论:①两组患者首次治疗与末次治疗后的肘关节目测类比评分均明显低于治疗前(P<0.05),两组间肘关节目测类比评分比较差异无显著性意义(P>0.05);两组患者首次治疗与末次治疗后的Mayo肘关节功能评分均高于治疗前(P<0.05),两组间Mayo肘关节功能评分比较差异均无显著性意义(P>0.05);②试验组患者末次治疗后的垂臂最大握力、内旋最大握力与外旋最大握力均大于治疗前(P<0.05),对照组末次治疗后的内旋最大握力大于治疗前(P<0.05),两组间3种握力比较差异无显著性意义(P>0.05);③两组患者首次治疗与末次治疗后的前臂抗阻内旋角度、前臂抗阻外旋角度、静息状态下的肘关节角度及抗阻伸肘最大角度均大于治疗前(P<0.05),抗阻屈肘最大角度均小于治疗前(P<0.05),两组间各角度比较差异均无显著性意义(P>0.05);④两组患者首次治疗与末次治疗后的前臂运动范围、肘关节运动范围均大于治疗前(P<0.05),两组间前臂运动范围、肘关节运动范围比较差异无显著性意义(P>0.05);⑤结果表明,器具辅助软组织松解与推拿都可以明显降低肱骨外上髁炎患者的疼痛、改善肘关节柔韧性、增加关节运动范围,其中器具辅助软组织松解对最大握力的改善效果优于推拿治疗。BACKGROUND:Instrument-assisted soft tissue mobilization is often used as a noninvasive treatment for soft tissue(skeletal muscle,ligament,and fascia)injuries and postoperative recovery to improve pain and enhance strength in the range of joint motion.OBJECTIVE:To compare the clinical efficacy of instrument-assisted soft tissue mobilization and massage therapy in patients with lateral epicondylitis of the humerus.METHODS:A total of 25 athletes with lateral epicondylitis of the humerus were enrolled in this study and randomized into two groups:13 subjects receiving instrument-assisted soft tissue mobilization as the experimental group and 12 subjects receiving massage therapy as the control group.The treatment period was 4 weeks,with two sessions per week.Elbow joint visual analog scale,Mayo elbow performance index,elbow range of motion measurement,and forearm strength were measured and recorded in both groups before and after treatment.RESULTS AND CONCLUSION:Both treatments significantly reduced visual analog scale score of the elbow joint after the first and last treatments(P<0.05),but the visual analog scale score showed no significant difference between the two groups(P>0.05).The Mayo elbow performance index showed a significant increase in both groups after the first and last treatments(P<0.05),but there was no significant difference between the two groups(P>0.05).In the maximum grip strength test,the maximum grip strength of the experimental group in the vertical direction and during internal and external rotations after treatment was better than that before treatment(P<0.05),while the control group only showed improved maximum grip strength during internal rotation(P<0.05),with no significant improvement in maximum grip strength in other states.There was also no significant difference in the maximum grip strength in all the three states between the two groups(P>0.05).After the last treatment,the range of motion of the elbow joint and the angle of forearm pronation and supination were significantly improved i

关 键 词：肱骨外上髁炎 器械辅助软组织松解术 推拿 肌筋膜 筋膜致密化 物理治疗 

分 类 号：R473[医药卫生—护理学] R319.3[医药卫生—临床医学] R684