干针联合冲击波治疗运动员肩袖损伤临床疗效观察  

Clinical Observation on the Therapeutic Effect ofDry Needle Combined with Shock Wave Therapyon Rotator Cuff Injury in Athletes

作　　者：付洋 周杰[1] 刘培 张黛 江恒[1] 刘承玄[1] FU Yang;ZHOU Jie;LIU Pei;ZHANG Dai;JIANG Heng;LIU Chengxuan(Chongqing Traditional Chinese Medicine Hospital,Chongqing 400000,China;Chongqing Seventh People's Hospital,Chongqing 400000,China)

机构地区：[1]重庆市中医院,重庆400000 [2]重庆市第七人民医院,重庆400000

出　　处：《陕西中医药大学学报》2023年第6期79-82,共4页Journal of Shaanxi University of Chinese Medicine

基　　金：重庆市体育局科研项目(A202010);重庆市科卫联合项目(2020ZY3862)。

摘　　要：目的 观察干针联合发散式冲击波治疗运动员肩袖损伤的临床疗效。方法 将120例肩袖损伤运动员随机分为对照组和治疗组各60例,对照组采用冲击波治疗,每次治疗15 min,每周1次;治疗组在冲击波基础上联合干针治疗,干针每次30 min,每周5次;两组均连续治疗4 w。治疗前及治疗4 w后,采用疼痛视觉模拟评分、Constant-Murley肩关节功能评分及肩关节等速肌力测试评价两组患者临床疗效。结果 (1)治疗后,两组患者疼痛视觉模拟评分均较组内治疗前降低(P<0.05),且治疗组评分低于对照组,差异具有统计学意义(P<0.05)。(2)治疗后,两组患者Constant-Murley肩关节功能评分均较组内治疗前提高(P<0.05),且治疗组评分高于对照组,差异有统计学意义(P<0.05)。(3)治疗后,两组患者在60°每秒及180°每秒角速度下,肩关节外旋及内旋峰力矩值均较组内治疗前提高(P<0.05),且治疗组高于对照组,差异有统计学意义(P<0.05)。结论 干针联合发散式冲击波能有效缓解肩袖损伤运动员肩部疼痛、改善肩关节功能、恢复肩部肌肉力量,疗效显著。Objective To observe the clinical efficacy of dry needle combined with divergent shock wave treatment for athlete rotator cuff injury.Methods 120 athletes with rotator cuff injury were randomly divided into a control group and a treatment group,with 60 cases in each group.The control group received shock wave treatment for 15 minutes each time,once a week;The treatment group received combination therapy with dry needle therapy on the basis of shock wave,with dry needle therapy lasting for 30 minutes each time and 5 times a week;Both groups were treated continuously for 4 weeks.Before and after 4 weeks of treatment,the clinical efficacy of the two groups of patients was evaluated using pain visual analogue score,Constant-Murley shoulder joint function score,and shoulder isokinetic muscle strength test.Results①After treatment,the visual simulation score of pain in both groups of patients decreased compared to before treatment(P<0.05),and the score in the treatment group was lower than that in the control group,with a statistically significant difference(P<0.05).②After treatment,the Constant-Murley shoulder joint function score of both groups of patients improved compared to before treatment(P<0.05),and the score of the treatment group was higher than that of the control group,with a statistically significant difference(P<0.05).After treatment,the peak torque values of external and internal rotations of the shoulder joint in the two groups of patients increased compared to before treatment at 60°per second and 180°per second angular velocities(P<0.05),and the treatment group was higher than the control group,with a statistically significant difference(P<0.05).Conclusion The combination of dry needle and divergent shock wave can effectively alleviate shoulder pain,improve shoulder joint function,and restore shoulder muscle strength in athletes with rotator cuff injury,with significant therapeutic effects.

关 键 词：运动员肩袖损伤 干针疗法 冲击波 等速肌力测试 

分 类 号：R246.2[医药卫生—针灸推拿学]