体外冲击波联合关节静态牵伸训练治疗创伤后肘关节僵硬的临床观察  

Observation on the therapeutic effect of extracorporeal shock wave combined with static joint stretching training on elbow joint stiffness after trauma

作　　者：陈薇 CHEN Wei(Department of Rehabilitation Medicine,Xiangyang NO.1 People's Hospital Affliated to Hubei University of Medicine,Hubei Province,Xiangyang441000,China)

机构地区：[1]湖北医药学院附属襄阳市第一人民医院康复医学科,湖北襄阳441000

出　　处：《中国当代医药》2024年第27期80-84,共5页China Modern Medicine

基　　金：湖北医药学院附属襄阳市第一人民医院院级中医药科研项目(XYY2023ZY02)。

摘　　要：目的探讨体外冲击波联合关节静态牵伸训练治疗创伤后肘关节僵硬的临床疗效。方法选取2021年4月至2022年10月湖北医药学院附属襄阳市第一人民医院收治的创伤后肘关节僵硬的60例患者作为研究对象,按照随机数字表法分为冲击波组、牵伸组及联合治疗组,每组20例。三组患者均给予常规康复训练,冲击波组采用弹道式体外冲击波治疗,牵伸组采用肘关节静态牵伸训练治疗,联合治疗组采用上述两种方法联合治疗,疗程均为6周,治疗6周后评估三组患者肘关节主动活动度(AROM)及Mayo肘关节功能评分。结果治疗前,三组患者AROM、疼痛、运动、稳定性、日常活动功能评分比较,差异无统计学意义(P>0.05);治疗后,三组患者的AROM及肘关节Mayo肘功能评分均高于本组治疗前,且联合治疗组的上述指标高于冲击波组及牵伸组,差异有统计学意义(P<0.05)。三组患者治疗效果比较,差异有统计学意义(P<0.05)。结论在常规康复治疗的基础上,采用体外冲击波联合关节静态牵伸训练治疗创伤后肘关节僵硬,能够改善患肘的AROM及关节功能等,有利于上肢功能的恢复。Objective To investigate the clinical effect of extracorporeal shock wave combined with static joint stretching training on elbow joint stiffness after trauma.Methods A total of 60 patients with post-traumatic elbow joint stiffness admitted to Xiangyang NO.1 People's Hospital Affliated to Hubei University of Medicine from April 2021 to October 2022 were selected as the study objects,and they were divided into shock wave group,stretching group and combined treatment group according to random number table method,with 20 patients in each group.All patients in the three groups were given routine rehabilitation training,the shock wave group was treated with ballistic extracorporeal shock wave therapy,the stretching group was treated with static joint stretching training,and the combined treatment group was treated with the above two methods,the course of treatment was 6 weeks.After 6 weeks of treatment,the elbow active range of motion(AROM)and Mayo elbow performance score of the three groups were evaluated.Results Before treatment,there were no significant differences in AROM,pain,movement,stability and function scores of daily activities among three groups(P>0.05).After treatment,the AROM and Mayo elbow performance scores of the three groups were higher than those before treatment,and the above indexes of the combined treatment group were higher than those of the shock wave group and stretching group,with statistical significances(P<0.05).Comparison of treatment effect among the three groups showed statistical significance(P<0.05).Conclusion On the basis of conventional rehabilitation therapy,the combination of extracorporeal shock wave and static joint stretching training in the treatment of elbow joint stiffness after trauma can improve the AROM and joint function of the affected elbow,which is conducive to the recovery of upper limb function.

关 键 词：体外冲击波 关节静态牵伸训练 联合治疗 疗效比较 

分 类 号：R687.4[医药卫生—骨科学]