超声波疗法结合肌肉失衡调整训练对黏连性肩关节囊炎患者的疗效  

Efficacy of ultrasound therapy combined with muscle imbalance adjustment training in patients with adhe-sive capsulitis oftheshoulder

作　　者：崔润红 池岩 张迪[2] 高鹤枭 姜雪[2] CUI Runhong;CHI Yan;ZHANG Di;GAO Hexiao;JIANG Xue(Department of Rehabilitation,Jinqiu Hospital of Liaoning Province,Shenyang 110013,Liaoning,China;不详)

机构地区：[1]辽宁省金秋医院康复科,辽宁沈阳110013 [2]中国医科大学附属盛京医院康复中心,辽宁沈阳110134

出　　处：《实用医学杂志》2025年第2期208-214,共7页The Journal of Practical Medicine

基　　金：辽宁省自然基金资助计划项目(编号:2021-MS-10)。

摘　　要：目的 明确超声波疗法结合肌肉失衡调整训练对黏连性肩关节囊炎(AC)的近期和远期疗效。方法 60例AC患者随机分为观察组和对照组,每组30例。观察组接受超声波疗法同时配合肌肉失衡调整训练,对照组接受针灸治疗,均持续治疗20 d。分别在治疗前、疗程结束时、治疗后6个月以及12个月评估患者的肩关节疼痛程度(VAS)、肩关节活动范围(ROM)、肩关节周围肌肉的肌力(MMT)、肩关节功能(Constant-Murley肩关节评分量表)、日常生活活动能力(改良Barthel指数)、汉密尔顿焦虑量表(HAMA)以及汉密尔顿抑郁量表(HAMD)。结果 两组患者ROM、MMT、VAS、Constant-Murley评分、改良Barthel指数及情绪较治疗前均有不同程度改善。观察组疗程结束时肩关节后伸肌力、VAS、Constant-Murley、改良Barthel指数、HAMA以及HAMD评分;治疗后6个月肩关节前屈、后伸、外展及内收活动范围,前屈、外旋及内旋肌力,VAS,Constant-Murley,改良Barthel指数,HAMA以及HAMD评分;治疗后12个月肩关节前屈、后伸、外展及内收活动范围,前屈、后伸、外展、外旋及内旋肌力,VAS,Constant-Murley,改良Barthel指数,HAMA以及HAMD评分均优于对照组(P <0.05)。结论 超声波疗法联合肌肉失衡调整训练可有效减轻AC患者肩关节疼痛、改善肩关节活动范围、增强肩关节周围肌肉肌力、改善肩关节功能、减轻焦虑抑郁情绪,最终提高生活质量。Objective To explore the short and long term efficacy of ultrasound therapy combined with muscle imbalance adjustment training in patients with adhesive capsulitis(AC)ofthe shoulder.Methods A total of 60 AC patients were divided into an observation group and a control group,both each consisting of 30 cases.The observation group underwentultrasound therapy along with muscle imbalance adjustment training,while the control group received acupuncture treatment,both for a duration of 20 days.The Visual Analogue Scale(VAS),goniom‐eter for ROM,Manual Muscle Testing(MMT),Constant-Murley Shoulder Score,and modified Barthel index were used to access shoulder jointpain level,range of motion(ROM),peripheral muscle strength,shoulder joint func‐tion,and daily living abilities,respectively.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were utilized to evaluate the levels of anxiety and depression.All the assessments were conducted and compared between the two groups before treatment,at the end of treatment,and at 6 and 12 months after treatment.Results Both groups showed varying degrees of improvement in ROM,MMT,VAS,Constant-Murley score,modified Barthel index,and emotional status compared to pre-treatment.The observation group demonstrated superior outcomes in posterior shoulder extension strength,VAS,Constant-Murley score,modified Barthel index,HAMA,and HAMD scores at the end of treatment(P<0.05).At 6 months post-treatment,the observation group showed better shoulder joint flexion,extension,abduction,and adduction ROM,as well as muscle strength in flexion,external rotation,and internal rotation,VAS,Constant-Murley score,modified Barthel index,HAMA,and HAMD scores.At 12 months after treatment,the observation group continued to show superior outcomes in all the aforementioned indexes(P<0.05).Conclusion The combination of ultrasound therapy and muscle imbalance adjustment training can effectively reduce shoulder joint pain,improve ROM,enhance muscle strength around the shoulder joint,improve shoulder joi

关 键 词：超声波治疗 肌肉失衡 黏连性肩关节囊炎 

分 类 号：R493[医药卫生—康复医学]