胸出口综合征的澳式手法治疗  

The Maitland manipulation of thoracic outlet syndrome

作　　者：谢斌[1] 苏伟[1] 

机构地区：[1]北京大学第一医院物理医学康复科,北京100034

出　　处：《中国康复医学杂志》2003年第8期487-488,共2页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨胸出口综合征的保守治疗的效果。方法:对20例胸出口综合征的患者进行C3—7及T1的由后向前按压棘突和由后向前按压横突的手法治疗,配合按摩、超短波、激光或超声治疗,并指导其矫正姿势,肩胛带肌力训练以及在生活、工作中的行为改变,疗前疗后比较其疼痛、患手握力及日常生活活动能力的改善。结果:经过一或二个疗程的治疗,疼痛评分有显著性改善(P<0.05),手握力明显提高(P<0.05),临床症状消失或明显减轻,患者恢复工作。结论:对胸出口综合征患者进行以澳式手法治疗为主,结合理疗及健康教育指导的综合治疗,对缓解其临床症状有较好的效果。Objective:To analyze the effect of conservative management on thoracic outlet syndrome(TOS).Method:20patients having TOS with upper extremity pain,numbness and weakness for one to three months were involved in our study.Osteopathic manipulation of C 3-7 and T 1 ,massage,ultra-shortwave,laser and ultrasound were applied to them.The patients were also instructed in postural correction,strengthening exercises of the scapular re-gion,compliance to an exercise program and behavioral modification at home and work.Vasual analogue scale(VAS)and hand grip force were used to assess the pain intensity and hand function separately before and after treatment.Result:The VAS and hand grip force showed significant improvement after one or two sessions of treat-ment and the patients returned to work.Conclusion:The comprehensive treatment based on the manipulation,com-bined with physiotherapy and patient education,has good results for relieving the symptoms of TOS.

关 键 词：胸出口综合征 澳式手法 治疗 目测类比法 手握力 理疗 

分 类 号：R68[医药卫生—骨科学]