张妍昭,朱凤芝,王刚.肌内效贴联合威伐光治疗肩关节周围炎的临床疗效观察[J].中华物理医学与康复杂志,2021,43(4):347-351
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| 肌内效贴联合威伐光治疗肩关节周围炎的临床疗效观察 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.04.013 |
| 中文关键词: 肌内效贴 威伐光 肩关节周围炎 |
| 英文关键词: Kinesio taping Infrared-A irradiation Scapulohumeral periarthritis Arthritis |
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| 中文摘要: |
| 目的 研究肌内效贴联合威伐光治疗肩关节周围炎的临床效果。 方法 纳入86例肩关节周围炎患者按随机数字表法分为对照组和观察组，每组43例。2组患者均接受20 min威伐光照射治疗，每日1次，每周治疗7 d；观察组在威伐光治疗结束后增加肌内效贴治疗，每日1次，每周治疗6 d后暂停1次，治疗均连续进行2周。分别于治疗前和治疗2周后，采用疼痛视觉模拟评分(VAS)、肩关节活动度(ROM) 测量、Constant-Murley肩关节功能评估法(CMS)对2组患者的肩痛程度、肩关节主动ROM（AROM）和被动ROM（PROM）以及肩关节功能对患者日常生活的影响程度进行评估。 结果 ①治疗后，对照组和观察组患者的VAS评分分别为（3.42±1.50）和（1.54±1.65）分，较组内治疗前［（6.29±1.37）和（6.19±1.51）分］均有明显改善(P<0.05)，且治疗后观察组VAS评分明显优于对照组(P<0.05)。②治疗后，2组患者的AROM和PROM均较组内治疗前明显改善（P＜0.05），且观察组的前屈、后伸、外展、外旋AROM及前屈、外展PROM均明显优于对照组(P<0.05)。③治疗后，对照组和观察组患者的CMS评分总分［（66.38±12.26）和（81.57±14.25）分］较组内治疗前［（45.24±10.32）和（43.89±11.54）分］均有明显改善(P<0.05)，且观察组改善更为明显，治疗后组间差异有统计学意义（P<0.05）。 结论 肌内效贴联合威伐光治疗对减轻肩周炎患者的肩痛、改善ROM、提升日常生活质量具有良好的治疗效果。 |
| 英文摘要: |
| Objective To explore the clinical effect of combining kinesio taping with filtered infrared-A irradiation in the treatment of scapulohumeral periarthritis. Methods Eighty-six patients with scapulohumeral periarthritis were randomly divided into a control group (n=43) and an observation group (n=43). Both groups received 20 minutes of irradiation with water-filtered infrared-A per day for 14 days, while the observation group was also given kinesio taping after the irradiation on 6 days of each week for the two weeks. Before and after the 2 weeks of treatment, both groups were evaluated for pain, their active and passive range of motion (AROM and PROM) of the shoulder, as well as the range of motion (ROM) of the shoulder joint, and their Constant-Murley score (CMS). The subjects also evaluated the functioning of their own shoulders using a visual analogue scale (VAS). Results After the treatment, the average VAS scores of both groups were significantly higher than before the treatment, but the observation group′s average was significantly higher than that of the control group. There was significant improvement in the average AROM and PROM in both groups, but in the observation group the average AROM in anteflexion, rear protraction, abduction and extorsion and the average PROM in anteflexion and abduction were significantly better than the control group′s averages. The average total CMS scores of both groups had also improved significantly, but with significantly greater improvement in the observation group leading to a significant difference between the two groups after the intervention. Conclusions Supplementing water-filtered infrared-A irradiation with kinesio taping is very effective in relieving pain, as well as improving ROM and life quality for persons with scapulohumeral periarthritis. |
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