| 背后臂屈伸锻炼配合手法治疗粘连性肩周炎 |
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投稿时间：2020-01-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 张帆 |
ZHANG Fan |
浙江中医药大学附属温州中医院, 浙江 温州 325000 |
Wenzhou TCM Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine, Wenzhou 325000, Zhejiang, China |
zf169169@126.com |
| 詹红生 |
ZHAN Hong-sheng |
上海中医药研究院骨伤科研究所, 上海 201203 |
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| 王庆来 |
WANG Qing-lai |
浙江中医药大学附属温州中医院, 浙江 温州 325000 |
Wenzhou TCM Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine, Wenzhou 325000, Zhejiang, China |
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| 吴惠明 |
WU Hui-ming |
浙江中医药大学附属温州中医院, 浙江 温州 325000 |
Wenzhou TCM Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine, Wenzhou 325000, Zhejiang, China |
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| 周江涛 |
ZHOU Jiang-tao |
浙江中医药大学附属温州中医院, 浙江 温州 325000 |
Wenzhou TCM Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine, Wenzhou 325000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2020年，第33卷，第7期，第662-664页 |
| DOI：10.12200/j.issn.1003-0034.2020.07.014 |
| 基金项目: |
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中文摘要:
目的： 探讨背后臂屈伸锻炼配合手法治疗粘连性肩周炎的临床疗效。
方法： 自2016年3月至2018年4月，对53例以疼痛活动受限为主症的粘连性肩周炎患者采用背后臂屈伸锻炼配合手法治疗，其中男22例，女31例；年龄45~71（51.63±5.79）岁；病程3~24（8.62±3.73）个月。手法治疗每周1次，背后臂屈伸锻炼每日3组，每组15次，共治疗4周。分别于治疗前和治疗1周及1、3个月后采用视觉模拟评分（visual analogue scale，VAS），Constant-Murley肩关节评分系统对患者肩关节功能进行评估。
结果： 所有患者获得随访，时间3~12（5.91±3.55）个月。治疗前VAS评分为（4.02±1.46）分，治疗后1周及1、3个月分别为（3.15±1.54）分、（1.98±1.37）分、（1.12±0.86）分，治疗后不同时间点较治疗前显著降低；治疗前Constant-Murley评分为（42.70±5.72）分，治疗后1周及1、3个月分别为（54.25±6.34）分、（67.45±6.84）分、（82.40±6.63）分；治疗后与治疗前比较差异有统计学意义；其中优19例，良22例，中9例，差3例。
结论： 采用背后臂屈伸锻炼配合手法治疗粘连性肩周炎可有效缓解疼痛，改善功能，是一种简便有效的治疗方法。 |
| 【关键词】手法,骨科 肩凝症 运动疗法 |
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| Back arm flexion and extension combined with manipulation for the treatment of patient with adhesive scapulohumeral periarthritis |
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ABSTRACT
Objective: To observe clinical efficacy of back arm flexion and extension combined with manipulation in treating adhesive scapulohumeral periarthritis.
Methods: From March 2016 to April 2018,53 patients with adhesive scapulohumeral periarthritis were treated with back arm flexion and extension combined with manipulation,the main symptoms were shoulder pain and limited activity. There were 22 males and 31 females aged from 45 to 71 years old with an average of (51.63±5.79) years;the courses of disease ranged from 3 to 24 months with an average of(8.62±3.73) months. Manipulation treatment was carried out once a week,and back arm flexion and extension were performed for 3 times a day with 15 movements each time,totally 4 weeks for a single course. Visual analogue scale (VAS) and Constant-Murley shoulder function score were observed and compared before treatment and one week,one and three months after treatment.
Results: All patients were followed up from 3 to 12 months,with an average of (5.91±3.55) months. VAS score before treatment was 4.02±1.46,and was improved to 3.15±1.54,1.98±1.37,1.12±0.86 respectively at one week,one and three months after treatment. Constant-Murley score before treatment was 42.70±5.72,and improved to 54.25±6.34,67.45±6.84,82.40±6.63 at one week,one and three months after treatment respectively;19 patients got excellent result,22 good,9 fair and 3 poor.
Conclusion: Back arm flexion combined with manipulation for the treatment of adhesive scapulohumeral periarthritis could effectively relieve pain,improve shoulder function,which is a simple effective treatment strategy. |
| KEY WORDS Manipulation,orthopedic Frozen shoulder Exercise therapy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张帆,詹红生,王庆来,吴惠明,周江涛.背后臂屈伸锻炼配合手法治疗粘连性肩周炎[J].中国骨伤,2020,33(7):662~664 |
| 英文格式: | ZHANG Fan,ZHAN Hong-sheng,WANG Qing-lai,WU Hui-ming,ZHOU Jiang-tao.Back arm flexion and extension combined with manipulation for the treatment of patient with adhesive scapulohumeral periarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(7):662~664 |
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