姿势解密技术治疗粘连期肩周炎疗效观察

Efficacy of discovery of posture technique for scapulohumeral periarthritis in adhesion stage

目的:观察姿势解密技术治疗粘连期肩周炎的临床疗效。方法:选取30例粘连期肩周炎患者随机分为观察组和对照组各15例。观察组患者给予姿势解密技术治疗,对照组患者给予传统推拿手法。2组患者均于治疗前、治疗1次、治疗4次、治疗结束后1个月进行疼痛视觉模拟评分(VAS)、肌肉压痛阈值(PPT)、肩关节活动度(ROM)、肩关节功能评分(CMS)、肩胛骨内上角到胸椎第二棘突垂直距离差绝对值评估;于治疗前、治疗4次后进行肩峰肱骨头间距(AHI)的评估。结果:2组患者治疗1次、治疗4次、治疗后1个月VAS评分均较治疗前下降(均P<0.05),CMS、ROM、胸小肌、冈上肌、三角肌压痛阈均较治疗前提高(均P<0.05),治疗4次及治疗后1个月观察组VAS评分较对照组下降(P<0.05),CMS、三肌肉压痛阈较对照组有提高(P<0.05),各时间点观察组ROM较对照组有提高(P<0.05),各时间点观察组肩胛下肌肉压痛阈值较治疗前及对照组提高(P<0.05),距离差绝对值较治疗前及对照组下降(P<0.05),治疗4次观察组AHI较治疗前及对照组增大(P<0.05)。结论:姿势解密技术能有效改粘连期肩周炎症状,使肩胛骨更好的恢复到中立位。

Objective:To observe the clinical effectiveness of discovery of posture technique on scapulohumeral periarthritis in adhesion stage.Methods:A total of 30 patients with periarthritis of scapuhumeral adhesion were selected from the outpatient department of rehabilitation medicine of Affiliated Hospital of Qingdao University from August 2020 to May 2021 and met the inclusion criteria.According to the random number table method,the patients were divided into observation group(15 cases)and control group(15 cases).Patients in the observation group were treated with discovery of posture technique,and those in the control group were treated with traditional manipulation.Each treatment lasted for 30 min,twice a week,for a total of 2 weeks.Visual analog scale(VAS),pressure pain threshold(PPT),range of motion(ROM),constant murley score(CMS),and absolute vertical distance difference between the upper angle of scapula and the second spinous process of thoracic vertebra were evaluated before treatment,one and 4 times of treatments,and one month after treatment.The acromiohumeral interval(AHI)was assessed before and 4 times after treatment.Results:VAS score,CMS,ROM,and the tenderness thresholds of pectoralis minor muscle,suprapinatus muscle and deltoid muscle were all improved in 2 groups after 1 and 4 times of treatment,and 1 month after treatment(P<0.05).VAS score,CMS and the tenderness thresholds of pectoralis minor muscle,suprapinatus muscle and deltoid muscle in the observation group were improved as compared with those in the control group after 4 times of treatment and 1 month after treatment(P<0.05).As compared with the control group,the ROM in the observation group was improved at each time point(P<0.05).The tenderness threshold of subscapular muscle and the absolute distance between the upper angle of the scapula and the second thoracic spinous process in the observation group were improved at each time point as compared with those before treatment and the control group(P<0.05).After 4 times of treatment,AHI in the observation group was increased as compared with that before treatment and control group(P<0.05),and there was no statistically significant difference in the control group before and after treatment.Conclusion:Discovery of posture technique can effectively change the symptoms of periarthritis of shoulder in the adhesion stage,so that the scapula can be better restored to the neutral position.