肩周炎关节功能分级与AKA疗效

Grading of Shoulder Joint Function with Scapulo-humeral Periarthritis and AKA Therapeutic Effect

87例肩周炎患者采用AKA治疗并以患肩外展活动度划分肩功能等级，其治疗效果优于传统治疗组（医疗体操、推拿，P＜0．01）。提示：患肩外展活动受限是肩周炎的重要征象之一，以此为据划分肩功能等级，评估治疗效果是一种简便可行的方法。AKA以改营关节囊内运动为主要治疗目的，填补了目前运动疗法的不足之处，是运动疗法不可缺少的组成部分之一，也是关节运动学功能异常的唯一治疗手段。

Eighty-seven patients with scapulo-humeral periathritis were treated by arthrokinematic approach (AKA) their shoulder joint function was appraised according to the degrees of how the pgtient's shoulder can be outwardly extended. It was found the therapeutic effects in AKP group was much better than that in the traditionally treated group (physicai exercises and massage, P<0.01). The difficuities in the shoulder,s outward movements is one of important symptoms. It is suggested this method is both a feasible and a convenient way to classify the shoulder,s movement functions and to identify the rtreatment effects. Meanwhile, AKA aims at the improvement of the inner shoulder joint movement,which remedies the shortcomings of the present therapeutic exercises. Therefore, AKA is an indispensable composite of therapeutic exercises, and also the only approach in the treatment of joints abnormal functions.