吊单杠锻炼在肩背部肌筋膜炎防治中作用的临床对照试验

Controlled clinical trials on the treatment and prevention of shoulder and back fasciitis using horizontal bar exercises

目的:探讨一种防治肩背部肌筋膜炎的功能锻炼方法。方法:2006年8月至2008年3月治疗120例肩背部肌筋膜炎患者,随机分为治疗组60例与对照组60例,对照组中男39例,女21例;平均年龄(47.0±12.0)岁;病程平均为(14.1±12.0)个月。治疗组中男41例,女19例;平均年龄为(43.7±9.9)岁;病程平均为(16.4±13.4)个月。两组分别采用推拿与推拿合吊单杠锻炼治疗,治疗3周后评价疗效。随访6～26个月,观察复发情况。结果:治疗3周后,患者疼痛、肩背沉重感、条索状改变、压痛、肩背功能5项指标的评分相对于治疗前明显改善,差异均有统计学意义(P<0.01)。治疗后治疗组与对照组这5项指标的差异也具有统计学意义(P<0.05)。对照组的复发率高于治疗组(P<0.01)。结论:在肩背部肌筋膜炎的治疗中加入吊单杠锻炼可以提高治疗效果,坚持锻炼又可以起到较好地预防复发的作用,值得临床推广。

Objective：To explore an exercise method for the prevention and treatment of the patients with shoulder and back fasciitis. Methods：From 2006.8 to 2008.3,120 patients with shoulder and back fasciitis were randomly divided into control group （n=60,including 21 females and 39 males, the average age was （47.0±12.0）years, and the average course of disease was （ 14.1± 12.0 ） months ） and treatment group （n=60, including 19 females and 41 males, the average age was （43.7±9.9） years, and the average course of disease was （ 16.4± 13.4 ）months ）. The patients in the control group received massage therapy and the ones in the treatment group were treated with massage therapy and horizontal bar exercise. After 3 weeks treatment, the curative effects of the patients in two groups were observed. All the patients were followed up for 6 to 26 months, the recurrence were observed. Results： After 3 weeks treatment,the scores of pain,sense of heaviness,strip sign,tenderness,shoulder and back function of the patients in two groups had significant differences compared with those before treatment（all P〈0.01 ）. After treatment, the scores of pain, sense of heaviness, strip sign, tenderness, shoulder and back function of the patients in the treatment group were lower than those in the control group （P〈0.05）. After 6 to 26 months following-up,the rate of recurrence in the treatment group was lower than that in the control group （P〈0.01）. Conclusion： Horizontal bar exercise is a simple, no expense and effective method in the prevention and treatment of shoulder and back fasciitis,which can improve the effect of the treatment and reduce the rate of recurrence.