手法结合液压扩张治疗冻结期冻结肩的临床研究

Clinical Research of Frozen Shoulder at Frozen Stage Treated with Massage Manipulation and Hydraulic Distension

目的观察手法结合液压扩张治疗冻结期冻结肩的临床疗效。方法对58例(58肩)冻结肩患者采用手法结合液压扩张治疗,治疗周期为1个月,为两次液压扩张和10次手法。治疗开始后1、3和6个月进行随访,记录患者的症状、关节活动度、有无不良事件并进行UCLA评分。结果治疗前UCLA评分为(16.33±1.18)分;治疗后1个月时为(33.95±1.26)分,3个月时为(34.84±0.49)分,6个月时均为(35±0)分。治疗后随访评分与治疗前比较,差异均有统计学意义(P<0.01)。治疗1个月时,58例患者中优39例(67.24%),良19例(32.76%);3个月时优55例(94.83%),良3例(5.17%);6个月时均为优。结论手法结合液压扩张治疗冻结期冻结肩,能够在较短时期内减轻疼痛,较快地恢复关节功能,不良事件少而且轻微,可明显地缩短冻结肩的病程,并且疗效维持满意。

Objective To observe the clinical efficacy on frozen shoulder at frozen stage treated with massage manipulation and hydraulic distension.Methods 58 cases（58 shoulders）of frozen shoulder were treated with massage manipulation and hydraulic distension.The treating period was 1 month,including twice hydraulic distension and 10 times of manipulation.The follow-up visit was performed in 1,3 and 6 months after treatment separately.The results of symptoms,the range of joint,the adverse events and UCLA were recorded.Results The score of UCLA was（16.33±1.18）before treatment,was（33.95±1.26）in 1 month after treatment,was（34.84±0.49）in 3 months after treatment and was（35±0）in 6 months after treatment.The statistical different significance presented before and after treatment（P0.01）.In 1 month after treatment,of 58 cases,the excellent result was seen for 39 cases（67.24%）and the good result was for 19 cases（32.76%）;in 3 months after treatment,the excellent result was for 55 cases（94.83%）and the good result was for 3 cases（5.17%）;in 6 months after treatment,the excellent result was obtained for all the cases.Conclusion The massage manipulation combined with hydraulic distension can alleviate pain and recover joint motor function quickly,with less adverse events reported in the treatment of frozen shoulder at frozen stage.This therapy can remarkably shorten the duration of disease and maintain a satisfactory efficacy.