手法配合TDP物理治疗冈下肌筋膜痛疗效观察

Efficacy Observation on Massage Combined with TDP Physical Therapy on Infraspinatus Myofascial Pain

目的：探讨拇指推、按、拨络手法配合TDP物理治疗冈下肌筋膜痛的临床疗效。方法：95例冈下肌筋膜痛门诊患者随机随机分为三组，治疗组采用拇指推、按、拨络手法配合TDP治疗仪物理治疗；对照组A仅用拇指推、按、拨络手法，对照组B采用TDP治疗仪物理治疗，参照宣氏评定标准对比分析三组临床疗效。结果：治疗组总有效率为94．3％，均显著高于对照组A和B（P〈0．05）。结论：拇指推、按、拨络手法配合TDP治疗仪物理治疗能有效提高冈下肌筋膜痛的临床疗效，安全简便，可操作性强。

Objective： To investigate the clinical efficacy of thumb pushing, press, kneading method and TDP physical therapy on infraspinatus myo- fascial pain. Methods： 95 cases of clinic patients with infraspinatus myofascial pain were randomly divided into three groups, treatment group adopt- ed thumb pushing, press, kneading method and TDP physical therapy, control group A only with thumb pushing, press and kneading method, control group B with TDP physical therapy, the clinical curative effects of the three groups were compared and analyzed according to Xuan＇s evaluation stan- dard. Results： The total effective rate of treatment group was 94.3%, significantly higher than that of control groups A and B （P〈0.05）. Conclusion： Thumb pushing, press, kneading method and TDP physical therapy can effectively improve the clinical efficacy in infraspinatus myofascial pain, which is safe and simple with strong operability.