PNF结合扳机点按压治疗肱骨外上髁炎疗效观察

Efficacy of Combination Therapy of PNF and Trigger Point Massage against Lateral Epicondylitis

目的:观察本体感觉神经肌肉促进(PNF)结合扳机点按压治疗肱骨外上髁炎的效果。方法:42例肱骨外上髁炎患者接受PNF结合扳机点按压治疗。PNF法:患者坐位。(1)患侧腕关节被动屈曲、前臂被动旋前至最大幅度,然后肘关节被动伸直,持续15″;(2)在此位置做腕关节伸直、前臂旋后、肘关节屈曲抗阻运动,持续7″;(3)患侧腕关节被动屈曲、前臂被动旋前至更大幅度,然后肘关节被动伸直,持续15″;(4)重复(2)、(3)至少5次。扳机点按压方法:患者坐位,选取桡侧腕短伸肌扳机点和桡侧腕长伸肌扳机点进行按压。每次3组,每组持续5分钟,组间休息2分钟。PNF和扳机点按压每日各1次,7日为一个疗程,疗程间休息1日,连续治疗3个疗程。结果:3个疗程结束时,42例患者痊愈15例(35.71%),显效18例(42.86%),有效9例(21.43%),总有效率100%。结论:PNF结合扳机点按压治疗肱骨外上髁炎有良好的疗效,值得推广应用。

Objective： to investigate the efficacy of combination therapy of proprioceptive neuromuscular facilitation（ PNF） and trigger point massage against lateral epicondylitis of tennis students. Methods： forty-two patients with lateral epicondylitis were enrolled for combined treatment of PNF and trigger point massage. PNF procedures：patients sit in a upright posture,and（ 1） moved treated wrist flexed and forearm pronated passively to the maximum,and then kept elbow extending for 15″,（ 2） kept extending wrist and supinating forearm and flexing elbow against resistance in this position for 7″,（ 3） moved wrist flexed and forearm pronated passively even further,and then kept elbow extending for 15″,（ 4） repeated（ 2） and（ 3） at least 5 times. Trigger point massage procedures：patients sit in a upright posture with trigger point massage of extensor carpi radialis longus and extensor carpi radialis brevis for 3 sets,5 minutes each set,2 minutes rest intervals between sets. The performance of PNF and trigger point massage was once daily for three courses. A course included 7 days,and there was an interval of one day between courses. Results： among 42 patients,15（ 35. 71%） were clinically cured,18（ 42. 86%） observably relieved,and 9 cases（ 21. 43%） generally relieved at the end of the third course. Total effective rate was 100%.Conclusion： our results suggested that combination therapy with PNF and trigger point massage was effective and should be considered as first- line treatment in patients with lateral epicondylitis.