徒手治疗联合运动疗法对慢性肩袖损伤的临床治疗效果评价

Evaluation of clinical effect of manual therapy combined with exercise therapy in the treatment of chronic rotator cuff injury

目的:探讨徒手治疗联合运动疗法治疗慢性肩袖损伤的临床效果。方法:将我院2016年1月—2017年12月治疗的32例慢性肩袖损伤患者分组(随机数字表法)。对照组给予物理方法如电疗、针灸等,观察组则给予徒手治疗联合运动疗法治疗。比较两组慢性肩袖损伤治疗总有效率;损伤修复时间;治疗前后患者肩关节功能评分、关节活动度、疼痛VAS评分;肿胀、疼痛等的发生率。结果:观察组慢性肩袖损伤治疗总有效率高于对照组,P<0.05;观察组损伤修复时间短于对照组,P<0.05;治疗前两组肩关节功能评分、关节活动度、疼痛VAS评分相近,P>0.05;治疗后观察组肩关节功能评分、关节活动度、疼痛VAS评分优于对照组,P<0.05。观察组肿胀、疼痛等的发生率显著低于对照组,P<0.05。结论:徒手治疗联合运动疗法治疗慢性肩袖损伤的应用效果确切,可有效改善关节功能和活动度,加速关节功能和活动度达标,且无严重不良反应,安全有效,值得推广应用。

Objective： To explore the clinical effect of manual therapy combined with exercise therapy in the treatment of chronic rotator cuff injury. Methods： 32 patients with chronic rotator cuff injury treated in our hospital from January 2016 to December 2017 were divided into two groups （random number table method）. The control group was given physical methods such as electrotherapy and acupuncture, while the observation group was given manual therapy combined with exercise therapy. The total effective rate of chronic rotator cuff injury was compared between the two groups. Damage repair time, patients＇ shoulder joint function score before and after treatment, joint activity and pain VAS score, incidence of swelling, pain, etc. were also compared. Results： The total effective rate of chronic rotator cuff injury in the observation group was higher than that in the control group, P〈0.05. The injury repair time of the observation group was shorter than that of the control group, P〈0.05. Before treatment, the scores of shoulder joint function, joint activity and pain VAS of the two groups were similar, P〉0.05. After treatment, VAS scores of shoulder joint function, joint activity and pain in the observation group were better than those in the control group, P〈0.05. The incidence of swelling and pain in the observation group was significantly lower than that in the control group, P〈0.05. Conclusion： Manual therapy joint exercise therapy had significant effect in the treatment of chronic rotator cuff injury, it could effectively improve joint function and activity, and there was no serious adverse reaction, which was safe, effective and worth popularization and application.