关节动伸法联合小针刀治疗粘连期肩周炎的临床观察

Clinical Observation of Joint Movement and Extension Therapy Combined with Small Needle-Knife in Treating Scapulohumeral Periarthritis at Adhesive Stage

【目的】观察关节动伸法联合小针刀治疗粘连期肩周炎的临床疗效。【方法】将60例粘连期肩周炎患者随机分为治疗组和对照组,每组各30例。对照组给予小针刀配合康复功能锻炼疗法进行治疗。治疗组在对照组小针刀配合康复功能锻炼治疗的基础上,给予关节动伸法治疗。治疗4周后,观察2组患者治疗前后视觉模拟疼痛评分(VAS)以及肩关节功能评分(Constant-Murley评分)的变化情况,并评价2组的临床疗效。【结果】(1)治疗后,2组患者的VAS评分明显改善(P<0.05),且治疗组明显优于对照组,差异有统计学意义(P<0.05)。2组患者VAS评分治疗前后差值比较,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的Constant-Murley肩关节功能评分明显改善(P<0.05),且治疗组明显优于对照组,差异有统计学意义(P<0.05)。2组患者Constant-Murley肩关节功能评分治疗前后差值比较,差异有统计学意义(P<0.05)。(3)治疗组总有效率为93.33%(28/30),对照组为73.33%(22/30)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】关节动伸法联合小针刀治疗粘连期肩周炎,可以有效缓解肩关节周围组织的粘连,改善患者的疼痛症状,提高患者的肩功能,疗效显著。

Objective To observe the clinical efficacy of joint movement and extension therapy combined with small needle-knife in treating scapulohumeral periarthritis at adhesive stage. Methods Sixty patients with scapulohumeral periarthritis at adhesive stage were randomly divided into treatment group and control group, 30 cases in each group. The two groups received small needle-knife combined with rehabilitation training, additionally, the treatment group received joint movement and extension therapy. After 4 weeks of treatment,the changes in visual analogue scale(VAS)pain scores and shoulder joint function scores(Constant-Murley scores)in the two groups were observed before and after the treatment,and the clinical effects of the two groups were evaluated. Results(1)After treatment,the VAS scores of the two groups were significantly improved(P<0.05),and the improvement of the treatment group was superior to that of the control group(P < 0.05). The differences of differences of VAS scores before and after treatment in the two groups were statistically significant(P<0.05).(2)After treatment,the Constant-Murley shoulder function scores of the two groups were significantly improved(P<0.05),and the improvement of the treatment group was superior to that of the control group(P < 0.05). The differences of differences of Constant-Murley shoulder function scores before and after treatment in the two groups were statistically significant(P<0.05).(3)The total response rate was 93.33%(28/30)in the treatment group and73.33%(22/30)in the control group, and the improvement of the treatment group was superior to that of the control group(P < 0.05). Conclusion Joint movement and extension therapy combined with small needle-knife is effective for the treatment of scapulohumeral periarthritis at adhesive stage,can effectively alleviate the adhesion of the tissues around the shoulder joint,improve the pain symptoms of the patients,and improve the shoulder function of the patients.