基于骨错缝、筋出槽理论整脊治疗非急性期肩周炎临床研究

Clinical Study on Spinal Rotation Massage for Periarthritis Humeroscapularis at Non-Acute Phrase Based on Theory of Bone Dislocation and Tendon Deviating from Groove

目的:观察基于骨错缝、筋出槽理论整脊治疗肩周炎非急性期的临床疗效。方法:将68例肩周炎非急性期患者按随机数字表法分为治疗组和对照组各34例。对照组给予推拿手法治疗,治疗组给予整脊手法结合推拿手法治疗,7 d为1个疗程,2组均连续治疗3个疗程。治疗后比较2组临床疗效,观察2组肩关节疼痛及肩关节活动度的改善情况。结果:经Mann-Whitney U检验,2组临床疗效比较,差异无统计学意义(P>0.05)。治疗后,2组疼痛评分均较治疗前降低,治疗组疼痛评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组肩关节外展、前屈、外旋、内旋活动度均较治疗前改善,治疗组肩关节外展、前屈、外旋、内旋活动度均优于对照组,差异均有统计学意义(P<0.05)。结论:整脊疗法与推拿均能有效治疗非急性期肩周炎,在推拿基础上应用整脊疗法在缓解患者疼痛、改善其肩关节活动范围方面均优于单纯使用推拿治疗。

Objective:To observe the clinical effect of spinal rotation massage for periarthritis humeroscapularis at non-acute phrase based on theory of bone dislocation and tendon deviating from groove. Methods:A total of 68 cases of patients with periarthritis humeroscapularis at non-acute phrase were divided into the treatment group and the control group according to the random number table method, 34 cases in each group. The control group was given tuina manipulation, and the treatment group was given spinal rotation massage combined with tuina manipulation. Both groups were continuously treated for three courses,seven days being a course. After treatment,the clinical effect was compared between the two groups;the improvement of pain and range of motion of the shoulder joint were observed in the two groups. Results:According to Mann-Whitney,there was no significant different being found in the comparison of the clinical effect between the two groups(P>0.05). After treatment, the scores of pain in the two groups were decreased when compared with those before treatment,and the score above in the treatment group was lower than that in the control group,differences being significant(P<0.05). After treatment,the range of motion of abduction,ante-flexion,external rotation,and internal rotation of the shoulder joint in the two groups was improved when compared with that before treatment,and the range of motion above in the treatment group was better than that in the control group, differences being significant(P<0.05). Conclusion:Spinal rotation massage and tuina both can effectively treat periarthritis humeroscapularis at non-acute phrase. The combined therapy of spincal massage and tuina is superior to the simple use of tuina in relieving pain and improving range of motion of the shoulder joint.