Mulligan动态关节松动术治疗老年创伤性肩周炎的疗效观察

Effects of Mulligan dynamic joint mobilization in the treatment of traumatic periarthritis of shoulder in the elderly

目的观察Mulligan动态关节松动术治疗老年创伤性肩周炎的临床疗效。方法选取2019年6月至2020年9月江苏省老年病医院传统医学科收治的60例>60岁老年创伤性肩周炎病人,分为治疗组、对照组,每组30例。对照组采用运动疗法和关节松动术治疗,治疗组采用运动疗法和Mulligan动态关节松动术治疗。2组每天治疗1次,1周5次,共6周。在治疗前及治疗6周后分别采用肩关节疼痛VAS和肩关节功能评定量表(Constant-Murley)对病人肩关节功能与疗效进行评估。结果经过6周治疗,2组病人VAS评分较治疗前均有下降(P<0.05),Constant-Murley评分均有上升(P<0.05);治疗组VAS评分和Constant-Murley评分均优于对照组(P<0.05)。结论Mulligan动态关节松动术治疗老年创伤性肩周炎疗效更确切,方法更高效,值得临床推广应用。

Objective To observe the clinical effects of Mulligan dynamic joint mobilization in the treatment of traumatic periarthritis of shoulder in the elderly.Methods From June 2019 to September 2020,60 elderly patients with traumatic periarthritis of shoulder were selected from Department of Traditional Medicine of Jiangsu Province Gerintric Hospital,and they were divided into the observation group(n=30)and the control group(n=30).The control group was given exercise therapy and joint mobilization,while the observation group was given exercise therapy and Mulligan dynamic joint mobilization.Each group was treated once a day,5 times a week,for 6 weeks.The visual analogue scale(VAS)of shoulder pain and the Constant-Murley shoulder function rating scale were used to evaluate the function and efficacy of the patients before and after 6 weeks of treatment.Results After 6 weeks of treatment,the score of VAS in both groups was significantly decreased,while Constant-Murley score was significantly increased(P<0.05),especially in the observation group(P<0.05).Conclusions Mulligan dynamic joint mobilization is effective in the treatment of traumatic periarthritis of shoulder in the elderly,which is worthy of clinical promotion and application.