CPM与弹道式冲击波联合Kaltenborn关节松动术治疗肩周炎粘连期临床疗效

Clinical Effect of CPM and Ballistic Shock Wave Combined with Kaltenborn Joint Loosening in the Treatment of Scapulohumeral Periarthritis Adhesion Stage

目的:分析持续被动运动与弹道式冲击波联合Kaltenborn关节松动术治疗肩周炎粘连期疗效。方法:纳入2021年12月~2023年7月本院收治确诊的肩周炎粘连期患者60例,将接受Kaltenborn关节松动术+常规康复治疗的30例作为对照组,在对照组基础上加用弹道式冲击波结合CPM治疗的30例作为观察组,对比治疗效果。结果:治疗1、2、4周观察组VAS评分较对照组低(P<0.05);治疗4周,观察组肩关节JOA分值、Constant-Murley肩关节功能评分均较对照组高,肩关节活动度较对照组大(P<0.05)。结论:CPM与弹道式冲击波联合Kaltenborn关节松动术治疗粘连期肩周炎患者效果显著,能缓解肩部疼痛、改善肩关节活动能力与提高肩AROM。

Objective:To analyze the therapeutic effect of continuous passive motion and ballistic shock wave combined with Kaltenborn joint loosening in the treatment of scapulohumeral periarthritis in the adhesive phase.Methods:60 cases of shoulder periarthritis with adhesive stage diagnosed in our hospital were included in this study.30 cases who received Kaltenborn joint loosening plus routine rehabilitation treatment were selected as the control group,and 30 cases who received the treatment based on the control group plus bullet-shock wave combined with CPM were selected as the observation group,and the therapeutic effect was compared.Results:VAS score of observation group was lower than control group after 1,2 and 4 weeks of treatment(P<0.05);After 4 weeks of treatment,the shoulder JOA score and Constant-Murley shoulder function score in the observation group were higher than those in the control group,and the shoulder motion was greater(P<0.05).Conclusion:CPM and projectile shock wave combined with Kaltenborn joint loosening is effective in the treatment of patients with periarthritis of shoulder during adhesion period,which can relieve shoulder pain,improve shoulder mobility and increase shoulder AROM.