Kaltenborn及Maitland关节松动手法对不可复性关节盘前移患者开口度改善的临床疗效比较

目的:分析不可复性关节盘前移患者采用不同手法治疗后的效果。方法:40例不可复性关节盘前移患者分别采取Kaltenborn和Maitland关节松动手法治疗1个月。评估两组患者治疗前、治疗后1、3个月的最大开口度和颞下颌关节疼痛程度变化。结果:采用独立样本t检验,治疗前,两组最大开口度与VAS疼痛评分组间比较差异无统计学意义(P>0.05)。治疗后1、3个月,两组最大开口度依次增加且Kaltenborn组大于Maitland组,VAS疼痛评分依次降低且Kaltenborn组低于Maitland组(P<0.05)。结论:Kaltenborn关节松动手法在改善不可复性关节盘前移患者开口度上比Maitland手法效果更佳,且可减轻颞下颌关节疼痛感。

Effectiveness of Kaltenborn Joint Mobilization Technique Versus Muscle Energy Technique on Pain and Disability in Patients with Shoulder Adhesive Capsulitis

The objective of this study was to compare the effectiveness of Kaltenborn joint mobilization techniques with muscle energy techniques in adhesive capsulitis.Study was conducted in population of Sargodha who is seeking physiotherapy treatment for adhesive capsulitis in physiotherapy rehabilitation departments and centers.The study design was randomized,controlled,and multicenter.Around 75 patients were selected by inclusion and exclusion criteria,and were divided into three groups by lottery method of randomization.Group 1 obtained Kaltenborn method of treatment,Group 2 obtained muscle energy technique,and Group 3 is control group that obtained conventional treatment in the form of heat and range of motion exercises.Duration of study was 6 months,and the interventions were performed for two weeks,with a total of 10 sessions.A baseline measurement was taken on shoulder pain and disability index(SPADI).A post intervention measurement was taken on same outcome measurement tools and was compared using ANOVA statistical analysis.The pre-intervention measurements on SPADI were 61.11±8.79,60.91±9.90,and 61.18±9.00 in control,Kaltenborn,and METs groups,respectively.The post intervention measurements were 49.33±9.95,39.09±9.45,and 27.69±11.97 in control,Kaltenborn,and METs groups,respectively.This study concluded that both techniques are effective in the treatment of adhesive capsulitis to decrease the pain and disability in experimental groups in comparison to control groups.METs is superior to Kaltenborn in pain and disability management when compared to each other.

动态关节松动术治疗桡骨远端骨折后关节僵硬的初步研究

目的初步研究动态关节松动术对桡骨远端骨折后关节僵硬的疗效及应用价值。方法将18例桡骨远端骨折后关节僵硬的患者分为动态关节松动术组10例和对照组8例。动态关节松动术组采用动态关节松动术治疗,对照组采用Kaltenborn关节松动术治疗,3周后对两组治疗前后的腕部关节活动度和关节功能进行比较。结果动态关节松动术组与对照组治疗后的腕关节活动度及关节功能均优于康复治疗前(P<0.05)。治疗后两组患者之间的关节活动度和功能无明显差异(P>0.05)。结论动态关节松动术是一种治疗桡骨远端骨折后关节僵硬的有效手段,可作为该类患者的康复方法之一。