理筋正骨手法联合功能锻炼治疗肩袖损伤的临床观察

摘要

目的:探讨理筋正骨手法联合功能锻炼治疗轻中度肩袖损伤的临床疗效.方法:选择40例轻中度肩袖损伤的患者,随机分为治疗组和对照组,每组20例.治疗组给予理筋正骨疗法和功能锻炼,对照组给予与治疗组相同的理筋正骨手法治疗.依据治疗前后患者压痛程度,肩关节前屈、外展、内旋和外旋活动度(ROM)的改善情况以及美国加州洛杉矶大学(UCLA)肩关节评分系统对患者功能变化进行评估,并进行疗效观察.结果:与同组治疗前比较,两组治疗后疼痛程度降低,肩关节前屈、外展、内旋和外旋活动度增加,UCLA肩关节评分提高(均P＜0.05);治疗组改善情况均优于对照组,组间差异有统计学意义(P＜0.05).治疗组总有效率为95.0％,对照组总有效率为65.0％,治疗组高于对照组(P＜0.05).结论:理筋正骨手法联合功能锻炼可缓解轻中度肩袖损伤患者的疼痛,增加肩关节活动度,改善患者的生活质量,其疗效优于单纯的理筋正骨手法治疗.%Objective:To explore the clinical efficacy of sinew-regulating and bone-setting manipulation combined with functional exercise to treat mild to moderate rotator cuff injury (RCI).Methods:Forty patients with mild to moderate RCI were randomly divided into a treatment group and a control group,with 20 cases in each group.The treatment group was given sinew-regulating and bone-setting manipulation combined with functional exercise,and the control group was given the same manipulation as the treatment group.The therapeutic effect on the functional improvement was assessed after treatment according to pain threshold,shoulder range of motion (ROM) including flexion,abduction,internal rotation and external rotation,and the University of California at Los Angeles (UCLA) shoulder rating score.Results:Compared with the same group before treatment,the pain threshold,shoulder flexion,abduction,internal and external rotations increased after the treatment in the two groups (all P＜0.05).The UCLA shoulder rating score increased (both P＜0.05).The improvement in the treatment group is significantly better than that in the control group with a statistical significance (P＜0.05).The total effective rate was 95.0％ in the treatment group,was higher than 65.0％ in the control group (P＜0.05).Conclusion:The sinew-regulating and bone-setting manipulation combined with functional exercise relieve the pain of patients with mild to moderate RCI,increase the motion of shoulder joints,and improve the quality of life of patients.The curative effect is better than the treatment of simple sinew-regulating and bone-setting manipulation.