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关节松动术联合冰敷治疗冻结肩的临床研究
引用本文:魏智钧,李华,李雪,欧阳颀,张艳成,忻菲菲,李自立.关节松动术联合冰敷治疗冻结肩的临床研究[J].中国康复,2011,26(4):271-272.
作者姓名:魏智钧  李华  李雪  欧阳颀  张艳成  忻菲菲  李自立
作者单位:北京军区总医院理疗科,北京,100700
摘    要:目的:观察关节松动术及冰敷改善肩关节功能障碍的疗效和安全性。方法:冻结肩患者65例,随机分为综合组33例和对照组32例,均给予关节松动术,包括盂肱关节分离牵引,长轴牵引,肩前屈、内旋、后伸外旋和外展等活动。综合组关节松动术后即给予局部冰疗20~30min。治疗前后采用疼痛视觉模拟评分(VAS)和Con-stant-Murley肩关节功能评定法(C-M评分)对肩关节疼痛程度和活动范围评定。结果:经过15d的治疗,2组VAS评分较治疗前明显下降,C-M评分明显提高,综合组较对照组更显著(均P〈0.01);临床疗效比较,综合组优良率明显高于对照组(P〈0.05)。结论:关节松动术联合冰敷治疗冻结肩可显著提高治愈率,改善肩关节运动功能。

关 键 词:冻结肩  关节松动术  冰敷

Treatment of Frozen Shoulder by Joint Mobilization Combined with Ice Therapy
WEI Zhi-jun,LI Hua,LI Xue,et al..Treatment of Frozen Shoulder by Joint Mobilization Combined with Ice Therapy[J].Chinese Journal of Rehabilitation,2011,26(4):271-272.
Authors:WEI Zhi-jun  LI Hua  LI Xue  
Institution:WEI Zhi-jun,LI Hua,LI Xue,et al.Department of Physical Therapy,General Hospital of Beijing Military Command,Beijing 100700,China
Abstract:Objective:To evaluate clinical therapeutic effects and safety of joint mobilization combined with ice therapy for treatment of frozen shoulder.Method:Sixty-five patients with frozen shoulder were randomly divided into two groups:the combined treatment group(n=33) receiving joint mobilization combined with ice therapy,and the control group(n=32) receiving joint mobilization only.All the patients were assessed with Visual Analogue Scale(VAS) and Constant-Murley Scale(C-M scale) before and after the treatment....
Keywords:frozen shoulder  joint mobilization  ice therapy  
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