动态关节松动术结合离心训练对肱骨外上髁炎的疗效观察

目的:观察动态关节松动术结合离心训练对肱骨外上髁炎的治疗效果。方法:选取40例肱骨外上髁炎患者随机分成对照组、观察组各20例,对照组采用Biodex等速训练仪进行腕背伸肌离心训练,观察组在接受上述治疗的基础上,同时接受肘关节动态关节松动治疗。在治疗前和治疗4周后分别对各组患者采用视觉模拟量表(VAS)、无痛握力(PFG)及网球肘分级评定(PRTEE)进行临床疗效评估。结果:治疗4周后,2组患者VAS评分、PRTEE疼痛、功能及总分均较治疗前明显降低(均P<0.05),且观察组更低于对照组(P<0.05)。治疗后,2组PFG评分均明显高于治疗前(均P<0.05),且观察组更高于对照组(P<0.05)。结论:动态关节松动结合离心训练对肱骨外上髁炎患者疗效明显,可有效改善患者疼痛及日常生活活动能力,值得临床推广使用。

Efficacy of movement with mobilization combined with eccentric training in the treatment of lateral epicondylitis

Objective:To observe the therapeutic effectiveness of movement with mobilization(MWM)combined with eccentric training for lateral epicondylitis.Methods:Forty patients with lateral epicondylitis were randomly divided into the control group and the observation group.The control group received eccentric training of the extensor of the wrist with Biodex isokinetic training instrument.The observation group received MWM of the elbow joint on the basis of the control group.The visual analogue scale(VAS),pain free grip strength(PFG)and patient-rated tennis elbow evaluation(PRTEE)were evaluated before and 4 weeks after treatment.Results:After 4 weeks of treatment,the evaluation results of the two groups were better than those before treatment(P<0.05),and the indexes in the observation group were significantly better than those in the control group(P<0.05).Conclusion:MWM combined with eccentric training has obvious curative effectiveness for patients with lateral epicondylitis,which can effectively improve patients’pain and activities of daily living,which is worthy of clinical application.