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冲击波治疗肩周炎的单盲研究
引用本文:周 宁,邵 彬,陈 勇,彭 军,岳 翔,张 强.冲击波治疗肩周炎的单盲研究[J].中国康复医学杂志,2009,24(6):537-539.
作者姓名:周 宁  邵 彬  陈 勇  彭 军  岳 翔  张 强
作者单位:华中科技大学同济医学院附属同济医院康复医学科,武汉,430032
摘    要:目的:用单盲的研究方法评定冲击波治疗(ESWT)肩周炎的临床效果。方法:选取47例肩周炎患者,将其随机分为两组,其中冲击波治疗组给予冲击波治疗(n=26),对照组给予关节松动术加短波治疗(n=21)。简化McGill疼痛问卷(short form McGill pain questionaire, SF-MPQ)用来评估患者治疗前,疗程结束时,疗程结束后第1周,第4周,第8周疼痛症状的改变,肩关节功能使用关节活动度(ROM)改变来评估治疗前与疗程结束时的变化。结果:试验结束后,两组患者的疼痛症状较治疗前有

关 键 词:肩周炎    疼痛  关节松动术    冲击波治疗    关节活动度
收稿时间:2008/12/11 0:00:00

Extracorpereal shock wave therapy for scapulohumeral periarthritis: a single blind study
Institution:Dept. of Rehabilitative Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, 430032
Abstract:Objective: To evaluate clinical outcomes of extracorpereal shock wave therapy (ESWT) to scapulohumeral periarthritis in a single blind study. Method: Forty-seven patients with chronic, symptomatic scapulohumeral periarthritis were tested. A single blind controlled study was performed with 26 cases undergone ESWT ( ESWT group ) and 21 treated by joint mobilization combined with shortwave therapy ( control group). Pain and functional assessment were carried out according to the Short Form McGill Pain Questionaire (SF-MPQ) and range of motion (ROM). SF-MPQ was assessed pre-and post-treatment, and at the 1st week, 4th week and 8th week after the course of treatment and ROM was assessed pre- and post-treatment merely. Result:Patients of both groups got obvious relief in shoulder pain and great improvement of ROM, but compared with control group,there was no significant difference in SF-MPQ scores and promotion of ROM in ESWT group. Conclusion: As a good tolerant, safe, and time saving therapy, ESWT can be utilized as an alternative treatment for scapulohumeral periarthritis.
Keywords:scapulohumeral periarthritis  pain  joint mobilization  extracorpereal shock wave therapy  range of motion
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