悬吊运动疗法结合手法治疗肩关节周围炎的疗效

目的观察悬吊运动疗法（SET）结合手法治疗肩关节周围炎的疗效。方法将2009-04—2011-04于本院就诊的60例肩关节周围炎患者随机分成两组,观察组和对照组各30例。观察组采用SET技术结合手法治疗,对照组采用手法治疗结合磁振热治疗,疗程4周,治疗前后进行VAS评分,ROM测量评分。结果观察组经治疗后,肩部活动度（屈、伸、外展、内旋、外旋）改善程度明显好于对照组,两组疗效比较差异有统计学意义。结论 SET对肩关节周围炎有着较好的治疗效果,能够明显缓解疼痛症状,具有确切的治疗作用。     

小针刀加手法按摩治疗肩周炎55例

目的总结采用小针刀加手法按摩治疗肩周炎的经验。方法采用小针刀加手法按摩疗法在队治疗肩周炎55例。结果显效51例(92.7%),有效4例(7.3%),无效0例,总有效率达到100%。结论小针刀加手法按摩治疗肩周炎疗效较好,操作简便,适合在基层部队卫生机构推广应用。     

手法加穴位注射为主治疗粘连性肩周炎87例临床观察

肩周炎又称冻结肩、粘连性肩关节炎,是由于肩关节周围软组织病变而引起的肩关节疼痛和活动功能障碍,好发于50岁前后,左肩多于右肩,是临床上的常见病,以肩部疼痛和功能障碍为主要症状。肩周炎起病缓慢,病程长,病人痛苦大。     

巨针配合手法松解、中药热熨治疗肩周炎临床观察

目的观察巨针配合手法松解、中药热熨治疗肩周炎的临床疗效。方法随机抽取45例肩周炎患者采用巨针配合手法松解、中药热熨治疗作为治疗组,另随机抽取45例采用针刺肩三针法治疗作为对照组。治疗组3次/周,10次为1个疗程,2个疗程统计疗效;对照组5次/周,10次为1个疗程,2个疗程统计疗效。结果治疗组痊愈24例,痊愈显效率为93.3%;对照组痊愈8例,痊愈显效率55.6%。两组痊愈显效率比较差异有高度统计学意义(P<0.01)。结论巨针配合手法松解、中药热熨治疗肩周炎在改善症状,提高痊愈显效率方面具有明显优势。     

肩胛上神经阻滞治疗肩周炎的疗效观察与护理

目的观察肩胛上神经阻滞治疗肩周炎的临床效果。方法选择肩周炎患者96例。分为观察组50例,对照组46例。观察两组患者疗效及不良反应。结果两组比较,观察组总有效率92%,未见不良反应。结论肩胛上神经阻滞治疗肩周炎取得满意的临床疗效。     

异丙酚用于手法松解治疗肩周炎的护理

目的观察异丙酚用于手法松解肩周炎的效果。方法静脉注射1%异丙酚至病人呈麻醉状态后行手法肩关节松解术。结果本组病人术中呈麻醉状态,清醒后无痛苦记忆。经松解后肩周炎治疗有效率95.8%,优良率83.3%。结论本方法治疗肩周炎,安全、简便、无痛苦、临床效果好,无严重并发症,可在临床推广应用。     

电针加碘离子导入治疗肩周炎疗效观察及护理

目的观察电针加碘离子导入治疗肩周炎的临床疗效。方法肩周炎患者126例采用电针加碘离子导入治疗,同时加强护理,指导康复训练。结果126例患者经过3个疗程后进行疗效评定,治愈110例,好转16例,有效率100%。结论电针加碘离子导入治疗肩周炎同时进行恰当护理和功能训练,效果满意。     

微创扩张松解术治疗肩周炎临床疗效观察

目的观察微创扩张松解术治疗肩周炎的临床疗效。方法将45例肩周炎患者随机分为两组。治疗组23例,采用微创扩张松解术治疗;对照组22例,运用传统针灸疗法治疗。结果治疗组总有效率为95.68%,对照组为68.18%,差异有统计学意义(χ2=4.078,P<0.05)。结论微创扩张松解术治疗肩周炎有较好疗效。     

臂丛麻醉下针刀松解术治疗肩周炎疗效观察

目的观察臂丛麻醉下针刀松解术治疗肩周炎的临床疗效。方法选择48例肩周炎患者,臂丛神经阻滞麻醉下,行肩周＂C＂形针刀松解术,术后指导康复锻炼。结果痊愈38例,显效8例,好转2例。结论臂丛麻醉下针刀松解术治疗肩周炎疗效显著。     

中药离子导入治疗肩周炎疗效观察

目的：观察中药离子导入治疗肩周炎的治疗效果。方法：随机抽取287例肩周炎患者分为两组,治疗组和对照组。治疗组140例为采用中药离子导入的方法治疗,对照组147例采用传统的物理方法治疗。结果：经x^2检验,治疗组与对照组疗效有统计学差异（P〈0．05）。结论：中药离子导入方法治疗肩周炎明显优于传统的物理方法治疗。     

The effectiveness of manual therapy in the management of musculoskeletal disorders of the shoulder: A systematic review

A systematic review of randomised controlled trials (RCTs) was conducted to determine the effectiveness of manual therapy (MT) techniques for the management of musculoskeletal disorders of the shoulder. Seven electronic databases were searched up to January 2007, and reference lists of retrieved articles and relevant MT journals were screened. Fourteen RCTs met the inclusion criteria and their methodological qualities were assessed using the PEDro scale. Results were analyzed within diagnostic subgroups (adhesive capsulitis (AC), shoulder impingement syndrome [SIS], non-specific shoulder pain/dysfunction) and a qualitative analysis using levels of evidence to define treatment effectiveness was applied. For SIS, there was no clear evidence to suggest additional benefits of MT to other interventions. MT was not shown to be more effective than other conservative interventions for AC, however, massage and Mobilizations-with-Movement may be useful in comparison to no treatment for short-term outcomes for shoulder dysfunction.     

等速测试在手法治疗肩周炎疗效评估中的应用

目的：观察手法治疗肩周炎之疗效。方法：对20例肩周炎患者接受手法治疗前后等速肌力及ROM参数进行自身对照研究。结果：手法治疗后各均有明显提高（P＜0．01）。结论：手法对肩周炎之显效性通过等速测试能可靠地得到反映,等速测试评定ROM准确、可靠。     

多因素综合康复治疗对肩关节周围炎的影响

目的探讨电刺激和关节松动术等综合康复疗法对肩关节周围炎的影响.方法63例肩关节周围炎患者,分为治疗组(32例)和对照组(31例);治疗组应用两种不同参数的电刺激作用于肩关节周围的肌肉;两组均给予关节松动术治疗.结果治疗组疗效优于对照组.u=2.49（P<0.05）,差异显著。论多种疗法的综合康复治疗对肩关节周围炎的疗效较好。     

Physical therapy of frozen shoulder: literature review]

OBJECTIVE: To determine the efficacy of physical treatments in adhesive capsulitis of the shoulder by a systematic review of literature, attempting to perform a meta-analysis from randomised clinical trials. METHOD: A systematic literature search was conducted to retrieve all randomised controlled trials of physical therapy such as physiotherapy and manipulation, but also arthrographic distension, mobilisation under general anaesthesia or nerve block, arthroscopic distension or arthrolysis, and intra-articular corticoid injections. The main outcome for meta-analysis was the restoration of range of movement between the sixth week and the third month. RESULTS: Only 16 articles could be selected, and only three about capsular distension were included in a meta-analysis because of the heterogeneity of the criteria assessing the functional results and of the poor methodological value of most of the articles. DISCUSSION: Some open studies stressed the value of daily manipulations and physiotherapy, intra-articular corticosteroid injections, but their quality was poor or limited. Nothing was written about antalgic drugs to facilitate joint mobilisation, and the use of a thoraco-brachial abduction device between exercises was only quoted. The most refractory cases might need more aggressive interventions: arthrographic distension with local anaesthesia and steroid injection; mobilisation under general or local anaesthesia, specially interscalene brachial plexus block; arthroscopic release. But there was no randomised controlled study comparing these three techniques and it seemed impossible to come to any conclusion about the superiority of one of them. The meta-analysis showed yet that capsular distension with intra-articular corticoid injections was better than corticoid injections alone. CONCLUSION: This demonstrated the need of a consensus about the criteria of assessment, the time of evaluation, before assessing by randomised clinical trials of good quality their therapeutic value.     

手法治疗偏瘫侧肩关节半脱位25例疗效观察

Background:Incidence of semiluxation of shoulder in hemiparalysis was 0% -81% , and it was reported that 3 weeks after onset of stroke, erect siting position X-ray examination of all patients with panplegia of upper limbs showed varying degrees of semiluxation. Due to existing of hemiparalysis , shoulder dysfunction, partial symptoms and signs of semiluxation were covered up, doctor ,nurse,patient and family often overlooked this problem and clear diagnosis couldn't be made in time, which would delay treatment, influence the function recovery of upper limbs, moreover whole body, prolong rehibilitationprocess.This article investigated the manual treatment of semiluxation of shouder.