吊单杠锻炼在肩背部肌筋膜炎防治中作用的临床对照试验

目的：探讨一种防治肩背部肌筋膜炎的功能锻炼方法。方法：2006年8月至2008年3月治疗120例肩背部肌筋膜炎患者，随机分为治疗组60例与对照组60例，对照组中男39例，女21例；平均年龄（47．0±12．0）岁；病程平均为（14．1±12．0）个月。治疗组中男41例，女19例；平均年龄为（43．7±9．9）岁；病程平均为（16．4±13．4）个月。两组分别采用推拿与推拿合吊单杠锻炼治疗，治疗3周后评价疗效。随访6～26个月，观察复发情况。结果：治疗3周后，患者疼痛、肩背沉重感、条索状改变、压痛、肩背功能5项指标的评分相对于治疗前明显改善，差异均有统计学意义（P〈0．01）。治疗后治疗组与对照组这5项指标的差异也具有统计学意义（P〈0．05）。对照组的复发率高于治疗组（P〈0．01）。结论：在肩背部肌筋膜炎的治疗中加入吊单杠锻炼可以提高治疗效果，坚持锻炼又可以起到较好地预防复发的作用，值得临床推广。

Controlled clinical trials on the treatment and prevention of shoulder and back fasciitis using horizontal bar exercises

Objective: To explore an exercise method for the prevention and treatment of the patients with shoulder and back fasciitis. Methods: From 2006.8 to 2008.3,120 patients with shoulder and back fasciitis were randomly divided into control group(n=60,including 21 females and 39 males,the average age was(47.0±12.0)years, and the average course of disease was(14.1±12.0)months) and treatment group(n=60,including 19 females and 41 males,the average age was(43.7±9.9)years, and the average course of disease was(16.4±13.4)months). The patients in the control group received massage therapy and the ones in the treatment group were treated with massage therapy and horizontal bar exercise. After 3 weeks treatment,the curative effects of the patients in two groups were observed. All the patients were followed up for 6 to 26 months,the recurrence were observed. Results: After 3 weeks treatment,the scores of pain,sense of heaviness,strip sign,tenderness,shoulder and back function of the patients in two groups had significant differences compared with those before treatment(all P<0.01). After treatment,the scores of pain,sense of heaviness,strip sign,tenderness,shoulder and back function of the patients in the treatment group were lower than those in the control group(P<0.05). After 6 to 26 months following-up,the rate of recurrence in the treatment group was lower than that in the control group(P<0.01). Conclusion: Horizontal bar exercise is a simple,no expense and effective method in the prevention and treatment of shoulder and back fasciitis,which can improve the effect of the treatment and reduce the rate of recurrence.