手法分离粘连术联合体位训练治疗冻结肩的疗效研究

目的 探讨手法分离粘连术联合体位训练对冻结肩患者治疗效果,以期为冻结肩患者的康复提供参考依据。 方法 选择2013年6月-2017年9月在永康市中医院诊治的冻结肩住院患者110例,按照随机数字表法将其分为观察组和对照组,每组各55例,对照组采取手法分离粘连术,观察组在对照组的基础上采用体位训练(包括医生介入训练、患者独立或在家属协助下训练),比较2组患者的临床疗效,并比较2组患者的疼痛程度以及肩关节功能情况。 结果 观察组总有效率为90.9%,对照组总有效率为76.4%,观察组总有效率明显高于对照组(P<0.05);治疗前,2组患者的VAS评分比较差异无统计学意义(P>0.05),治疗后,2组患者的VAS评分均明显低于治疗前(P<0.05),且观察组VAS评分明显低于对照组(P<0.05);观察组疼痛、肩关节活动范围、日常生活活动能力、肌力、关节局部形态得分均明显高于对照组(P<0.05),观察组肩关节功能总分为(84.62±9.56)分,对照组肩关节功能总分为(71.42±8.37)分,观察组肩关节功能总分明显高于对照组(P<0.05)。 结论 手法分离粘连术联合体位训练能够明显提高患者的临床疗效,降低患者的疼痛程度,且能较大程度的改善患者肩关节功能。 

The study on the therapeutic effect of manual separation and adhesion combined positiontraining in patients with frozen shoulder

Objective The therapeutic effect of manual separation and adhesion combined positiontraining was discussed in order to provide a reference for the rehabilitation of patients with frozen shoulder. Methods A total of 110 cases of frozen shoulder inpatients who were treated in our hospital from June, 2013 to September, 2017 were divided into observation group (55 cases) and control group (55 cases) according to the random number table method, the control group adopted themanual separation and adhesion, and the observation group was treated with position training on the basis of the control group (including doctors' involvement in training, patient independence or training with family assistance), the clinical efficacy of the two groups was compared, and the degree of pain and function of shoulder joint was compared between the two groups. Results The total effective rate of observation group was 90.9%, and the total effective rate of control group was 76.4%. The total effective rate of observation group was significantly higher than that of control group (P<0.05). Before treatment, the VAS score of the two groups showed no significant difference (P>0.05). After treatment, the VAS score of two groups were significantly lower than those before treatment (P<0.05), and the VAS score of the observation group was significantly lower than that in the control group (P<0.05). The pain, shoulder joint activities, daily life activities ability, muscle and joint local form scores of observation group were significantly higher than that of control group (P<0.05), the total score of shoulder joint function was (84.62±9.56) in observation group and (71.42±8.37) in control group, the total score of shoulder joint function of observation group was obviously higher than that of control group (P<0.05). Conclusion Manual separation and adhesion combined position training can markedly improve the patient's clinical curative effect, reduce the pain degree of patients, can greatly improve the shoulder joint function in patients, and it has positive guiding significance for the recovery of disease.