体外冲击波联合肌肉能量技术治疗肱骨外上髁炎的临床研究

目的:观察体外冲击波联合肌肉能量技术治疗肱骨外上髁炎的临床疗效。方法:本研究将52例符合肱骨外上髁炎诊断的患者,随机分为对照组和观察组。对照组患者接受微波治疗、针灸治疗和红外线治疗,观察组患者在上述治疗的基础上,同时接受体外冲击波和肌肉能量技术治疗。在疗程0、2、4周时,采用目测类比评分法(VAS)、上肢功能评分(DASH)进行临床疗效评估。结果:观察组和对照组患者在治疗2周、4周后,其VAS评分、DASH评分均较治疗前明显降低(P0.05)。而且,观察组VAS评分、DASH评分明显低于同期对照组的得分(P0.05)。结论:体外冲击波联合肌肉能量技术较常规治疗方法能更好地缓解疼痛,提高患肢功能。

Effect of extracorporeal shock wave combined with muscle energy technique on humeral epicondylitis

Objective: To investigate the clinical effectiveness of extracorporeal shock wave (ESW) with muscle energy technique on humeral epicondylitis. Methods: Fifty-two patients with humeral epicondylitis enrolled in this study were randomly assigned to control group or ESW combined with muscle energy technique group (n=26 each). Patients were evaluated with standard questionnaires including visual analogue scale (VAS) and disability of arm shoulder and hand (DASH) at baseline, 2 and 4 weeks after treatment. Result: After treatment, the scores of VAS and DASH in both groups were obviously lower than those before treatment (P<0.05). VAS and DASH scores in combination group were significantly lower than those in the control group at 2nd, and 4th week after treatment. Conclusion: The clinical effectiveness of ESW with muscle energy technique on humeral epicondylitis was obviously better than that of conventional treatment for pain and function.