浙北伤科牵张手法联合核心肌群稳定性训练对创伤性肩周炎患者肩胛骨动力障碍的影响
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R684.3

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浙江省中医药科技计划项目(2021ZB279);湖州市科技计划项目(2018GY22)


Effect of Stretch Manipulation of Traumatology Department in North Zhejiang Com⁃ bined with Core Muscles Stability Exercise on Scapular Dyskinesis in Patients with Traumatic Scapulohumeral Periarthritis
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    摘要:

    目的:观察浙北伤科牵张手法联合核心肌群稳定性训练对创伤性肩周炎患者肩胛骨动力障碍的临床疗效。方法:将60 例符合诊断标准的创伤性肩周炎患者随机分为2 组各30 例。对照组予核心肌群稳定性训练,观察组在对照组治疗方案的基础上加以浙北伤科牵张手法。比较2 组治疗前后肩胛骨平衡角、肩关节Neer 评分和临床疗效总有效率。结果:治疗后,2 组肩胛骨平衡角分别与治疗前比较,且2 组间比较,在肩关节外展0°、30°、60°、150°时,差异均无统计学意义(P>0.05);而在肩关节外展90°、120°、180°时,2 组分别与治疗前比较,且观察组同对照组比较,差异均有统计学意义(P<0.05)。2 组肩关节Neer功能评分均较治疗前升高,且观察组肩关节Neer 评分高于对照组,差异均有统计学意义(P<0.05)。临床疗效总有效率观察组83.3%,对照组70.0%,2 组总有效率比较,差异有统计学意义(P<0.05)。结论:浙北伤科牵张手法联合核心肌群稳定性训练对改善创伤性肩周炎患者疼痛及活动障碍有良好疗效,对90°~120°、150°~180°区间的肩胛骨平衡角有明显的纠正作用。

    Abstract:

    Abstract:Objective:To observe the clinical effect of stretch manipulation of traumatology department in north Zhejiang combined with core muscles stability exercise on scapular dyskinesis in patients with traumatic scapulohumeral periarthritis. Methods:A total of 60 cases of patients with traumatic scapulohumeral periarthritis in accordance with the diagnostic criteria were randomly divided into two groups,30 cases in each group. The control group was given core muscles stability exercise, and the observation group was additionally given stretch manipulation of traumatology department in north Zhejiang based on the treatment plan of the control group. Before and after treatment,the scapular balance angles,the Neer scores of shoulder joint and the total clinical effective rates in the two groups were compared. Results:After treatment,when compared the scapular balance angle when the shoulder abduction reached 0° , 30° , 60° , and 150° respectively, there was no significant difference being found in the comparison in the same group before treatment and after treatment , as well as between the two groups(P>0.05); at 90° , 120° , and 180° of shoulder abduction, the comparison of the scapular balance angle in the same group before treatment and after treatment,as well as between the observation group and the control group showed significance in the difference(P<0.05). The Neer scores of shoulder joint in the two groups were increased when compared with those before treatment,and the score in the observation group was higher than that in the control group,the difference being significant(P<0.05). The total clinical effective rate was 83.3% in the observation group, and 70.0% in the control group,the difference being significant(P<0.05). Conclusion:The therapy of stretch manipulation of traumatology department in north Zhejiang combined with core muscles stability exercises has good curative effect in improving the pain and the mobility disorders in patients with traumatic scapulohumeral periarthritis, which has significant correction effect on scapular balance angles in the range of 90°~ 120° and 150°~ 180°.

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徐晶,朱成林,赵增趁,沈月峰,傅瑞阳.浙北伤科牵张手法联合核心肌群稳定性训练对创伤性肩周炎患者肩胛骨动力障碍的影响[J].新中医,2021,53(13):170-174

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  • 在线发布日期: 2021-07-11
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