本文選題：紅外線 + 肩袖損傷　； 參考：《中國(guó)運(yùn)動(dòng)醫(yī)學(xué)雜志》2016年05期

【摘要】：目的:比較水濾紅外線治療與紅外線治療分別輔助綜合運(yùn)動(dòng)訓(xùn)練對(duì)肩袖損傷患者疼痛和關(guān)節(jié)功能改善程度。方法:納入2015年3月至2015年12月間在我院康復(fù)醫(yī)學(xué)科進(jìn)行康復(fù)治療的肩袖損傷患者30例,隨機(jī)分入水濾紅外線-A組和普通紅外線組,各15例。分別于進(jìn)行綜合訓(xùn)練前接受水濾紅外線-A照射和普通紅外線照射,持續(xù)4周,每周5次,每次20分鐘。于治療前后使用視覺疼痛量表(VAS)、通用量角器、Constant-Murley肩關(guān)節(jié)功能評(píng)定表(CMS)和UCLA肩關(guān)節(jié)評(píng)分系統(tǒng)(UCLA)對(duì)患者的疼痛、肩關(guān)節(jié)主被動(dòng)關(guān)節(jié)活動(dòng)度(屈/伸/內(nèi)旋/外旋)和綜合肩關(guān)節(jié)功能進(jìn)行評(píng)價(jià)和對(duì)比分析。結(jié)果:水濾紅外線-A組訓(xùn)練前后VAS評(píng)分差值、CMS差值、UCLA差值分別為4.53±1.51、28.20±11.35、12.33±4.92,均顯著高于普通紅外線組的2.93±2.02、13.80±11.92、6.87±4.85(P0.05,P0.01)。關(guān)節(jié)活動(dòng)度(ROM)方面,兩組之間除了肩關(guān)節(jié)主動(dòng)前屈ROM治療前后差值有顯著性差異外,其他指標(biāo)均未見顯著性差異。結(jié)論:水濾紅外線治療作為一項(xiàng)配合綜合訓(xùn)練的輔助治療技術(shù),能夠較好地改善肩袖損傷患者的肩關(guān)節(jié)疼痛和功能,其治療效果優(yōu)于普通紅外線照射治療。
[Abstract]:Objective: to compare the degree of pain and joint function improvement in patients with rotator cuff injury treated by infrared therapy and infrared therapy respectively. Methods: from March 2015 to December 2015, 30 patients with rotator cuff injury treated in our rehabilitation department were randomly divided into water filtered infrared A group (15 cases) and common infrared ray group (15 cases). Water filter infrared A irradiation and ordinary infrared radiation were used for 4 weeks, 5 times a week for 20 minutes each time before comprehensive training. Visual pain scale (VASA), Constant-Murley shoulder function scale (CMSS) and UCLA shoulder scoring system (UCLAs) were used before and after treatment. The range of motion (flexion / extension / internal rotation / external rotation) of the active and passive shoulder joint and the comprehensive shoulder joint function were evaluated and compared. Results: the difference of VAS score before and after training was 4.53 鹵1.51 鹵11.35 鹵12.33 鹵4.92 in group A, which was significantly higher than that in group A (2.93 鹵2.02 鹵13.80 鹵11.92 鹵6.87 鹵4.85P0.05P0.01). In terms of joint motion, there was no significant difference between the two groups except for the difference of ROM before and after treatment for active anterior flexion of shoulder joint. Conclusion: as an auxiliary treatment technique combined with comprehensive training, water filter infrared therapy can improve shoulder joint pain and function of patients with rotator cuff injury, and its therapeutic effect is better than that of common infrared radiation therapy.
【作者單位】： 復(fù)旦大學(xué)附屬華山醫(yī)院北院康復(fù)醫(yī)學(xué)科;復(fù)旦大學(xué)附屬華山醫(yī)院康復(fù)醫(yī)學(xué)科;
【分類號(hào)】：R873
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本文編號(hào)：1897349