電針推拿結(jié)合易化牽伸訓(xùn)練對凍結(jié)期肩周炎患者康復(fù)效果的影響
發(fā)布時間：2018-07-25 12:31
【摘要】：目的:觀察電針推拿結(jié)合易化牽伸訓(xùn)練對凍結(jié)期肩周炎患者康復(fù)效果的影響,以期對該方案作出客觀的評價。方法:將60名符合要求的凍結(jié)期肩周炎患者隨機分為3組,A組采用基礎(chǔ)治療(電針+推拿)結(jié)合易化牽伸訓(xùn)練,B組采用基礎(chǔ)治療(電針+推拿)結(jié)合常規(guī)功能訓(xùn)練,C組采用基礎(chǔ)治療(電針+推拿)結(jié)合自由活動。三組患者基本資料一致,治療前評分無差異,在治療前和治療四周后對觀測指標(biāo)進行測量。其中計量指標(biāo)運用t-檢驗,主觀量表指標(biāo)運用非參數(shù)統(tǒng)計方法進行分析,并對不良反應(yīng)進行分析和評價。結(jié)果:1.經(jīng)治療后,三組患者肩部疼痛評分,均比治療前明顯升高(P0.05),A組和B組經(jīng)治療后評分升高幅度無明顯差異,但均明顯大于C組;2.經(jīng)治療后,三組患者肩關(guān)節(jié)外展肌力評分,均比治療前明顯升高(P0.05),A組明顯大于C組,A組和B組升高幅度相近;3.經(jīng)治療后,三組患者肩關(guān)節(jié)活動度評分,均比治療前升高(P0.01),A組明顯大于B組,A組明顯大于C組;4.經(jīng)治療后,三組患者JOA肩關(guān)節(jié)疾患治療總成績均明顯升高(P0.01),其中A組總成績升高最為顯著,B組次之,最后是C組;5.經(jīng)治療后,三組患者日�；顒幽芰υu分,均比治療前明顯升高(P0.05);6.在治療療程長短比較中,三組肩周炎患者無明顯差異;7.經(jīng)治療后,A組有效人數(shù)為20人,有效率為100%,B組有效人數(shù)為18人,有效率為94.7%,C組有效人數(shù)為17,有效率為82%。結(jié)論:1.本實驗中的三種方案均對肩周炎有明顯的治療效果,三種治療方案可以通過緩解疼痛、改善肩部活動,來提高患者生活質(zhì)量;2.基礎(chǔ)治療結(jié)合易化牽伸訓(xùn)練能夠有效改善肩周炎患者的肩部疼痛,增加肩關(guān)節(jié)活動度,改善肩部肌力和肩部協(xié)調(diào)性。3.針對患者疼痛、外展肌力、關(guān)節(jié)活動度的評分比較,三組肩周炎患者經(jīng)治療后,肩部癥狀均明顯減輕。在改善疼痛上,基礎(chǔ)治療結(jié)合易化牽伸訓(xùn)練與基礎(chǔ)治療結(jié)合常規(guī)功能訓(xùn)練效果相當(dāng),均優(yōu)于基礎(chǔ)治療結(jié)合自由活動;在改善外展肌力和關(guān)節(jié)活動度的改善上,基礎(chǔ)治療結(jié)合易化牽伸訓(xùn)練明顯優(yōu)于另外兩種方案。
[Abstract]:Objective: to observe the effect of electroacupuncture massage combined with facilitation drafting training on the rehabilitation of patients with frozen shoulder periarthritis. Methods: 60 patients with frozen shoulder periarthritis were randomly divided into 3 groups: group A received basic treatment (electroacupuncture massage) combined with facilitation drafting training and group B received basic treatment (electroacupuncture massage) combined with routine functional training. Group C was treated with basic therapy (electroacupuncture massage) combined with free activity. The basic data of the three groups were the same, the scores before treatment were not different, and the observation indexes were measured before and after four weeks of treatment. The measurement index was analyzed by t-test, and the subjective index was analyzed by non-parametric statistical method, and the adverse reaction was analyzed and evaluated. The result is 1: 1. After treatment, the shoulder pain scores in the three groups were significantly higher than those before treatment (P0.05) there was no significant difference between group A and group B after treatment, but they were significantly larger than those in group C (2. 5%). After treatment, the shoulder abductor muscle strength score of the three groups were significantly higher than that before treatment (P0.05) A group was significantly larger than C group A group and B group. After treatment, the range of shoulder motion in the three groups was significantly higher than that in group A (P0.01) than that in group B (P 0.01), and that in group A was significantly larger than that in group C (P 0.01). After treatment, the total scores of JOA shoulder diseases in the three groups were significantly increased (P0.01), among which group A was the most significant, group B was the second, and group C was 5. After treatment, the three groups of patients' daily activity score, were significantly higher than before treatment (P0.05) 6. 5%. There was no significant difference in the duration of treatment between the three groups. After treatment, the effective number of group A was 20, the effective rate was 100 and the effective number of group B was 18, the effective rate was 94.7 and the effective number of group C was 17, the effective rate was 82. Conclusion 1. The three schemes in this experiment all have obvious curative effect to the shoulder periarthritis, three kinds of treatment schemes can improve the patient's quality of life by relieving pain and improving the shoulder movement, so as to improve the quality of life of the patients. The combination of basic therapy and easy stretching training can effectively improve shoulder pain, increase shoulder motion, improve shoulder muscle strength and shoulder coordination. 3. According to the scores of pain, abductor muscle strength and joint motion, the shoulder symptoms of the three groups were obviously alleviated after treatment. In improving pain, the effects of basic therapy combined with facilitation drafting training and basic therapy combined with routine functional training were comparable, which were superior to those of basic therapy combined with free exercise, and the improvement of abductor muscle strength and joint motion were also observed. Basic therapy combined with facilitation drafting training was superior to the other two schemes.
【學(xué)位授予單位】：成都體育學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274.9
[Abstract]:Objective: to observe the effect of electroacupuncture massage combined with facilitation drafting training on the rehabilitation of patients with frozen shoulder periarthritis. Methods: 60 patients with frozen shoulder periarthritis were randomly divided into 3 groups: group A received basic treatment (electroacupuncture massage) combined with facilitation drafting training and group B received basic treatment (electroacupuncture massage) combined with routine functional training. Group C was treated with basic therapy (electroacupuncture massage) combined with free activity. The basic data of the three groups were the same, the scores before treatment were not different, and the observation indexes were measured before and after four weeks of treatment. The measurement index was analyzed by t-test, and the subjective index was analyzed by non-parametric statistical method, and the adverse reaction was analyzed and evaluated. The result is 1: 1. After treatment, the shoulder pain scores in the three groups were significantly higher than those before treatment (P0.05) there was no significant difference between group A and group B after treatment, but they were significantly larger than those in group C (2. 5%). After treatment, the shoulder abductor muscle strength score of the three groups were significantly higher than that before treatment (P0.05) A group was significantly larger than C group A group and B group. After treatment, the range of shoulder motion in the three groups was significantly higher than that in group A (P0.01) than that in group B (P 0.01), and that in group A was significantly larger than that in group C (P 0.01). After treatment, the total scores of JOA shoulder diseases in the three groups were significantly increased (P0.01), among which group A was the most significant, group B was the second, and group C was 5. After treatment, the three groups of patients' daily activity score, were significantly higher than before treatment (P0.05) 6. 5%. There was no significant difference in the duration of treatment between the three groups. After treatment, the effective number of group A was 20, the effective rate was 100 and the effective number of group B was 18, the effective rate was 94.7 and the effective number of group C was 17, the effective rate was 82. Conclusion 1. The three schemes in this experiment all have obvious curative effect to the shoulder periarthritis, three kinds of treatment schemes can improve the patient's quality of life by relieving pain and improving the shoulder movement, so as to improve the quality of life of the patients. The combination of basic therapy and easy stretching training can effectively improve shoulder pain, increase shoulder motion, improve shoulder muscle strength and shoulder coordination. 3. According to the scores of pain, abductor muscle strength and joint motion, the shoulder symptoms of the three groups were obviously alleviated after treatment. In improving pain, the effects of basic therapy combined with facilitation drafting training and basic therapy combined with routine functional training were comparable, which were superior to those of basic therapy combined with free exercise, and the improvement of abductor muscle strength and joint motion were also observed. Basic therapy combined with facilitation drafting training was superior to the other two schemes.
【學(xué)位授予單位】：成都體育學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274.9
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