摘要
目的:比较旋后牵伸手法与传统内旋伸肘顿拉手法治疗肱骨外上髁炎的临床疗效。方法:将符合标准的126例肱骨外上髁炎患者随机分为2组。Ⅰ组64例,采用旋后牵伸手法治疗;Ⅱ组62例,采用内旋伸肘顿拉手法治疗。治疗1个疗程后参照Verhaar网球肘疗效评分标准,从疼痛、压痛、握力、关节功能、患者满意度6个方面对患者的疗效进行评价。同时严格记录患者在治疗期间出现的各种不良反应。结果:①治疗后两组患者疼痛、压痛、握力、关节功能、患者满意度均较治疗前改善,且Ⅰ组改善情况优于Ⅱ组(P<0.01);②Ⅰ组总体疗效优于Ⅱ组,差异有统计学意义(Z=5.869,P=0.000);③Ⅱ组8例患者有一过性的轻度疼痛加重,经1～3 d休息或理疗后消失,其余患者未出现任何不良反应。结论:采用旋后牵伸手法治疗肱骨外上髁炎,疗效优于内旋伸肘顿拉手法。
Objective：To compare the therapeutic effect of the internal rotation stretching and paroxysmal pulling manipulation with that of traction manipulation in supination position on external humeral epicondylitis.Methods：126 patients were randomly divided into 2 groups with 64 cases in GroupⅠand 62 cases in GroupⅡ.Patients in GroupⅠwere treated with traction manipulation in supination position while those in GroupⅡwere treated with internal rotation stretching and paroxysmal pulling manipulation.The indexes involving pain,tenderness,the grip strength of the affected hand,the function of the arthrosis and the satisfaction degree of the patients were documented after the 20-day course of treatment.Verhaar cure effect appraisal system of tennis-ball elbow were used to evaluate the therapeutic effects.Adverse reactions were documented during the 20-day course of treatment.Results：The indexes improved after the treatment in two groups and the improvements in GroupⅠwere superior to that in GroupⅡ（P0.01）.The general therapeutic effects in GroupⅠwere superior to that in GroupⅡ（Z=5.869,P=0.000）.8 patients in GroupⅡunderwent temporary aggravation of pain and the symptoms resolved after rest for 1 to 3 days or physical therapy,no adverse reactions occurred in other patients.Conclusion：The therapeutic effect of traction manipulation in supination position is better than that of internal rotation stretching and paroxysmal pulling manipulation in the treatment of external humeral epicondylitis.
出处
《中医正骨》
2011年第1期10-13,共4页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
网球肘
肌肉骨骼手法
Tennis Elbow
Musculoskeletal Manipulations
