摘要
目的 基于筋柔骨正理论探讨展肩悬蹲法练功联合关节腔液压扩张治疗冻结肩的临床疗效。方法 选取2022年5月—2024年2月合肥市中医院骨伤科收治的冻结肩患者70例(共82个患肩),按照随机数字表法分为对照组(35例,共41个患肩)和治疗组(35例,共41个患肩)。对照组采用肩关节前入路液压扩张治疗,治疗组在对照组治疗的基础上联合展肩悬蹲法练功疗法,两组均干预1个月。两组患者治疗前后分别采用视觉模拟量表(Visual analogue scale,VAS)、Constant-Murley肩关节功能评分,以及治疗后治疗有效率,评定治疗的有效性及安全性。结果 两组患者治疗后VAS评分均有降低,且治疗组VAS评分明显低于同期对照组,差异具有统计学意义(P<0.05);两组患者治疗后Constant-Murley肩关节功能评分均有提升,且同期的治疗组明显高于对照组,差异具有统计学意义(P<0.05);治疗后治疗组的总有效率(100.00%)明显高于同期的对照组(82.86%),两组患者在治疗有效率方面的比较,差异具有统计学意义(P<0.05)。结论 基于筋柔骨正理论指导下的展肩悬蹲法练功联合关节腔液压扩张治疗冻结肩安全有效,可促进肩关节功能的恢复。
Objective To observe the clinical efficacy of Shoulder-Stretching and Squatting exercise combined with joint cavity hydraulic distension for frozen shoulder based on the“Tendon and Bone Regulation”theory.Methods Seventy patients(82 affected shoulders)with frozen shoulder were selected from the Department of Orthopedics,Zunyi Hospital of Traditional Chinese Medicine between May 2022 and February 2024.They were divided into a control group and a treatment group using a random number table,with 35 patients and 41 shoulders in each group.Both groups received hydraulic distension via an anterior shoulder approach,while the treatment group additionally received the Shoulder-Stretching and Squatting exercise therapy.The intervention lasted for one month in both groups.The effectiveness and safety of the treatments were assessed by the visual analogue scale(VAS)and Constant-Murley score before and after treatment,as well as after-treatment efficacy.Results After treatment,VAS scores were decreased in both groups(P<0.05),with these scores being significantly lower in the treatment group(P<0.05).Constant-Murley scores were increased in both groups(P<0.05),with these scores being significantly higher in the treatment group(P<0.05).The total effective rate in the treatment group(100.00%)was significantly higher than that in the control group(82.86%)(P<0.05).Conclusion Guided by the“Tendon and Bone Regulation”theory,Shoulder-Stretching and Squatting exercise combined with joint cavity hydraulic distension is safe and effective for frozen shoulder and promotes shoulder joint function recovery.
作者
张文博
张婷
李国栋
吴文旭
陈在飞
孔维军
ZHANG Wen-bo;ZHANG Ting;LI Guo-dong;WU Wen-xu;CHEN Zai-fei;KONG Wei-jun(Department of Orthopedics,Zunyi Hospital of Traditional Chinese Medicine,Zunyi Guizhou 563000)
出处
《世界中西医结合杂志》
2025年第11期2239-2244,共6页
World Journal of Integrated Traditional and Western Medicine
基金
贵州省科技计划项目[黔科合成果-LC(2024)009]
贵州省卫生健康科学技术基金项目(gzwkj2023-392)
合肥市科技计划项目[遵市科合HZ字(2023)365号]
合肥市科技创新人才团队培养计划项目[遵市科人才(2023)7号]。
关键词
筋柔骨正
展肩悬蹲法
练功
液压扩张
冻结肩
Tendon and Bone Regulation
Shoulder-Stretching and Squatting Method
Exercise
Hydraulic Distension
Frozen Shoulder
