水滤红外线-A照射治疗辅助综合运动训练对肩袖损伤患者疼痛及关节功能的影响

发布时间：2018-05-16 15:06

  本文选题：红外线 + 肩袖损伤　； 参考：《中国运动医学杂志》2016年05期

【摘要】：目的:比较水滤红外线治疗与红外线治疗分别辅助综合运动训练对肩袖损伤患者疼痛和关节功能改善程度。方法:纳入2015年3月至2015年12月间在我院康复医学科进行康复治疗的肩袖损伤患者30例,随机分入水滤红外线-A组和普通红外线组,各15例。分别于进行综合训练前接受水滤红外线-A照射和普通红外线照射,持续4周,每周5次,每次20分钟。于治疗前后使用视觉疼痛量表(VAS)、通用量角器、Constant-Murley肩关节功能评定表(CMS)和UCLA肩关节评分系统(UCLA)对患者的疼痛、肩关节主被动关节活动度(屈/伸/内旋/外旋)和综合肩关节功能进行评价和对比分析。结果:水滤红外线-A组训练前后VAS评分差值、CMS差值、UCLA差值分别为4.53±1.51、28.20±11.35、12.33±4.92,均显著高于普通红外线组的2.93±2.02、13.80±11.92、6.87±4.85(P0.05,P0.01)。关节活动度(ROM)方面,两组之间除了肩关节主动前屈ROM治疗前后差值有显著性差异外,其他指标均未见显著性差异。结论:水滤红外线治疗作为一项配合综合训练的辅助治疗技术,能够较好地改善肩袖损伤患者的肩关节疼痛和功能,其治疗效果优于普通红外线照射治疗。
[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 卤1.51 卤11.35 卤12.33 卤4.92 in group A, which was significantly higher than that in group A (2.93 卤2.02 卤13.80 卤11.92 卤6.87 卤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.
【作者单位】： 复旦大学附属华山医院北院康复医学科;复旦大学附属华山医院康复医学科;
【分类号】：R873
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本文编号：1897349