电针推拿结合易化牵伸训练对冻结期肩周炎患者康复效果的影响
发布时间：2018-07-25 12:31
【摘要】：目的:观察电针推拿结合易化牵伸训练对冻结期肩周炎患者康复效果的影响,以期对该方案作出客观的评价。方法:将60名符合要求的冻结期肩周炎患者随机分为3组,A组采用基础治疗(电针+推拿)结合易化牵伸训练,B组采用基础治疗(电针+推拿)结合常规功能训练,C组采用基础治疗(电针+推拿)结合自由活动。三组患者基本资料一致,治疗前评分无差异,在治疗前和治疗四周后对观测指标进行测量。其中计量指标运用t-检验,主观量表指标运用非参数统计方法进行分析,并对不良反应进行分析和评价。结果:1.经治疗后,三组患者肩部疼痛评分,均比治疗前明显升高(P0.05),A组和B组经治疗后评分升高幅度无明显差异,但均明显大于C组;2.经治疗后,三组患者肩关节外展肌力评分,均比治疗前明显升高(P0.05),A组明显大于C组,A组和B组升高幅度相近;3.经治疗后,三组患者肩关节活动度评分,均比治疗前升高(P0.01),A组明显大于B组,A组明显大于C组;4.经治疗后,三组患者JOA肩关节疾患治疗总成绩均明显升高(P0.01),其中A组总成绩升高最为显著,B组次之,最后是C组;5.经治疗后,三组患者日常活动能力评分,均比治疗前明显升高(P0.05);6.在治疗疗程长短比较中,三组肩周炎患者无明显差异;7.经治疗后,A组有效人数为20人,有效率为100%,B组有效人数为18人,有效率为94.7%,C组有效人数为17,有效率为82%。结论:1.本实验中的三种方案均对肩周炎有明显的治疗效果,三种治疗方案可以通过缓解疼痛、改善肩部活动,来提高患者生活质量;2.基础治疗结合易化牵伸训练能够有效改善肩周炎患者的肩部疼痛,增加肩关节活动度,改善肩部肌力和肩部协调性。3.针对患者疼痛、外展肌力、关节活动度的评分比较,三组肩周炎患者经治疗后,肩部症状均明显减轻。在改善疼痛上,基础治疗结合易化牵伸训练与基础治疗结合常规功能训练效果相当,均优于基础治疗结合自由活动;在改善外展肌力和关节活动度的改善上,基础治疗结合易化牵伸训练明显优于另外两种方案。
[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.
【学位授予单位】：成都体育学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：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.
【学位授予单位】：成都体育学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9
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