[1]苏瑾,王平,刘爱峰.三维动态牵伸回旋手法对冻结期冻结肩患者 体表红外热像的影响[J].中医正骨,2015,27(07):11-14.
　SU Jin,WANG Ping,LIU Aifeng.Influence of three-dimensional dynamic drafting and convolution manipulation on body surface infrared thermal imaging in patients with frozen shoulder during frozen period[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(07):11-14.
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三维动态牵伸回旋手法对冻结期冻结肩患者 体表红外热像的影响()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年07期
页码:
11-14
栏目:
临床研究
出版日期:
2015-07-31

文章信息/Info

Title:
Influence of three-dimensional dynamic drafting and convolution manipulation on body surface infrared thermal imaging in patients with frozen shoulder during frozen period
作者:
苏瑾; 王平; 刘爱峰
天津中医药大学第一附属医院,天津 300193
Author(s):
SU Jin; WANG Ping; LIU Aifeng
The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China
关键词:
肩凝症;  手法; 骨科;  红外热成像
Keywords:
frozen shoulder;  manipulation; orthopedic;  infrared thermal imaging
摘要:
目的:探讨三维动态牵伸回旋手法对冻结期冻结肩患者体表热像的影响。方法:11例冻结期冻结肩患者,男1例,女10例。年龄47～64岁,中位数52岁。左肩7例,右肩4例。病程3～12个月,中位数6个月。采用医用远红外热成像仪采集静息状态下双肩肱二头肌肌腱长头、三角肌抵止点和冈上肌、冈下肌、小圆肌等肌腱和肌腹红外热成像图,采集完成后对图像进行存储、编辑。采用三维动态回旋手法治疗前比较患侧与健侧三角肌抵止点、肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌等区域皮肤温度,并于治疗2个疗程后比较患侧治疗前后肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌等区域皮肤温度变化情况。结果:治疗前患侧肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌色码温值均高于健侧[(28.263±1.511)℃,(27.409±1.672)℃,t=8.225,P=0.000;(28.154±1.912)℃,(27.309±1.893)℃,t=5.047,P=0.000;(27.846±1.393)℃,(26.927±1.429)℃,t=6.095,P=0.000;(27.673±1.720)℃,(26.964±1.759)℃,t=4.535,P=0.001]; 双侧三角肌抵止点色码温值比较,差异无统计学意义[(27.655±1.236)℃,(27.372±0.816)℃,t=1.460,P=0.175]。治疗2个疗程后,患侧肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌色码温值均高于治疗前[(29.018±1.393)℃,(28.263±1.511)℃,t=6.404,P=0.000;(29.956±1.799)℃,(28.154±1.912)℃,t=8.476,P=0.000;(28.800±1.363)℃,(27.846±1.393)℃,t=14.342,P=0.000;(28.573±1.756)℃,(27.673±1.720)℃,t=14.925,P=0.000]。结论:三维动态牵伸回旋手法治疗冻结期冻结肩,可提高肩部皮肤温度,这为临床上手法治疗冻结肩提供了切实有效的依据。
Abstract:
Objective:To explore the influence of three-dimensional dynamic drafting and convolution manipulation on body surface infrared thermal imaging in patients with frozen shoulder during frozen period.Methods:The patients with frozen shoulder during frozen period consisted of 1 male and 10 females,and ranged in age from 47 to 64 years(Median=52 yrs).The frozen shoulder located in left for 7 patients and right for 4 patients.The course of disease ranged from 3 to 12 months(Median=6 months).The infrared thermal imaging pictures of long head of biceps brachii tendons,starting point and ending point of deltoideus and tendon and muscle bellys of supraspinatus,infraspinatus and teres minor muscle were collected in the relaxed state by using the medical far-infrared thermal image instrument.Then the pictures were reserved and edited.The skin temperatures were compared between affected side and healthy side in starting point and ending point of deltoideus,long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle before the treatment; and after two-course treatment,the skin temperature changes in the long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle on the affected side were studied.Results:The color code values of skin temperature of long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle of affected side were higher than that of healthy side before the treatment(28.263+/-1.511 vs 27.409+/-1.672 ℃,t=8.225,P=0.000; 28.154+/-1.912 vs 27.309+/-1.893 ℃,t=5.047,P=0.000; 27.846+/-1.393 vs 26.927+/-1.429 ℃,t=6.095,P=0.000; 27.673+/-1.720 vs 26.964+/-1.759 ℃,t=4.535,P=0.001).There was no statistical difference in the color code values of skin temperature of starting point and ending point of deltoideus between the 2 sides(27.655+/-1.236 vs 27.372+/-0.816 ℃,t=1.460,P=0.175).After two-course treatment,the color code values of long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle of affected side increased(29.018+/-1.393 vs 28.263+/-1.511 ℃,t=6.404,P=0.000; 29.956+/-1.799 vs 28.154+/-1.912 ℃,t=8.476,P=0.000; 28.800+/-1.363 vs 27.846+/-1.393 ℃,t=14.342,P=0.000; 28.573+/-1.756 vs 27.673+/-1.720 ℃,t=14.925,P=0.000).Conclusion:The three-dimensional dynamic drafting and convolution manipulation can enhance the skin temperature of the shoulder in the treatment of frozen shoulder,so it provides effective evidence for treatment of frozen shoulder by manipulation in clinic.

参考文献/References:

[1] 肖克,吴士明.考察红外热像仪医用价值的临床试验报告[J].激光杂志,2013,34(2):62-63.
[2] 王平.整脊手法彩色图谱:叶氏伤科临证精华[M].北京:人民卫生出版社,2013:55-59.
[3] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].3版.北京:人民军医出版社,2005:1615.
[4] 周敏华,陈钱.医用红外热成像技术的进展[J].红外,2008,29(2):38-42.
[5] 曹文新,李端芳,吴士明.大白鼠曲安奈德肌注的局部红外热像观察[J].激光杂志,2010,31(3):70.
[6] 倪金霞,高思华,田甜,等.基于红外热像技术的健康人脏腑功能的可视化研究[J].北京中医药大学学报,2012,35(10):666-669.
[7] 王军,郑志新,王刚,等.红外热成像对动力性颈椎管狭窄项肩背软组织疼痛疗效的评价[J].临床军医杂志,2008,36(6):908-910.
[8] 仇湘中,蒋盛昶,张信成,等.红外热成像图在腰椎间盘突出症证候疗效评定中的应用[J].中医正骨,2015,27(2):17-19.
[9] 李宁,张楚毅,吴士明,等.170例恶性肿瘤患者的红外热图临床分析[J].中国肿瘤临床与康复,1998,5(5):60-61.
[10] 吕少文,赵丽君,李红,等.人体红外热图像分析技术的应用原理和意义[J].中国体视学与图像分析,2002,7(3):150-152.
[11] Kunita K,Fujiwara K.Neck-shortening effect on prosaccade reaction time formed through saccadic training accompanied by maintenance of neck flexion[J].Eur J Appl Physiol,2009,107(5):597-602.
[12] 时红,胡永召.痛点注射配合活筋松解手法治疗肩关节周围炎的临床观察[J].中医正骨,2012,24(11):63-64.
[13] 关玲,石现,邹怡,等.艾灸阳陵泉对慢性背部肌筋膜疼痛综合征患者体表热像的影响[J].中国针灸,2010,30(6):485-489.
[14] 王平,王晓东,李海,等.三维动态牵伸回旋法干预下冻结肩盂肱关节运动轨迹特征的研究[J].中华中医药学刊,2013,31(9):1914-1916.

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备注/Memo

备注/Memo:
2014-02-25收稿 2014-05-15修回
基金项目:天津市应用基础及前沿技术研究计划项目(12JCYBJC17500)
通讯作者:王平 E-mail:sujin01@126.com
更新日期/Last Update: 2015-07-30