[1]蒋拥军,李克军,陈佳旭,等.荣肌揉筋手法治疗成人肱骨髁间骨折术后肘关节僵硬[J].中医正骨,2016,28(06):21-23,27.
　JIANG Yongjun,LI Kejun,CHEN Jiaxu,et al.Rongji Roujin(荣肌揉筋)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(06):21-23,27.
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荣肌揉筋手法治疗成人肱骨髁间骨折术后肘关节僵硬()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年06期
页码:
21-23,27
栏目:
临床研究
出版日期:
2016-06-20

文章信息/Info

Title:
Rongji Roujin(荣肌揉筋)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture
作者:
蒋拥军; 李克军; 陈佳旭; 鲁常武
深圳平乐骨伤科医院,广东 深圳 518010
Author(s):
JIANG Yongjun; LI Kejun; CHEN Jiaxu; LU Changwu
Shenzhen Pingle Orthopedic Hospital,Shenzhen 518010,Guangdong,China
关键词:
肘关节;  手术后并发症;  肘关节僵硬;  肱骨骨折;  推拿;  荣肌揉筋手法;  肌肉骨骼手法;  临床试验
Keywords:
elbow joint;  postoperative complications;  elbow joint stiffness;  humeral fractures;  TUINA;  Rongji Roujin manipulation;  musculoskeletal manipulations;  clinical trial
摘要:
目的:观察荣肌揉筋手法治疗成人肱骨髁间骨折术后肘关节僵硬的临床疗效。方法:将84例成人肱骨髁间骨折患者随机分为2组,每组42例,分别采用荣肌揉筋手法和传统手法治疗。每日治疗1次,每次20 min,10 d为1个疗程,疗程间休息2 d,连续治疗6个疗程。分别于治疗前和治疗6个疗程后记录并比较2组患者肘关节屈伸活动度和美国特种外科医院(hospital for special surgery,HSS)肘关节功能评分。结果:部分患者未能坚持完成全部疗程而脱落,其中荣肌揉筋手法组8例、传统手法组10例。治疗前2组患者肘关节屈曲活动度、HSS肘关节功能评分比较,组间差异均无统计学意义[48.76°±9.84°,53.76°±7.81°,t=0.391,P=0.697;(43.84±11.62)分,(44.73±12.15)分,t=0.437,P=0.752]。治疗6个疗程后,荣肌揉筋手法组肘关节屈曲活动度与传统手法组比较,差异无统计学意义(123.57°±9.24°,113.27°±7.14°,t=1.357,P=0.235); HSS肘关节功能评分高于传统手法组[(93.28±8.74)分,(73.82±8.18)分,t=3.412,P=0.037]; 2组肘关节屈曲活动度、HSS肘关节功能评分均高于治疗前(t=0.542,P=0.024; t=0.614,P=0.042; t=0.561,P=0.025; t=0.576,P=0.031)。结论:荣肌揉筋手法和传统手法均能增加肘关节活动范围,改善肘关节功能; 但是在改善肘关节功能方面,荣肌揉筋手法的疗效优于传统手法。
Abstract:
Objective:To observe the curative effect of Rongji Roujin(荣肌揉筋,RJRJ)manipulation for treatment of postoperative elbow joint stiffness in adults with humeral intercondylar fracture.Methods:Eighty-four patients with humeral intercondylar fracture were randomly divided into 2 groups,42 cases in each group.The patients were treated with RJRJ manipulation therapy(group A)and traditional manipulation therapy(group B)respectively for consecutive 6 course of treatment,10 days for each course with a 2-day rest-insertion between courses and once a day for 20 minutes at a time.The elbow flexion-extension range and Hospital for Special Surgery(HSS)elbow performance scores were recorded and compared between the 2 groups before the treatment and after 6-course treatment.Results:Eight patients in group A and 10 patients in group B dropped out and the treatment were finished in other patients.There was no statistical difference in elbow flexion-extension range and HSS elbow performance scores between the 2 groups before the treatment(48.76+/-9.84 vs 53.76+/-7.81 degrees,t=0.391,P=0.697; 43.84+/-11.62 vs 44.73+/-12.15 points,t=0.437,P=0.752).After 6-course treatment,there was no statistical difference in the elbow flexion-extension range between the 2 groups(123.57+/-9.24 vs 113.27+/-7.14 degrees,t=1.357,P=0.235)and HSS elbow performance scores were higher in group A compared to group B(93.28+/-8.74 vs 73.82+/-8.18 points,t=3.412,P=0.037).Both elbow flexion-extension range and HSS elbow performance scores were higher after 6-course treatment compared to pre-treatment in the 2 groups(t=0.542,P=0.024; t=0.614,P=0.042; t=0.561,P=0.025; t=0.576,P=0.031).Conclusion:Both RJRJ manipulation therapy and traditional manipulation therapy can increase the elbow flexion-extension range and improve the elbow performance,however,the former surpasses the latter in improving the elbow performance,so it is worthy of popularizing in clinic.

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备注/Memo

备注/Memo:
通讯作者:蒋拥军 E-mail:2450687893@qq.com
更新日期/Last Update: 2016-06-30