[1]王芳莉,余静,魏袁晔,等.温针灸联合改良卧位拉伸运动及肩部肌力训练治疗肩峰下撞击综合征[J].中医正骨,2022,34(11):78.
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温针灸联合改良卧位拉伸运动及肩部肌力训练治疗肩峰下撞击综合征()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年11期
页码:
78
栏目:
临床报道
出版日期:
2022-11-11

文章信息/Info

作者:
王芳莉; 余静; 魏袁晔; 刘小平; 陈飞宇; 楚佳梅; 包烨华
(浙江中医药大学附属杭州市中医院,浙江 杭州 310007)
关键词:
肩撞击综合征;  温针疗法;  运动疗法
摘要:
目的:观察温针灸联合改良卧位拉伸运动及肩部肌力训练治疗肩峰下撞击综合征的临床疗效。方法:2021年3月至2022年3月,采用温针灸联合改良卧位拉伸运动及肩部肌力训练治疗肩峰下撞击综合征患者26例。男11例,女15例。年龄27～71岁,中位数49岁。分别于治疗前和治疗结束时,测量肩关节内旋和外旋活动度,采用视觉模拟量表(visual analogue scale,VAS)评价肩部疼痛情况,采用Constant-Murley肩关节评分评价肩关节功能。结果:治疗结束时,肩关节内旋活动度、肩关节外旋活动度、Constant-Murley肩关节评分均大于治疗前[47.42°±10.26°,67.53°±7.81°,t=9.424,P=0.000; 62.80°±8.08°,75.34°±6.68°,t=10.835,P=0.000;(47.77±10.44)分,(67.54±7.81)分,t=12.994,P=0.000],肩部疼痛VAS评分小于治疗前[(5.89±1.28)分,(2.58±1.14)分,t=17.382,P=0.000]。结论:采用温针灸联合改良卧位拉伸运动及肩部肌力训练治疗肩峰下撞击综合征,能够缓解肩部疼痛、增加肩关节内外旋活动度、改善肩关节功能。

参考文献/References:

[1] 乔彬.肩胛肌群训练联合封闭治疗肩峰下撞击综合征的疗效分析[D].芜湖:皖南医学院,2019.
[2] 陈汉东,朱光宇,王剑,等.针刀治疗BiglianiⅠ型肩峰撞击综合征[J].吉林中医药,2020,40(3):402-405.
[3] 侯占义.深刺温针灸联合前锯肌松解手法治疗粘连期肩周炎临床观察[J].光明中医,2022,37(3):467-469.
[4] 陈顺喜,陈飞宇,刘小平,等.基于激痛点理论的温针“肩八针”联合悬吊训练对肩袖损伤的影响[J].浙江中西医结合杂志,2022,32(2):157-160.
[5] 陈荣庄,高彦平.关节腔注射联合温针灸治疗早期冻结肩[J].中医正骨,2019,31(6):38-40.
[6] CHEPEHA J C,MAGEE D J,BOULIANE M,et al.Effectiveness of a posterior shoulder stretching program on university-level overhead athletes:randomized controlled trial[J].Clin J Sport Med,2018,28(2):146-152.
[7] MAENHOUT A,VAN EESSEL V,VAN DYCK L,et al.Quantifying acromiohumeral distance in overhead athletes with glenohumeral internal rotation loss and the influence of a stretching program[J].Am J Sports Med,2012,40(9):2105-2112.
[8] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:67-68.
[9] BORSTAD J D,MATHIOWETZ K M,MINDAY L E,et al.Clinical measurement of posterior shoulder flexibility[J].Man Ther,2007,12(4):386-389.
[10] ROSE M B,NOONAN T.Glenohumeral internal rotation deficit in throwing athletes:current perspectives[J].Open Access J Sports Med,2018,9:69-78.
[11] BURKHART S S,MORGAN C D,KIBLER W B.The dis-abled throwing shoulder:spectrum of pathology part I:pathoanatomy and biomechanics[J].Arthroscopy,2003,19(4):404-420.
[12] LUBIATOWSKI P,KACZMAREK P,CISOWSKI P,et al.Rotational glenohumeral adaptations are associated with shoulder pathology in professional male handball players[J].Knee Surg Sports TraumatolArthrosc,2018,26(1):67-75.
[13] KELLER R A,DE GIACOMO A F,NEUMANN J A,et al.Glenohumeral internal rotation deficit and risk of upper extremity injury in overhead athletes:a meta-analysis and systematic review[J].Sports Health,2018,10(2):125-132.
[14] ZAJAC J M,TOKISH J M.Glenohumeral internal rotation deficit:prime suspect or innocent bystander?[J].Curr Rev Musculoskelet Med,2020,13(1):86-95.
[15] 王芹,滕金艳,高锋,等.温针灸治疗轻中度膝骨关节炎及可能机制探讨[J].中国中医骨伤科杂志,2020,28(12):48-52.
[16] 伍芳,谢远见,廖家权,等.围刺法配合温针灸治疗对肩周炎患者的影响[J].四川中医,2022,40(1):194-197.
[17] GHARISIA O,LOHMAN E,DAHER N,et al.Effect of a novel stretching technique on shoulder range of motion in overhead athletes with glenohumeral internal rotation deficits:a randomized controlled trial[J].BMC Musculoskelet Disord,2021,22(1):402.
[18] MINE K,NAKAYAMA T,MILANESE S,et al.Effectiveness of stretching on posterior shoulder tightness and gleno-humeral internal-rotation deficit:a systematic review of randomized controlled trials[J].J Sport Rehabil,2017,26(4):294-305.
[19] STEURI R,SATTELMAYER M,ELSIG S,et al.Effectiveness of conservative interventions including exercise,manual therapy and medical management in adults with shoulder impingement:a systematic review and meta-analysis of RCTs[J].Br J Sports Med,2017,51(18):1340-1347.
[20] MATHEW C J,LINTNER D M.Superior labral anterior to posterior tear management in athletes[J].Open Orthop J,2018,12:303-313.
[21] TURGUT E,DUZGUN I,BALTACI G.Effects of scapular stabilization exercise training on scapular kinematics,disability,and pain in subacromial impingement:a randomized controlled trial[J].Arch Phys Med Rehabil,2017,98(10):1915-1923.
[22] WILK K E,HOOKS T R,MACRINA L C.The modified sleeper stretch and modified cross-body stretch to increase shoulder internal rotation range of motion in the overhead throwing athlete[J].J Orthop Sports Phys Ther,2013,43(12):891-894.
[23] TAHRAN Ö,YESILYAPRAK S S.Effects of modified posterior shoulder stretching exercises on shoulder mobility,pain,and dysfunction in patients with subacromial impingement syndrome[J].Sports Health,2020,12(2):139-148.

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备注/Memo

备注/Memo:
通讯作者:楚佳梅 E-mail:chujiamei73@163.com
更新日期/Last Update: 1900-01-01