摘要
目的分析等长收缩后放松技术结合静态渐进性牵伸技术对创伤后肘关节僵硬康复的短期疗效.方法选取本院2019年1月—2021年6月收治的40例创伤后肘关节僵硬患者为研究对象,按入组先后顺序分为对照组和观察组各20例.两组均进行常规康复治疗,包括荣肌揉筋手法治疗、物理因子治疗、运动治疗等,在此基础上,对照组接受静态渐进性牵伸(SPS)治疗,观察组接受等长收缩后放松(PIR)及SPS治疗.比较两组患者治疗前后的患侧肘关节主动活动范围(AROM)、疼痛视觉模拟评分(VAS)及美国特种外科医院(HSS)肘关节功能评分.结果治疗后,观察组的肘关节AROM和HSS评分分别为(95.50±4.13)°、(78.91±2.47)分,均高于对照组,组间差异有统计学意义(P<0.05).治疗后,对照组的肘关节VAS评分与观察组比较,差异无统计学意义(P>0.05).结论PIR结合SPS治疗创伤后肘关节僵硬可明显改善患者的肘关节活动度及肘关节功能.
Objective To analyze the short-term effect of post isometric relaxation combined with static-progressive stretch on rehabilitation of post-traumatic elbow stiffness.Methods 40 patients with posttraumatic elbow stiffness admitted to our hospital from January 2019 to June 2021 were selected as the research objects,and were divided into a control group and an observation group according to the sequence of enrollment,with 20 patients in each group.Both groups received routine rehabilitation treatment,including the treatment of Rongji Roujin technique therapy,physical factor therapy,exercise therapy,etc.On this basis,the control group received static-progressive stretch(SPS)treatment,the observation group received post isometric relaxation(PIR)and SPS treatment.The elbow active range of motion(AROM),visual analogue scale(VAS)of pain and Hospital for Special Surgery(HSS)elbow function score were compared between the two groups before and after treatment.Results After treatment,the AROM and HSS scores of elbow joints in the observation group were(95.50±4.13)°and(78.91±2.47)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,there was no significant difference in elbow VAS score between the control group and the observation group(P>0.05).Conclusion PIR combined with SPS can significantly improve elbow range of motion and elbow function in patients with post-traumatic elbow stiffness.
作者
谢志明
黄若彬
韩芳龙
陈佳旭
XIE Zhiming;HUANG Ruobin;HAN Fanglong;CHEN Jiaxu(Department of Rehabilitation,Shenzhen Pingle Orthopedic Hospital(Shenzhen Pingshan Hospital of Traditional Chinese Medicine),Shenzhen Guangdong,518101,China)
出处
《反射疗法与康复医学》
2021年第19期109-112,共4页
Reflexology And Rehabilitation Medicine
关键词
创伤后肘关节僵硬
等长收缩后放松肌肉能量技术
静态渐进性牵伸
Post-Traumatic elbow stiffness
Post isometric relaxation muscle energy technique
Static-Progressive stretch
