动态关节松动疗法治疗继发性冻结肩的疗效观察

Clinical therapeutic effect of mobilization with movement for patients with secondary frozen shoulder

  • 摘要: 目的 研究动态关节松动疗法治疗继发性冻结肩关节的疗效。 方法 2014年2月- 2015年2月本院康复医学中心门诊收治的继发性冻结肩患者35例,随机分为对照组(17例)和治疗组(18例),对照组采用Maitland关节松动疗法,治疗组采用动态关节松动疗法(mobilization with movement,MWM),经过6周治疗,比较两组治疗前后肩关节活动度(range of movement,ROM)。 结果 经过6周治疗,两组肩关节活动度均有提高,治疗组的肩关节屈(155.50±21.57)°,伸(40.67±4.99)°,外展(153.39±13.60)°,内旋(62.39±11.06)°,外旋(70.22±10.28)°,明显优于对照组的(141.65±13.87)°,(36.24±4.79)°,(140.00±19.87)°,(53.71±9.97)°,(61.12±14.12)°(P< 0.05)。 结论 相比Maitland关节松动疗法,采用动态关节松动疗法治疗继发性冻结肩疗效更为显著。

     

    Abstract: Objective Toobserve the therapeutic effect of mobilization with movement for patients with secondary frozen shoulder. Methods Clinical data about 35 patients with secondary frozen shoulder admittedtorehabilitation department of Chinese PLA General Hospital fromFebruary 2014 toFebruary 2015 were enrolledand patients were rand omly dividedintocontrol group(n=17) and treatment group(n=18), patients in control groupwere treatedwith Maitland joint mobilization, while patients in treatment groupwere treatedwith mobilization with movement. After 6 weeks of treatment, the shoulder range of motion of twogroups was compared. Results After 6 weeks of treatment, the shoulder range of motion in twogroups were increased. The ROM of treatment groupwere significantly higher than that of control groupflexion (155.50±21.57)° vs (141.65±13.87)°, extension (40.67±4.99)° vs (36.24±4.79)°, abduction (153.39±13.60)° vs (140.00±19.87)°, internal rotation (62.39±11.06)° vs (53.71±9.97)°, extension rotation (70.22±10.28)° vs (61.12±14.12)°; P< 0.05. Conclusion Comparedwith Maitland joint mobilization, the application of mobilization with movement in treatment of secondary frozen shoulder is more effective.

     

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