《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (06): 520-522.

• 论文 • 上一篇    下一篇

腕伸肌能量技术对肱骨外上髁炎疗效的远期观察

谭同才，叶祥明，崔璨   

  1. 浙江省人民医院康复医学科，浙江杭州市310014。
  • 收稿日期:2012-08-09 修回日期:2012-08-23 出版日期:2013-06-25 发布日期:2013-06-25

Long-term Effect of Wrist Extensor Energy on Humeral Epicondylitis

TAN Tong-cai, YE Xiang-ming, CUI Can.   

  1. Department of Rehabilitation Medicine, Zhejiang People's Hospital, Hangzhou 310014, Zhejiang, China
  • Received:2012-08-09 Revised:2012-08-23 Published:2013-06-25 Online:2013-06-25

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摘要： 目的使用肌肉能量技术处理腕关节背伸肌，观察其对肱骨外上髁炎疗效的远期观察。方法48 例肱骨外上髁炎患者分为肌肉能量组和封闭治疗组各24 例，肌肉能量组患者用肌肉能量技术对腕伸肌进行处理，封闭治疗组进行封闭治疗，治疗前后行VAS、前臂腕伸肌肌力评定，出院后3 个月、6 个月和1 年随访。结果治疗后封闭治疗组治疗后VAS评分明显低于肌肉能量组(P<0.01)；肌肉能量组前臂腕伸肌力量明显大于封闭治疗组(P<0.01)。3 个月随访，肌肉能量组优良率(83.3%)与封闭治疗组(91.7%)无显著性差异(P>0.05)；6 个月随访，肌肉能量组(75.0%)与封闭治疗组(46.1%)有显著性差异(P<0.01)；1 年随访，肌肉能量组(54.2%)与封闭治疗组(16.7%)有显著性差异(P<0.01)。结论封闭治疗对肱骨外上髁炎短期阵痛疗效较肌肉能量技术好，但肌肉能量技术对于长期疗效维持好于单纯的封闭治疗。

关键词: 肌肉能量技术, 肱骨外上髁炎, 腕伸肌, 离心运动, 物理疗法

Abstract: Objective To explore the effect of wrist extensor energy on humeral epicondylitis. Methods 48 humeral epicondylitis patients were divided into muscular energy group and block therapy group with 24 cases in each group. The muscular energy group was treated with muscle energy technique, and the other group received block therapy. They were assessed with Visual Analogue Scale (VAS) and muscle strength. They were followed up 3 months, 6 months and 1 year after discharge. Results The score of VAS was lower in the block therapy group than in the muscular energy group (P<0.01), and the muscle strength was weaker (P<0.01). 3 months after discharge, there was no significant difference in the effects between the muscular energy group (83.3%) and the block therapy group (91.7%) (P>0.05); 6 months after discharge, the muscular energy group (75.0%) was better than the block therapy group (46.1%) (P<0.01); 1 year after discharge,the muscular energy group (54.2%) was better than the block therapy group (16.7%) (P<0.01). Conclusion The block therapy is better in short-term effect on humeral epicondylitis, and the muscle energy technique was better in long-term effect.

Key words: muscular energy, humeral epicondylitis, wrist extensor, eccentric exercise, physical therapy