温针灸治疗肩袖损伤的效果

doi:10.3969/j.issn.1006-9771.2022.05.017

摘要/Abstract

摘要：

目的观察温针灸对肩袖损伤患者的治疗效果。方法 2019年1月至2020年1月,福建中医药大学附属康复医院肩袖损伤患者70例随机分为对照组(n = 35)和试验组(n = 35),两组均接受Mulligan动态关节松动术和肩袖肌群肌肉能量技术(MET)治疗,试验组另于肩髃、巨骨、肩前、肩贞予温针灸,连续治疗2周。治疗前后采用肩关节疼痛与功能障碍指数(SPADI)、疼痛视觉模拟量表(VAS)、肩关节活动度(ROM)、肩关节等速肌力测试进行评定,随访观察并发症发生和复发情况。结果对照组脱落5例,试验组脱落4例。治疗后,两组SPADI评分、VAS评分均显著降低(|t| > 5.039, P < 0.001),ROM、等速肌力测试R值明显提高(|t| > 2.751, P < 0.01)。试验组SPADI评分、VAS评分显著低于对照组(|t| > 3.616, P < 0.001);ROM,前屈、后伸、内收、外展等速肌力测试R值高于对照组(|t| > 2.214, P < 0.05)。结论温针灸联合康复训练可进一步缓解袖损伤患者肩关节疼痛,提高肩关节活动度,促进肌力恢复,改善肩关节功能。

关键词: 肩袖损伤, 温针灸, 康复

Abstract:

Objective To observe the effect of warming needle moxibustion based on rehabilitation on rotator cuff injury. Methods From January, 2019 to January, 2020, 70 patients with rotator cuff injury from Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine were randomly divided into control group (n = 35) and experimental group (n = 35). Both groups received Mulligan mobilization and rotator cuff muscle group muscle energy technique (MET) training, while the experimental group received warming needle moxibustion at Jianyu (LI15), Jügu (LI16), Jianqian and Jianzhen (SI9) in addition, for two weeks. They were assessed with Shoulder Pain and Disability Index (SPADI), Visual Analogue Scale for pain (VAS), range of motion of shoulder (ROM), and shoulder isokinetic muscle strength before and after treatment, and the complications and recurrence were observed. Results There were five cases in the control group and four cases in the experimental group dropped. The SPADI score, VAS score decreased (|t| > 5.039, P < 0.001), and the ROM and R value of isokinetic muscle strength testing increased (|t| > 2.751, P < 0.01) in both groups after treatment, while the SPADI score, VAS score were less (|t| > 3.616, P < 0.001); the ROM, and R values of isokinetic muscle strength testing of flexion, extension, adduction and abduction were more (|t| > 2.214, P < 0.05) in the experimental group than in the control group. Conclusion Warming needle moxibustion can further relieve shoulder pain in patients with rotator cuff injury, and improve shoulder ROM, muscle strength and functioning.

Key words: rotator cuff injury, warming needle moxibustion, rehabilitation

中图分类号:

R686.1

曾晓霞,林荣,杨芳洁,肖鸿伟,苏雁,黄承武,何坚. 温针灸治疗肩袖损伤的效果[J]. 《中国康复理论与实践》, 2022, 28(5): 609-615.

ZENG Xiaoxia,LIN Rong,YANG Fangjie,XIAO Hongwei,SU Yan,HUANG Chengwu,HE Jian. Effect of warming needle moxibustion on rotator cuff injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 609-615.

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组别	n	性别(男/女)/n	年龄/岁	病程/月	优势侧损伤/n	体质量指数/kg·m^-2
对照组	35	14/21	52.58±10.23	3.97±2.04	20	23.18±1.61
试验组	35	13/22	50.46±10.17	3.43±2.21	24	23.71±1.13
χ²/t值		0.060	-0.076	-1.673	0.979	1.583
P值		0.806	0.939	0.094	0.322	0.118

组别	n	治疗前	治疗后	t值	P值
对照组	30	50.18±10.51	34.53±15.54	-5.169	< 0.001
试验组	31	53.71±11.56	20.88±11.82	-5.187	< 0.001
t值		1.340	-3.616
P值		0.185	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	49.94±8.31	33.60±14.79	-5.175	< 0.001
试验组	31	51.89±10.20	19.83±10.85	-5.187	< 0.001
t值		0.874	-3.849
P值		0.385	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	50.32±11.94	35.11±16.04	-5.170	< 0.001
试验组	31	54.86±12.48	21.54±12.45	-5.200	< 0.001
t值		1.554	-3.954
P值		0.125	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	5.03±0.81	3.50±0.70	-5.039	< 0.001
试验组	31	5.15±1.16	2.42±1.10	-5.225	< 0.001
t值		0.415	-3.989
P值		0.678	< 0.001