体外冲击波治疗手部肌腱修复术后晚期肌腱粘连的效果

doi:10.3969/j.issn.1006-9771.2020.02.016

Abstract

Abstract:

Objective To observe the effect of extracorporeal shock wave therapy on tendon adhesion in late period after hand tendon repair.Methods From July, 2017 to December, 2018, 40 patients with tendon adhesion after hand tendon repair more than three months were collected. They were randomly divided into control group (n = 20) and experimental group (n = 20). Two groups received routine therapy, and the experimental group added extracorporeal shock wave therapy. Before and two months after treatment, the total active movement (TAM) of the fingers and the grip strength were messured.Results There was no significant difference in TAM of the fingers and the grip strength before treatment (P > 0.05). After treatment, TAM of the fingers and the grip strength significantly increased (| t| > 10.284, P < 0.001), and were higher in the experimental group than in the control group ( t > 0.386, P < 0.001). Conclusion Extracorporeal shock wave therapy could facilitate to improve the tendon slippage and hand function in patients with tendon adhesion after hand tendon repair.

Key words: hand, rehabilitation, tendon adhesion, shock wave therapy

CLC Number:

R687.2

YANG Zhan-yu,YAN Hai-yan,LI Yang,WU Li-jun,WANG Min-xian,LONG Qing-yan,HUANG Ben,GUO Yan-ping. Effects of Extracorporeal Shock Wave Therapy on Tendon Adhesion in Late Period after Hand Tendon Repair[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 228-231.

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组别	n	性别(n)		年龄(岁)	病程(d)
组别	n	男	女	年龄(岁)	病程(d)
对照组	20	13	7	38.35±9.21	103.80±9.34
试验组	20	12	8	35.05±10.29	105.85±9.45
t/χ²值		0.107		1.325	-0.756
P值		0.744		0.201	0.459

组别	n	治疗前	治疗后	t值	P值
对照组	20	12.03±2.99	17.14±3.28	-10.284	< 0.001
试验组	20	11.33±2.88	20.93±2.92	-16.454	< 0.001
t值		0.755	-3.863
P值		0.455	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	20	100.24±46.03	128.10±43.06	-13.605	< 0.001
试验组	20	94.58±39.76	161.26±32.22	-10.285	< 0.001
t值		0.416	-2.757
P值		0.680	0.009

Effects of Extracorporeal Shock Wave Therapy on Tendon Adhesion in Late Period after Hand Tendon Repair

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