Objective To study the effect of muscle energy techniques with visual feedback on the function of postoperative elbow joint. Methods From October, 2015 to August, 2017, 40 patients after operation for elbow fracture were randomly divided into control group (n=20) and treatment group (n=20). Both groups accepted arthrolysis and exercise guidance at home, while the control group accepted routine muscle energy techniques and the treatment group accepted muscle energy techniques with visual feedback, for eight weeks. They were measured with active range of motion (AROM) of elbow flexion and assessed with Disabilities of the Arm, Shoulder, and Hand (DASH) before and after treatment. Results AROM increased in both groups after treatment (t>15.223, P<0.001), and increased more in the treatment group than in the control group (t=3.072, P<0.01); while the DASH score decreased in both groups (t>27.991, P<0.001), and decreased more in the treatment group than in the control group (t=2.222, P<0.05).Conclusion The muscle energy techniques with visual feedback can improve the motion and function of elbow after operation more effectively.
LI Sheng-jie
,
LI Fei
,
WANG Rui
,
WANG Feng
,
XIAO Hong-yu
,
ZHANG Li-ning
. Effect of Muscle Energy Techniques with Visual Feedback on Function of Postoperative Elbow Joint[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018
, 24(9)
: 1055
-1057
.
DOI: 10.3969/j.issn.1006-9771.2018.09.013
[1] 余宝富,曾红,唐智明,等. 创伤后肘关节外源性挛缩形成中差异表达基因及相关通路研究[J]. 中国骨与关节杂志, 2017, 6(3): 190-197.
[2] Charalambous CP, Morrey BF.Posttraumatic elbow stiffness[J]. J Bone Joint Surg Am, 2012, 94(15): 1428-1437.
[3] Zheng W, Liu J, Song J, et al.Risk factors for development of severe post traumatic elbow stiffness[J]. Int Orthop, 2018, 42(3): 595-600.
[4] Evans PJ, Nandi S, Maschke S, et al.Prevention and treatment of elbow stiffness[J]. J Hand Surg Am, 2009, 34(4): 769-778.
[5] 蒋协远,查晔军. 肘关节损伤治疗之我见[J]. 中国骨与关节杂志, 2016, 5(4): 241-244.
[6] 张经纬,汪春阳,范存义. 肘关节僵硬治疗研究进展[J]. 国际骨科学杂志, 2013, 34(3): 160-163.
[7] Paul R, Chan R.Nonsurgical treatment of elbow stiffness[J]. J Hand Surg Am, 2013, 38(10): 2002-2004.
[8] Morrey BF, Askew LJ, Chao EY.A biomechanical study of normal functional elbow motion[J]. J Bone Joint Surg Am, 1981, 63(6): 872-877.
[9] Sardelli M, Tashjian RZ, MacWilliams BA. Functional elbow range of motion for contemporary tasks[J]. J Bone Joint Surg Am, 2011, 93(5): 471-477.
[10] Feland JB, Marin HN.Effect of submaximal contraction intensity in contract-relax proprioceptive neuromuscular facilitation stretching[J]. Br J Sports Med, 2004, 38(4): E18.
[11] Tanwar R, Moitra M, Goyal M.Effect of muscle energy technique to improve flexibility of gastro-soleus complex in plantar fasciitis: a randomised clinical, prospective study design[J]. Indian J Physiother Occup Ther, 2014, 8(4): 26.
[12] Roberts BL.Soft tissue manipulation: neuromuscular and muscle energy techniques[J]. J Neurosci Nurs, 1997, 29(2): 123-127.
[13] Sodhi N, Khlopas A, Vaughn MD, et al.Manufactured Brace Modalities for elbow stiffness[J]. Orthopedics, 2018, 41(1): e127-e135.
[14] Lindenhovius AL, Doornberg JN, Brouwer KM, et al.A prospective randomized controlled trial of dynamic versus static progressive elbow splinting for posttraumatic elbow stiffness[J]. J Bone Joint Surg Am, 2012, 94(8): 694-700.
[15] 麦明泉,林彩娜,伍少玲,等. 肌肉能量技术治疗膝关节骨性关节炎疗效[J]. 中国医疗前沿, 2012, 7(9): 93-95.
[16] Ballantyne F, Fryer G, McLaughlin P. The effect of muscle energy technique on hamstring extensibility: the mechanism of altered flexibility[J]. J Osteopath Med, 2003, 6(2): 59-63.
[17] Moore SD, Laudner KG, McLoda TA, et al. The immediate effects of muscle energy technique on posterior shoulder tightness: a randomized controlled trial[J]. J Orthop Sports Phys Ther, 2011, 41(6): 400-407.
[18] Scott W, Stevens J, Binder-Macleod SA.Human skeletal muscle fiber type classifications[J]. Phys Ther, 2001, 81(11): 1810-1816.
