| 何斌,张超.体外冲击波对肘关节半脱位保守治疗后患者上肢功能的临床效果观察[J].中国康复,2018,33(3):218-220 |
| 体外冲击波对肘关节半脱位保守治疗后患者上肢功能的临床效果观察 |
| Clinical effects of extracorporeal shock wave therapy on upper limb function of patients with subluxation of elbow joint after conservative treatment |
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| DOI： |
| 中文关键词: 体外冲击波 肘关节脱位 上肢功能 关节活动度 疼痛 |
| 英文关键词: Extracorporeal shock wave Dislocation of elbow joint Upper limb function Joint range of motion Pain |
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| 中文摘要: |
| 目的：观察体外冲击波疗法（ESWT）对肘关节脱位保守治疗后患者上肢功能的临床效果。方法：将30例肘关节脱位经手法复位及石膏绷带外固定的患者随机分为ESWT组和对照组各15例，2组每天进行相同的肘关节及上肢功能康复治疗，ESWT组在此基础上增加体外冲击波治疗。治疗前后分别对2组患者进行疼痛视觉模拟评分（VAS），肘关节主动活动度（AROM），上肢及手功能DASH问卷（DASH）评价。结果：治疗后，2组的肘关节AROM均较训练前明显提高（均P＜0.05），且ESWT组更高于对照组（P＜0.05）；2组VAS评分及DASH评分均较训练前明显降低，且ESWT组更低于对照组（均P＜0.05）。结论：体外冲击波结合上肢功能康复治疗可有效提高肘关节脱位保守治疗后患者的肘关节活动度及上肢功能，同时有效减轻疼痛。 |
| 英文摘要: |
| Objective: To investigate the clinical effects of extracorporeal shock wave therapy (ESWT) on upper limb function of patients with dislocation of elbow joint after conservative treatment. Method: Thirty patients with subluxation of elbow joint treated by manual reduction and plaster bandage fixation were randomly divided into to ESWT group (n=15) and control group (n=15). Both groups received the same treatment of elbow and upper limb rehabilitation. Additionally, the ESWT group was also given ESWT. They were evaluate with the Visual Analogue Scale (VAS), elbow Active Range of Motion (AROM), and the Disabilities of the Arm, Shoulder, and Hand (DASH) before and after treatment. Results: Elbow AROM score was improved in the two groups after treatment as compared with that before the treatment (P<0.05), more significantly in the ESWT group than in the control group (P<0.05). VAS score and DASH score in both groups decreased after treatment as compared with those before the treatment (P<0.05), more significantly in the ESWT group than in the control group after the treatment (P<0.05). Conclusion: ESWT combined with upper limb function can improve the AROM and upper limb function of patients with dislocation of elbow joint after conservative treatment, and relieve pain effectively at the same time. |
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