文章摘要
吴书画,张明,周敬杰,韩良,陈伟.静态进展性牵张训练治疗创伤后肘关节僵硬的临床研究[J].中国康复,2018,33(1):19-22
静态进展性牵张训练治疗创伤后肘关节僵硬的临床研究
Static progressive stretch training in the treatment of post-traumatic elbow stiff
  
DOI:
中文关键词: 肘关节僵硬  静态进展性牵张训练  关节松动
英文关键词: elbow stiffness  static progressive stretch training  joint mobilization
基金项目:江苏省青年医学人才(QNRC2016376);徐州市医学青年后备人才工程资助(2016015)
作者单位
吴书画 南京中医药大学研究生学院南京 210023 
张明 徐州市康复医院江苏 徐州 221000 
周敬杰 徐州市中心医院康复医学科江苏 徐州 221009 
韩良 徐州市中心医院康复医学科江苏 徐州 221009 
陈伟 徐州市康复医院江苏 徐州 221000徐州市中心医院康复医学科江苏 徐州 221009 
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中文摘要:
  目的:研究静态进展性牵张训练治疗创伤后肘关节僵硬的临床疗效。方法:将40例肘关节僵硬患者按照随机数字表法随机分为对照组和观察组,每组各20例,对照组采用常规治疗方法,即中药熏蒸、关节松动术、运动疗法,观察组在常规治疗方法基础上加静态进展性牵张训练,分别于治疗前及治疗4周后对2组患者肘关节主动关节活动度(AROM)及Mayo评分(Mayo elbow function score)进行评估并对比。结果:治疗后,2组AROM和Mayo评分与治疗前比较均有明显提高(均P<0.05),治疗后2组间比较,观察组肘关节AROM和Mayo评分均高于对照组(均P<0.05)。结论:静态进展性牵张训练可有效改善创伤后肘关节僵硬患者肘关节活动范围和功能。
英文摘要:
  Objective: To study the clinical effects of static progressive stretch training in the treatment of post-traumatic elbow stiff. Methods: Forty patients who suffered from elbow stiff were randomly divided into observation group and control group, 20 patients in each group. Control group was treated by conventional treatments: herbal fumigation and steaming, joint mobilization and exercise therapy, and observation group was treated by static progressive stretch training additionally. Active range of motion of elbow joint and mayo elbow function score were evaluated before and 4 weeks after treatments. Results: After the treatment, the elbow joint active range of motion and mayo elbow function score in two groups were significantly improved (P<0.05). And the active range of motion and Mayo elbow function score in observation group were higher than those in the control group (P<0.05). Conclusion: Static progressive stretch training could effectively improve range of motion of the joint and elbow function of patients with post-traumatic elbow stiff.
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