Luo Kai-Min, Hou Zhi, Yang Lin
Department of Rehabilitation Medicine, Tangshan City Second Hospital, Tangshan, Hebei 063000, China.
Zhongguo Zhen Jiu. 2008 Oct;28(10):727-9.
To observe clinical therapeutic effects of electroacupuncture, radiation of infrared rays plus passive exercise on movement disorders of shoulder joint after operation of fracture of surgical neck of humerous.
Sixty cases were randomly divided into an acupuncture plus exercise group (n = 32) and an exercise therapy group (n = 28). The acupuncture plus exercise group were treated with electroacupuncture and infrared ray radiation at rigid soft tissue on the affected side, with adjuvant points, Xuehai (SP 10), Sanyinjiao (SP 6) and Yang-lingquan (GB 34) selected for acupuncture treatment and after the needles were withdrawn passive exercise of the shoulder joints were made. The exercise therapy group were treated by active exercise after passive exercise of shoulder joint. Therapeutic effects were observed after treatment for one month, and shoulder pain scores VAS and scores of activity of shoulder joint before and after treatment were observed.
The total effective rate of 84.4% in the acupuncture plus exercise group was better than 64.3% in the exercise group. Before and after treatment, the VAS scores were 5.8 +/- 0.5 and 3.1 +/- 0.3 in the acupuncture plus exercise group, and 5.7 +/- 0.5, 4.3 +/- 0.4 in the exercise therapy group, respectively, with significant decreases after treatment in the two groups (both P < 0.001), the acupuncture plus exercise group being more significantly decreased than the exercise therapy group (P < 0.001). Before and after treatment, the total scores of activity of shoulder joint were 103.38 +/- 11.10 and 193.61 +/- 10.21 in the acupuncture plus exercise group, and 103.01 +/- 10.01 and 133.45 +/- 9.81 in the exercise therapy group, respectively, with significant increases after treatment in the two groups (both P < 0. 01), the acupuncture plus exercise group being better than the exercise therapy group (P < 0.001).
Electroacupuncture, radiation of infrared rays plus passive exercise has obvious therapeutic effect on movement disorders of shoulder joint after operation of fracture of surgical neck of humerous.
观察电针、红外线照射加被动运动对肱骨外科颈骨折术后肩关节活动障碍的临床治疗效果。
将60例患者随机分为针推组（n = 32）和运动疗法组（n = 28）。针推组采用患侧僵硬软组织部位电针及红外线照射治疗，针刺选取血海（SP10）、三阴交（SP6）、阳陵泉（GB34）等穴位，出针后进行肩关节被动运动。运动疗法组在肩关节被动运动后进行主动运动。治疗1个月后观察疗效，并观察治疗前后肩关节疼痛视觉模拟评分（VAS）及肩关节活动度评分。
针推组总有效率84.4%，优于运动疗法组的64.3%。治疗前后，针推组VAS评分分别为5.8±0.5、3.1±0.3，运动疗法组分别为5.7±0.5、4.3±0.4，两组治疗后均显著降低（均P < 0.001），针推组降低更显著（P < 0.001）。治疗前后，针推组肩关节活动度总分分别为103.38±11.10、193.61±10.21，运动疗法组分别为103.01±10.01、133.45±9.81，两组治疗后均显著升高（均P < 0.01），针推组优于运动疗法组（P < 0.001）。
电针、红外线照射加被动运动对肱骨外科颈骨折术后肩关节活动障碍有明显治疗效果。
