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[深层振荡疗法治疗运动损伤的临床效果]

[Clinical effects of the therapy method deep oscillation in treatment of sports injuries].

作者信息

Aliyev R

机构信息

RPP-Gesellschaft für Rehabilitation, Prävention und Pflege, Ambulante Rehabilitation für Orthopädie und Unfallchirurgie, Gummersbach.

出版信息

Sportverletz Sportschaden. 2009 Mar;23(1):31-4. doi: 10.1055/s-0028-1109216. Epub 2009 Mar 20.

DOI:10.1055/s-0028-1109216
PMID:19306234
Abstract

BACKGROUND

In Germany approximately 2 million sports injuries occur per year. Most common are distorsions and ligamentous injury going along with posttraumatic lymphoedema. With the therapy method deep oscillation very good results in other indications and in lymphdrainage were reached. The purpose of this experimental study was the evaluation of the effects of the therapy method deep oscillation in immediate therapy and after-care of different sports injuries in addition to usual care (complex physical and medical therapy).

METHODS

Two soccer teams were supported by a sports medicine section of a rehabilitation hospital. In n = 14 people (mean age 23.9 years) 49 sports injuries of different kind were treated.

RESULTS

Subjective rating of the symptoms by VAS improved significant (p = 0.001) from 8.7 (baseline) to 2.1 points (post-treatment). Objective rating by the attending physician according to different clinically relevant parameters lead to "very good" or "good" results in 90 % of the patients.

CONCLUSION

In conclusion it can be stated that therapy method deep oscillation is an easy to use and comparably cost effective adjuvant therapy option. We already had good experience with it in other indications concerning reabsorption of oedema, reducing pain, anti-inflammatory effect, promotion of motoricity, promotion of wound healing, anti-fibrotic effect and improvement in trophicity and quality of the tissue. All these mentioned effects can be confirmed in the treatment of patients with acute sports injury and trauma. The soft mode of action is the reason that in contrast to other electric and mechanical therapies it is no contraindication in immediate therapy. In general we noted no side effects; patients were highly compliant and rated this therapy as very good.

摘要

背景

在德国,每年约有200万例运动损伤发生。最常见的是扭伤和韧带损伤,并伴有创伤后淋巴水肿。采用深部振荡疗法在其他适应症和淋巴引流方面取得了很好的效果。本实验研究的目的是评估深部振荡疗法在不同运动损伤的即时治疗和后续护理中,除常规护理(综合物理和药物治疗)外的效果。

方法

两个足球队得到一家康复医院运动医学科的支持。对n = 14人(平均年龄23.9岁)的49例不同类型的运动损伤进行了治疗。

结果

采用视觉模拟评分法(VAS)对症状进行主观评分,从8.7分(基线)显著改善(p = 0.001)至2.1分(治疗后)。主治医生根据不同临床相关参数进行的客观评分显示,90%的患者获得“非常好”或“好”的结果。

结论

总之,可以说深部振荡疗法是一种易于使用且成本效益相对较高的辅助治疗选择。我们在其他适应症方面,如水肿吸收、减轻疼痛、抗炎作用、促进运动能力、促进伤口愈合、抗纤维化作用以及改善组织营养和质量等方面,已经积累了良好的经验。所有这些效果在急性运动损伤和创伤患者的治疗中都得到了证实。其温和的作用方式使得与其他电疗和机械疗法不同,它在即时治疗中并非禁忌。总体而言,我们未观察到副作用;患者依从性高,并对该疗法给予高度评价。

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