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基于桑迪马尔马布希塔综合方法的常见运动损伤方案管理——一项开放标签临床试验

Protocol based management of common sports injuries by integrated approach of Sandhi Marmabhighata - An open labeled clinical trial.

作者信息

Sharma Sudhanshu, Killedar Ramesh, Bagewadi Deepti, Shindhe Pradeep

机构信息

Department of Shalyatantra, KAHER's Shri B. M. Kankanawadi Ayurveda Mahavidyalaya, Shahapur, Belagavi, Karnataka, India.

Department of Shalyatantra, KAHER's Shri B. M. Kankanawadi Ayurveda Mahavidyalaya, Shahapur, Belagavi, Karnataka, India.

出版信息

J Ayurveda Integr Med. 2021 Jan-Mar;12(1):119-125. doi: 10.1016/j.jaim.2020.12.009. Epub 2021 Feb 5.

Abstract

BACKGROUND

Sports injuries are the second most common type of accident after domestic (3.7%) and occupational accidents (3.1%). There is an average annual estimate of 8.6 million sports and recreational related injury incidents with an age-adjusted rate of 34.1 per 1000 populations. Common sports injuries are musculoskeletal injuries i.e. Sprains, Strains, Joint injuries, soft tissue injury (STI). The sports injury in Ayurveda can be co-related within dissimilar facets of trauma related ailments.

OBJECTIVE

To evaluate the efficacy of a protocol-based management of common sports injuries using an integrated approach.

MATERIALS AND METHODS

Integration of Ayurveda and Physiotherapy procedures was done and phase wise treatment was framed. Total 30 patients of age between 10 and 60 years ful-filling the inclusion criteria were selected for the present study. The patients were treated with Phase wise protocol consisting of three phase's i.e. Inflammatory (1-5 days), Stabilization and recovery (6-10 days), Muscle strengthening (11-17 days). Assessments were done through various variables like pain, tenderness, swelling, local temperature, manual muscle testing (MMT) and range of motion (ROM) at different time points.

STATISTICAL ANALYSIS

Wilcoxon matched pair test was used to assess within group results for subjective parameters and paired t-test (Dependent t-test) was used to assess for objective parameters.

RESULT

The study showed that integrated treatment approach has given significant results in the parameters like pain, loss of function, tenderness, local temperature, MMT and ROM.

CONCLUSION

Phase wise management through integrated protocol is effective in the management of common sports injuries.

摘要

背景

运动损伤是仅次于家庭事故(3.7%)和职业事故(3.1%)的第二常见事故类型。据估计,每年平均有860万起与运动和娱乐相关的损伤事件,年龄调整后的发生率为每1000人中有34.1起。常见的运动损伤是肌肉骨骼损伤,即扭伤、拉伤、关节损伤、软组织损伤(STI)。阿育吠陀医学中的运动损伤可与创伤相关疾病的不同方面相关联。

目的

评估采用综合方法基于方案管理常见运动损伤的疗效。

材料与方法

将阿育吠陀医学和物理治疗程序相结合,并制定分阶段治疗方案。本研究共纳入30例年龄在10至60岁之间符合纳入标准的患者。患者接受分阶段方案治疗,该方案包括三个阶段,即炎症期(1 - 5天)、稳定和恢复期(6 - 10天)、肌肉强化期(11 - 17天)。通过疼痛、压痛、肿胀、局部温度、徒手肌力测试(MMT)和不同时间点的活动范围(ROM)等各种变量进行评估。

统计分析

采用Wilcoxon配对检验评估主观参数的组内结果,采用配对t检验(相关样本t检验)评估客观参数。

结果

研究表明,综合治疗方法在疼痛、功能丧失、压痛、局部温度、MMT和ROM等参数方面取得了显著效果。

结论

通过综合方案进行分阶段管理对常见运动损伤的治疗有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5687/8039355/08c2f691fdad/gr1.jpg

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