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按摩与针刺对肩周炎合并颈椎病患者活动范围及日常生活能力的影响

Effects of massage and acupuncture on the range of motion and daily living ability of patients with frozen shoulder complicated with cervical spondylosis.

作者信息

Liu Mingyu, Liu Yuebin, Peng Cong, Wang Huanmei, Xu Yuqin, Jiao Shengrong, Ding Yong

机构信息

The Ninth Hospital of Wuhan Wuhan 430081, Hubei Province, China.

Department of Rehabilitation Medicine, The Ninth Hospital of Wuhan Wuhan 430081, Hubei Province, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):2804-2812. eCollection 2021.

Abstract

OBJECTIVE

This study was designed to study the effects of massage and acupuncture on patients with frozen shoulder complicated with cervical spondylosis through range of motion (ROM) and daily living ability.

METHODS

A total of 164 patients with frozen shoulder treated in our hospital from June 2016 to April 2019 were recruited and divided into a control group and an observation group. There were 100 cases in the observation group, all of whom were treated with massage combined with acupuncture. Another 64 cases were enrolled in the control group, all of whom were treated with acupuncture alone. The recovery of myodynamia, rating scale of the American Shoulder and Elbow Surgeons (ASES), score of American Spinal Injury Association (ASIA), ROM score, vascular cell adhesion molecule 1 (VCAM-1) and intercellular adhesion molecule 1 (ICAM-1), complication rate, total effective rate, and patient satisfaction were assessed.

RESULTS

After treatment, patients in the observation group had better recovery of myodynamia than the control group. They also had lower VAS scores, higher life function score and total ASES scores, higher ASIA scores, higher ROM scores, lower VCAM-1 and ICAM-1 expression, lower complication rate, higher total effective rate, and higher patient satisfaction.

CONCLUSION

Massage combined with acupuncture can better improve the ROM of joints and daily living ability of patients with frozen shoulder complicated with cervical spondylosis.

摘要

目的

本研究旨在通过关节活动度(ROM)和日常生活能力来探讨推拿与针刺对肩周炎合并颈椎病患者的影响。

方法

选取2016年6月至2019年4月在我院治疗的164例肩周炎患者,分为对照组和观察组。观察组100例,均采用推拿联合针刺治疗;对照组64例,均采用单纯针刺治疗。评估肌力恢复情况、美国肩肘外科医师协会(ASES)评分、美国脊髓损伤协会(ASIA)评分、ROM评分、血管细胞黏附分子1(VCAM - 1)和细胞间黏附分子1(ICAM - 1)、并发症发生率以及总有效率和患者满意度。

结果

治疗后,观察组患者肌力恢复情况优于对照组,视觉模拟评分(VAS)更低,生活功能评分和ASES总分更高,ASIA评分更高,ROM评分更高,VCAM - 1和ICAM - 1表达更低,并发症发生率更低,总有效率更高,患者满意度更高。

结论

推拿联合针刺能更好地改善肩周炎合并颈椎病患者的关节活动度和日常生活能力。

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