旋后牵伸手法与内旋伸肘顿拉手法治疗肱骨外上髁炎的临床对比研究

旋后牵伸手法与内旋伸肘顿拉手法治疗肱骨外上髁炎的临床对比研究,,,,,,,(浙江省湖州市中医院,浙江湖州313000):比较旋后牵伸手法与传统内旋伸肘顿拉手法治疗肱骨外上髁炎的临床疗效:将符合标准的126例肱骨外上髁炎患者随机分为2组组64例,采用旋后牵伸手法治疗;组62例,采用内旋伸肘顿拉手法治疗治疗1个疗程后参照Verhaar网球肘疗效评分标准,从疼痛压痛握力关节功能患者满意度6个方面对患者的疗效进行评价同时严格记录患者在治疗期间出现的各种不良反应:治疗后两组患者疼痛压痛握力关节功能患者满意度均较治疗前改善,且组改善情况优于组(P0.01);组总体疗效优于组,差异有统计学意义(Z=5.869,P=0.000);组8例患者有一过性的轻度疼痛加重,经1~3d休息或理疗后消失,其余患者未出现任何不良反应:采用旋后牵伸手法治疗肱骨外上髁炎,疗效优于内旋伸肘顿拉手法CompareofinternalrotationstretchingandparoxysmalpullingmanipulationwithtractionmanipulationinsupinationpositioninthetreatmentofexternalhumeralepicondylitisFURui-yang*,GUZhong-zhong,WANGBao-hu,etal.*TCMHospitalofHuzhouCity,Huzhou313000,Zhejiang,ChinaABSTRACTObjective:Tocomparethetherapeuticeffectoftheinternalrotationstretchingandparoxysmalpullingmanipulationwiththatoftractionmanipulationinsupinationpositiononexternalhumeralepicondylitis.Methods:126patientswererandomlydividedinto2groupswith64casesinGroupand62casesinGroup.PatientsinGroupweretreatedwithtractionmanipulationinsupinationpositionwhilethoseinGroupweretreatedwithinternalrotationstretchingandparoxysmalpullingmanipulation.Theindexesinvolvingpain,tenderness,thegripstrengthoftheaffectedhand,thefunctionofthearthrosisandthesatisfactiondegreeofthepatientsweredocumentedafterthe20-daycourseoftreatment.Verhaarcureeffectappraisalsystemoftennis-ballelbowwereusedtoevaluatethetherapeuticeffects.Adversereactionsweredocumentedduringthe20-daycourseoftreatment.Results:TheindexesimprovedafterthetreatmentintwogroupsandtheimprovementsinGroupweresuperiortothatinGroup(P0.01).ThegeneraltherapeuticeffectsinGroupweresuperiortothatinGroup(Z=5.869,P=0.000).8patientsinGroupunderwenttemporaryaggravationofpainandthesymptomsresolvedafterrestfor1to3daysorphysicaltherapy,noadversereactionsoccurredinotherpatients.Conclusion:Thetherapeuticeffectoftractionmanipulationinsupinationpositionisbetterthanthatofinternalrotationstretchingandparoxysmalpullingmanipulationinthetreatmentofexternalhumeralepicondylitis.KeywordsTennisElbow;MusculoskeletalManipulations,,,,20071200812,,11.1126,56,70;20~6416,386,3~64055,711.2[1],,,X,1.3;18~10(总010)中医正骨2011年1月第23卷第1期65;,6;,1.41865;;;3,3;;;;,22.11262:64,62,,(1)1()()()()33~648.168.8129352935442048.488.10273526364220t2P0.2170.0400.1460.0150.8280.8420.7020.9032.2,1,10~20min,1012.2.1,,,,(),4;,,490,3,()11,7,,,60~90s,,,,2.2.2,,,4;,,4,,,,,1[2]2.31Verhaar[3],6,4,2.3.1VAS10cm,01cm,0;14cm,1;47cm,2;710cm,32.3.2M-tone(),2.3.3()0902.3.4,0;,1;,,2;,,32.3.50,1,22.3.6:;;;:;;;;:,11中医正骨2011年1月第23卷第1期(总011);;;:;;2.3.72.4SPSS12.0.1,2,t,,=0.0133.1,;,,(26)3.2,,(Z=5.869,P=0.000)(7)3.382(kg)(kg)()0123()0123()0121.820.3321.984.200085600145007571.830.3321.344.320010520111500557tZP0.2560.8510.5800.2990.5470.7890.3970.5620.7650.5843(kg)(kg)()0123()0123()0125.410.7140.348.21559005590059503.360.5334.397.819467026296131310tZP18.2304.1687.9755.2505.2200.0000.0000.0000.0000.0004(kg)(kg)()0123()0123()0121.820.3321.984.200085600145007575.410.7140.348.2155900559005950tZP66.72922.1557.3367.2427.4680.0000.0000.0000.0000.0005(kg)(kg)()0123()0123()0121.830.3321.344.3200105201115005573.360.5334.397.819467026296131310tZP45.46616.8247.2766.9126.9540.0000.0000.0000.0000.0006(kg)(kg)3.5910.43118.366.631.5320.26513.056.11tP32.1874.6730.0000.00075680064251519362812319312612(总012)中医正骨2011年1月第23卷第1期,1~3d,4,,,,,,,,,,[4][5],,,,,,,,,,,,,[6],[7],,,,,,,,,,,5[1].[S].:,1994:186.[2],,.30[J].,2003,3(6):33.[3]VerhaarJ,WalenkampG,KesterA,eta.lLateralextensorreleasefortenniselbow.Aprospectivelong-termfollow-upstudy[J].JBoneJointSurgAm,1993,75(7):1034-1043.[4],.[J].,2003,15(1):28-29.[5],,,.[J].,2009,22(2):102-103.[6],,.[J].,2007,19(7):40.[7],.[J].,2007,19(11):46.(2009-03-192010-09-02)经中华中医药学会骨伤科分会等有关单位批准,由辽宁省骨伤科学会主办吉林省骨伤科学会黑龙江省骨伤科学会协办的东北三省中医骨伤科学术研讨会暨国家级中医药继续教育项目学习班拟定于2011年5月下旬在大连市举办诚邀其他省市的中医骨伤科同道参加会议并进行学术交流现通知如下::为了进一步加强省际合作促进学术交流,进一步推广较为成熟的骨伤科技术项目和临床经验,促进基层中医骨伤科人才培养及临床技术水平的提高:会议邀请国内及东北三省著名骨伤科专家进行专题报告会议主题内容为:创伤骨科骨关节病(含关节镜技术)骨坏死病正骨手法脊柱病骨质疏松症骨伤科基础骨伤科护理骨伤科康复等内容大会将开展优秀论文评选活动,对参会的优秀论文作者颁发中华中医药学会骨伤科分会优秀论文证书欢迎携带疑难病例(包括影像资料等)进行现场讨论,疑难病例的相关资料最好制成幻灯片带到会场:撰写近五年的围绕会议主题内容的学术论文,论文要求附300字左右摘要,以电子版形式投稿,会议不受理纸质版材料来稿请注明工作单位通讯地址邮政编码联系电话等请自留底稿,恕不退稿截稿日期:2011年4月30日(会议日期另行通知):参加会议者将授予国家级中医药继续教育学分10分:33:110032:024-86291217():1399813919113032458820:[e-mail]13中医正骨2011年1月第23卷第1期(总013)