Effect observation of shock wave combined with coracohumeral ligament release in treatment of patients with adhesive capsulitis of shoulder
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摘要:目的
观察电磁聚焦式冲击波联合喙肱韧带松解对粘连性肩关节囊炎的临床疗效。
方法选取粘连性肩关节囊炎患者65例。对照组33例采用喙肱韧带松解康复方法，观察组32例采用电磁聚焦式冲击波联合喙肱韧带松解康复方法。比较2组患者治疗前后目测类比评分法(VAS)评分、肩关节功能(Constant)评分、美国肩肘外科协会(ASES)评分以及肩关节活动度评分。
结果治疗前, 2组患者VAS评分、Constant评分、ASES评分及肩关节活动度评分差异均无统计学意义(P＞0.05); 治疗后, 2组患者各项评分与治疗前相比均有改善，且观察组优于对照组，差异有统计学意义(P＜0.05)。
结论在粘连性肩关节囊炎患者康复中，电磁聚焦式冲击波联合喙肱韧带松解的临床疗效更为显著。
Abstract:ObjectiveTo observe the clinical effect of electromagnetic focused shock wave combined with coracohumeral ligament release in the treatment of patients with adhesive capsulitis of shoulder.
MethodsA total of 65 patients with adhesive capsulitis of shoulder were selected. A total of 33 patients in the control group were treated with coracohumeral ligament release, while 32 patients in the observation group were treated with electromagnetic focused shock wave and coracohumeral ligament release. Visual Analogue Scale (VAS) score, shoulder function (Constant scale) score, American Shoulder and Elbow Surgeons′ Form (ASES) and motion range of shoulder were compared between the two groups before and after treatment.
ResultsBefore treatment, there were no significant differences in VAS score, Constant score, ASES score and score of motion range of shoulder between the two groups (P > 0.05); after treatment, the scores of patients in both groups improved significantly, and was significantly better in the observation group than that of the control group (P < 0.05).
ConclusionIn the rehabilitation of patients with adhesive capsulitis of shoulder, the clinical effect of coracohumeral ligament release combined with electromagnetic focused shock wave is more significant.
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表 1 2组患者治疗前后各项指标比较(x±s)
分 组别 时点 VAS评分 Constant评分 ASES评分 肩关节活动度评分 对照组(n=33) 治疗前 6.03±1.70 32.79±8.58 36.17±8.81 12.36±4.08 治疗后 5.94±1.62 35.21±8.40* 38.26±9.05* 13.88±4.39* 观察组(n=32) 治疗前 5.91±1.47 35.50±8.82 39.40±8.80 13.28±3.85 治疗后 2.72±1.42*# 56.31±12.31*# 60.13±11.75*# 21.53±4.38*# VAS: 目测类比评分法; Constant: 肩关节功能; ASES: 美国肩肘外科协会。
与治疗前比较, *P＜0.05; 与对照组比较, #P＜0.05。
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