中国临床医学2016，Vol.23Issue(3)：303-306,4.
离心收缩训练联合体外冲击波治疗肱骨外上髁炎的疗效分析
Efficacy of eccentric exercise combined with extracorporeal shock wave therapy on lateral epicondylitis
摘要
Abstract
Objective: To compare clinical efficacy of three different treatments , eccentric exercise (EE ) , extracorporeal shock wave therapy (ESWT ) ,and EE combined with ESWT on lateral epicondylitis (LE) .Methods:Sixty subjects with LE were selected and randomly assigned to EE group (n=20) ,ESWT group (n=20) and EE combined with ESWT group (n=20) .All of the subjects were evaluated through the visual analogue scale (VAS) and hand-grip strength test at baseline and 2 weeks after the end of treatment respectively .All data were analyzed by SPSS 17 .0 .Results:The VAS scores dramatically decreased from baseline to 2 weeks after the end of treatment in all three groups (P<0 .05);however ,there were no significant differences in VAS scores between any two groups 2 weeks after the end of treatment .As to hand-grip strength , there was significant increase from baseline to 2 weeks after the end of treatment in all three groups (P<0 .05);moreover ,the hand-grip strength of EE combined with ESWT group was significantly higher than that of EE group (P<0 .05) and ESWT group (P<0 .05) at 2 weeks after the end of treatment ;however ,no significant difference of the hand-grip strength emerged between EE group and ESWT group at the same time point .The overall response rate of EE combined with ESWT group was 100% ,which was significantly higher than that of EE group (64 .70% ,P<0 .05) and ESWT group (68 .42% ,P<0 .05);no statistically significant difference of overall response rate was found between EE group and ESWT group .Conclusions:EE and ESWT were both effective and showed similar efficacy in the treatment of LE .In addition ,the combination therapy of EE and ESWT was better than either single therapy .关键词
肱骨外上髁炎/离心收缩训练/体外冲击波疗法Key words
lateral epicondylitis/eccentric exercise/extracorporeal shock wave therapy分类
医药卫生引用本文复制引用
陈建新,刘光华,林瑜玮,吴一鸣,刘邦忠..离心收缩训练联合体外冲击波治疗肱骨外上髁炎的疗效分析[J].中国临床医学,2016,23(3):303-306,4.基金项目
复旦大学附属中山医院青年基金资助项目（2014ZSQN23）．Supported by Youth Fund of Zhongshan Hospital ，Fudan University （2014ZSQN23）． （）
