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冲击波联合表面肌电生物反馈训练对创伤后肘关节僵硬的疗效

方莉玉 任雅春 曹叶凡 王鹤玮

实用医学杂志2024,Vol.40Issue(10):1364-1369,6.
实用医学杂志2024,Vol.40Issue(10):1364-1369,6.DOI:10.3969/j.issn.1006-5725.2024.10.006

冲击波联合表面肌电生物反馈训练对创伤后肘关节僵硬的疗效

Effect of extracorporeal shock wave therapy combined with surface EMG biofeedback on post-traumatic stiffness of the elbow

方莉玉 1任雅春 1曹叶凡 2王鹤玮2

作者信息

  • 1. 杭州市富阳中医骨伤医院、浙江中医药大学附属富阳中医骨伤医院康复科(杭州 311400)
  • 2. 复旦大学附属华山医院康复医学科(上海 200040)
  • 折叠

摘要

Abstract

Objective To observe the therapeutic effect of extracorporeal shock wave therapy combined withsurface electromyography biofeedback training(ESW-sEMGBF)on post-traumatic elbow joint stiffness.Methods A total of 80 patients with post-traumatic elbow stiffness admitted to the Rehabilitation Department of Hangzhou Fuyang Hospital of Orthopedics of Traditional Chinese Medicine from January 2021 to December 2021 were randomly assigned into control group(n = 40)and treatment group(n = 40)using a lottery method.The control group received conventional rehabilitation treatment(including soft tissue release,joint mobilization,continuous passive motion and cold therapy),and the treatment group received conventional treatment combined with ESW-sEMGBF.Both groups underwent training once daily for five days a week over eight weeks.The visual analogue scale(VAS),active range of motion(AROM)of the elbow joint,and Mayo Elbow Performance Score(MEPS)were evaluated before and after treatment.Results After 8 weeks of treatment,significant improvements were observed in all outcomes for both groups.The treatment group showed better improvements in VAS scores,AROM,and MEPS after treatment compared with the control group(P<0.05,P<0.001,P<0.001).No side effects or adverse reactions were observed in either group after treatment.Conclusion Extracorporeal shock wave therapy combined with surface electromyography biofeedback training effectively alleviated pain in patients with post-traumatic elbow joint stiffness,improved elbow joint function,and increased active range of motion of the elbow joint.

关键词

肘关节僵硬/冲击波/表面肌电/生物反馈训练/创伤

Key words

post-traumatic elbow stiffness/shock wave therapy/surface electromyography/biofeed-back training/trauma

分类

医药卫生

引用本文复制引用

方莉玉,任雅春,曹叶凡,王鹤玮..冲击波联合表面肌电生物反馈训练对创伤后肘关节僵硬的疗效[J].实用医学杂志,2024,40(10):1364-1369,6.

基金项目

国家自然科学基金青年项目(编号:82102665) (编号:82102665)

杭州市卫生科技计划(一般)项目(编号:B20230820) (一般)

上海市青年科技英才扬帆计划(编号:21YF1404600) (编号:21YF1404600)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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