实用医学杂志2026，Vol.42Issue(3)：371-378,8.DOI:10.3969/j.issn.1006-5725.2026.03.003
清宫正骨肩关节手法对肩袖修补术后患者摸背活动受限的疗效观察
Effect of Qing Gong's orthopaedic manipulation for the shoulder on hand-behind-back restriction after ro-tator cuff repair:A randomised controlled clinical trial
摘要
Abstract
Objective To assess the efficacy and safety of Qing Gong′s orthopaedic manipulation(QGOM)for the shoulder on hand-behind-back(HBB)restriction after rotator cuff repair(RCR).Methods Forty-two patients with post-RCR HBB restriction were randomised into two groups(n=21 each):one performing shoulder exercises(control),and the other receiving thrice-weekly QGOM treatment for 6 weeks(observation).Results At 6 weeks,the median HBB score increased by 5(2,6)in the observation group compared to a 2(2,2)in the control group(Z=-3.678,P<0.001).The median visual analogue scale score decreased by 3(2,4)in the observation group,while it decreased by 1(1,2)(Z=-3.652,P<0.001)in the control group.The mean Constant-Murley score increased by 28.76 and 15.90 in the observation and control groups,respectively.The differ-ence between the two groups was 12.86(95%confidence interval(CI):7.26～18.45,P<0.001).At 6 weeks,active forward flexion(Z=-3.663,P<0.001),abduction(t=-4.579,P<0.001),extension(Z=-2.281,P=0.023)and external rotation(t=-2.757,P=0.009)were significantly greater in the observation group than those in the control group.Shoulder forward flexion and abduction in the observation group increased signifi-cantly in the observation group(Z=-2.055,P=0.041)than those in the control group(Z=-2.450,P=0.013).The observation group showed significantly greater improvement than the control group in forward flexion(Z=-3.059,P=0.002),abduction(Z=-3.700,P<0.001),extension(Z=-2.194,P=0.028),and exter-nal rotation(Z=-3.003,P=0.003).Conclusions QGOM for the shoulder was effective,safe and more benefi-cial than shoulder exercise alone in improving HBB after RCR.关键词
肩袖修补术/术后僵硬/手法治疗/中国医学/摸背活动Key words
rotator cuff repair/post-operative stiffness/manual therapy/traditional Chinese medi-cine/hand-behind-back movement分类
医药卫生引用本文复制引用
邓万溪,阿地力江·阿不都沙拉木,胡瀛宇,梁敏莉,陈海云,刘军..清宫正骨肩关节手法对肩袖修补术后患者摸背活动受限的疗效观察[J].实用医学杂志,2026,42(3):371-378,8.基金项目
广东省中医药局科研项目(编号:20222062) （编号:20222062）
