对粘连性囊炎和肌筋膜疼痛综合征的疗效评价

A. P. Rusanov, I. V. Roi, N. Borzykh, A. Kudrin, V. Vitomskyi
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摘要

本研究的目的是探讨末端活动和缺血性压迫对肩关节粘连性囊炎和胸椎肌筋膜疼痛综合征患者的活动范围和疼痛评分的影响。材料和方法。20名患者参与了这项研究。在干预前、治疗第一周结束时、治疗第二周结束时和治疗第三周结束时进行肩关节的角度测量、在活动范围终点和触发点(施加2.5 kg×cm-2压力时)用数值量表进行疼痛评估。物理治疗开始后,检查和咨询骨科创伤学家。所有患者均接受由物理治疗师进行的强化末端活动和患者每周5次(3周)的缺血压迫。动员技术从1到V级的强度根据大陆分类系统使用。确定活动和潜在触发点的定位,并在单独的地图上进行标记,提供给患者。指导患者影响不同部位触发点的技术和方法。在平均或高于平均疼痛水平下进行压迫,每个触发点持续时间为30秒。结果和讨论。在考虑时间因素的情况下,确定了振幅结果存在差异。主动外展的中位评分增加了65.5°,屈曲的中位评分增加了115.5°。有效内旋振幅增加73°,外旋振幅增加72°。根据Friedman的测试,在比较疼痛指标时获得了类似的结果,这些指标是在活动范围的终点进行评估的。中位数的动态在5到6点之间。物理治疗三周后,中位触发点疼痛评分下降了5.5分。研究肩关节粘连性囊炎合并肌筋膜疼痛综合征患者缺血压迫的有效性,结果与既往研究结论一致,并与文献资料相补充。结论。物理治疗包括末端活动和缺血压迫的结合,可以有效地增加肩关节的被动和主动活动范围,减轻活动范围末端的疼痛,减少触发点的疼痛
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness оf Mobilization аnd Ischemic Compression in Adhesive Capsulitis and Myofascial Pain Syndrome
The purpose of the study was to investigate the effect of end- range mobilization and ischemic compression on the range of motion and pain scores in patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome in the thoracic spine. Materials and methods. 20 patients participated in the study. Goniometry of the shoulder joint, pain assessment on a numerical scale at the endpoints of the range of motion and trigger points (when applying a pressure of 2.5 kg×cm-2) were performed before the intervention, at the end of the first week of therapy, at the end of the second and third week. Physical therapy began after an examination and consultation with an orthopedic traumatologist. All patients received intensive end-range mobilization performed by a physical therapist and ischemic compression performed by the patient 5 times a week (3 weeks). Mobilization techniques from I to V degrees of intensity according to the Maitland classification system were used. Localization of active and latent trigger points was determined, their marking was carried out on an individual map, which was provided to the patient. The patient was instructed in techniques and methods of influencing trigger points of various locations. Compression was performed with an average or above average pain level and a duration of 30 seconds for each trigger point. Results and discussion. The existence of differences in the results of the amplitude was established, taking into account the time factor. The median score for active abduction increased by 65.5° and for flexion – by 115.5°. The amplitude of active internal rotation increased by 73°, and external – by 72°. According to Friedman's test, similar results were obtained when comparing pain indicators, which were assessed at the endpoints of the range of motion. The dynamics of medians was from 5 to 6 points. The median trigger point pain score decreased by 5.5 points after three weeks of physical therapy. The results obtained when studying the effectiveness of ischemic compression in patients with adhesive capsulitis of the shoulder joint and myofascial pain syndrome are consistent with the conclusions of previous studies and complement the data presented in the literature. Conclusion. Physical therapy, which consists of a combination of end-range mobilization and ischemic compression, is effective in increasing passive and active range of motion in the shoulder joint, reducing pain at the end of the range of motion, and reducing pain at trigger points
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