干针治疗外侧上髁病的疗效:病例报告。

IF 0.9 Q4 REHABILITATION
Hand Therapy Pub Date : 2024-09-01 Epub Date: 2024-08-26 DOI:10.1177/17589983241268218
Nathan Short, Jill Linder, Ethan Stump
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引用次数: 0

摘要

目的:本研究介绍了干针疗法(DN)作为一种干预手段,对一名被诊断患有外侧上髁病的成人进行功能康复支持:方法:采用回顾性、单个受试者、AB 设计。一名 50 岁的男性患者有 6 个月的显性左侧外上髁病史,他接受了为期 4 周的传统干预(基线阶段;A),随后接受了同样的干预,并增加了干针疗法(干预阶段;B)。采用 QuickDASH 评估、疼痛数字评分量表 (NRS)、握力(肘部屈曲和中立)和莫兹利测试以及患者自我报告的日常生活能力 (ADLS)、工具性日常生活能力、工作和休闲职业能力来衡量疗效:患者在接受传统治疗的最初 4 周内进展甚微。最初的 NRS 疼痛评分(7/10)、左手握力(67 磅)或 QuickDASH 初始评分均无变化。第 5 周开始接受 DN 治疗,第 6-8 周疼痛从 7/10 减轻到 2/10。他在第 12 周出院时已无疼痛感,QuickDASH 评分为 0/100,握力为 83 磅,无疼痛感,自我报告称能独立完成所有日常活动、工具性日常活动、工作和休闲活动:干针疗法与整体疗法相结合,对慢性外侧上髁炎患者似乎是一种有效的干预方法。还需要进行更多的研究,以评估干针疗法作为一种支持功能康复的干预措施,并进行更多的样本量和随机化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of dry needling to treat lateral epicondylosis: A case report.

Purpose: This study presents the use of dry needling (DN) as an intervention to support functional rehabilitation for an adult diagnosed with lateral epicondylosis.

Methods: A retrospective, single subject, AB design was implemented. A 50-year-old male with a six-month history of dominant left lateral epicondylosis received traditional interventions for 4 weeks (baseline phase; A) followed by the same interventions with the addition of DN (intervention phase; B). The QuickDASH assessment, numeric rating scale (NRS) for pain, grip strength (elbow flexed and neutral), and Maudsley's test were used as measures of effectiveness along with patient self-report of ability to perform activities of daily living (ADLS), instrumental ADLs, work, and leisure occupations.

Results: The patient made minimal progress for the initial 4 weeks of traditional treatment. There were no changes to his initial pain rating of 7/10 on the NRS, left hand grip strength (67 lbs.), or initial QuickDASH score. DN was initiated at week five with a reduction in pain from 7/10 to 2/10 from weeks six to eight. He was discharged at week 12 with no pain, a score of 0/100 on the QuickDASH, non-painful grip of 83 lbs., and a self-report of the ability to perform all ADLs, instrumental ADLs, work, and leisure occupations independently.

Conclusions: Dry needling appears to have been an effective intervention when integrated with a holistic approach for an individual with chronic lateral epicondylosis. More research is needed to evaluate dry needling as an intervention to support functional rehabilitation with a larger sample size and randomization.

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来源期刊
Hand Therapy
Hand Therapy REHABILITATION-
CiteScore
1.60
自引率
10.00%
发文量
13
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