冲击波治疗在运动员外上髁炎复杂治疗中的应用效果

M. Ivanov, A. Samoylov, V. Pustovoyt
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引用次数: 0

摘要

本研究目的:评价冲击波治疗多种方法在运动员外上髁炎综合治疗中的效果。材料和方法:研究涉及122人。诊断为外上髁炎,年龄20 - 45岁,其中女性55(45.1%),男性67(54.9%)。所有患者分为4组:对照组28人,接受标准治疗;3组94人,在标准治疗的背景下,采用不同的方法进行冲击波治疗。检查包括投诉收集、记忆、体格检查、使用QuickDASH问卷评估上肢功能、使用PRTEE问卷评估网球肘、使用megen -34090测力仪进行腕测力,并采用统计学方法。所有研究均在治疗前、治疗后、治疗后3周和1个月进行。治疗后。结果:在治疗后3周和1个月,冲击波治疗肌腱、手屈肌和肱三头肌在上肢功能活动(DASH) (p < 0.05)和网球肘得分(PRTEE) (p < 0.05)方面优于冲击波治疗肌腱或手屈肌。结论:在进行各种类型的活动时,减轻上肢疼痛综合征和功能障碍的严重程度,在肌腱、手部屈肌和肩部三头肌区域进行冲击波治疗,可以使上肢功能恢复得更快,这对运动员尤为重要。
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The effectiveness of the use of various methods of shock wave therapy in the complex treatment of athletes with lateral epicondylitis
The purpose of the study: to evaluate the effectiveness of various methods of shock wave therapy in the complex treatment of athletes with lateral epicondylitis.Materials and methods: the study involved 122 people. with a diagnosis of Lateral epicondylitis, aged 20 to 45 years, of which 55 (45.1 %) women and 67 (54.9 %) men. All patients were divided into 4 groups: a control group, which included 28 people who underwent standard treatment, and 3 groups, a total of 94 people, who underwent shock wave procedures using various methods against the background of standard treatment. The examination included the collection of complaints, anamnesis, physical examination, assessment of the function of the upper limb using the QuickDASH questionnaire, assessment of tennis elbow using the PRTEE questionnaire, carpal dynamometry was performed on a MEGEON-34090 dynamometer, and statistical methods. All studies were conducted before, after treatment, as well as after 3 weeks and 1 month. after treatment.Results: shockwave therapy applied to tendons, flexors of the hand, and triceps brachii outperformed shockwaves to tendons or tendons and flexors of the hand in terms of Upper Limb Functional Activity (DASH) (p < 0,05) and score tennis elbow (PRTEE) (p < 0,05) after 3 weeks and after 1 month after treatment.Conclusion: reducing the severity of pain syndrome and functional disorders of the upper limb when performing various types of activities, when conducting shock wave therapy on the area of the tendons, flexor muscles of the hand and the triceps muscle of the shoulder indicates a faster recovery of the functions of the upper limb, which is especially important for athletes.  
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