卡尔特伯恩运动疗法与肌肉能量技术对粘连性肩关节囊炎患者肩关节活动范围的影响

Muhammad Umar, Aqsa Anwar, Nida Khan, Misbah Marryam, Hiba Rashid
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摘要

目的比较肌肉能量技术(等长运动后放松)和卡尔滕伯恩运动疗法对粘连性肩关节囊炎患者肩关节活动范围(ROM)的效果。方法:随机对照试验对粘连性肩关节囊炎患者进行为期 6 个月的随机对照试验(CRT),试验时间为 2021 年 9 月至 2022 年 2 月。数据通过方便的抽样技术收集。30 名患者来自拉瓦尔品第圣家医院理疗科。样本量使用 Open Epi 工具进行计算。在基线、治疗 2 周后和 4 周后使用通用动态关节角度计收集数据。符合纳入标准并同意的患者被纳入研究。患者被随机分为两组:A组接受肌肉能量技术,B组接受II级和III级卡尔特伯恩手法。研究结果数据采用 SPSS 软件 22 版进行分析。两组的肩关节活动范围均有所改善,但 A 组的屈伸和外展活动范围与 B 组相比有显著差异(P<0.05):在改善粘连性肩关节囊炎患者的屈伸和外展ROM(除旋转外)方面,肌肉能量技术比卡腾伯恩手法更有效。
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Effectiveness Of Kaltenborn Mobilization Versus Muscle Energy Technique On Shoulder Range Of Motion In Adhesive Capsulitis
Objective: To compare the effectiveness of muscle energy techniques (post isometrics relaxation) and Kaltenborn mobilizations on shoulder range of motion (ROM) in adhesive capsulitis. Methodology: A randomized Control Trial (CRT) was conducted on patients with adhesive capsulitis for 6 months September 2021 to February 2022. Data was collected through a convenient sampling technique. 30 patients were taken from the physiotherapy department of the holy family hospital, Rawalpindi. The sample size was calculated using the Open Epi Tool. Data was collected by using Universal Goniometer at baseline, after 2 weeks and after 4 weeks of treatment. Patients who met the inclusion criteria and gave consent were included in the study. Patients were randomly allocated into two groups: Group A & Group B. Group A received muscle energy technique and Group B received grade II & III Kaltenborn mobilizations. Results: Data was analysed using SPSS software version 22. Both groups showed improvements in shoulder range of motion but Group A showed a statistically significant difference (p<0.05) in flexion and abduction ROM from Group B. Conclusion: The muscle energy technique is much more effective in improving flexion and abduction ROM except rotation than Kaltenborn mobilizations in adhesive capsulitis.
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