红外偏振光治疗肩周炎的临床疗效观察

Xiujuan Han
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摘要

目的探讨红外偏振光照射治疗肩周炎的临床效果。方法选取2015年10月至2018年12月天津市人民医院康复科收治的150例肩周炎患者,采用随机数字表法随机分为对照组(75例)和治疗组(75例)。最终,120例患者接受了完整的治疗,其中治疗组67例,对照组53例。治疗组采用红外偏振光照射联合肩关节活动治疗,对照组仅采用肩关节活动治疗。疗程2个月,每周治疗5次。每次治疗时,红外偏振光照射时间为10 min,关节活动时间为15 ~ 20 min。在第一次治疗前和治疗2周后分别进行疼痛(视觉模拟量表,VAS)、活动范围(ROM)、肌肉力量和焦虑自评量表(SAS)的康复评估。结果治疗前,两组患者VAS、ROM、肌力、SAS评分比较,差异均无统计学意义(P < 0.05)。与治疗前比较,治疗2周后两组患者VAS、SAS评分均显著降低,ROM、肌力评分均显著升高(P均0.05)。治疗组各项指标改善程度均大于对照组。结论红外偏振光照射可显著提高肩周炎的治疗效果。关键词:冻肩;红外偏振光;康复评估
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Clinical efficacy of infrared polarized light in the treatment of frozen shoulder
Objective To evaluate the clinical effect of infrared polarized light irradiation in the treatment of frozen shoulder. Methods A total of 150 patients with frozen shoulder who were treated in the rehabilitation department of Tianjin People's Hospital from October 2015 to December 2018 were randomly divided into a control group (75 cases) and a treatment group (75 cases) using a random number table. Finally, 120 patients who underwent the complete treatment were enrolled including 67 in the treatment group and 53 in the control group. The patients in the treatment group was treated with infrared polarized light irradiation combined with shoulder joint mobilization, and in the control group was treated with shoulder mobilization alone. The whole course is 2 months, and the treatment was 5 times a week. In each treatment, the duration of infrared polarized light irradiation is 10 min and the duration of joint mobilization is 15 to 20 min. Rehabilitation assessment of pain (visual analogue scale, VAS), range of motion (ROM), muscle strength and self-rating anxiety scale (SAS) were performed before the first treatment and after 2 weeks of treatment. Results Before the treatment, there were no statistically significant differences in VAS, ROM, muscle strength and SAS scores between the two groups (all P>0.05). Compared with that before treatment, VAS and SAS scores were significantly decreased, ROM and muscle strength scores were significantly increased in the two groups after 2 weeks treatment (all P 0.05). The improvements of the indicators in the treatment group was greater than that of the control group. Conclusions Infrared polarized light irradiation can significantly improve the treatment effect of frozen shoulder. Key words: Frozen shoulder; Infrared polarized light; Rehabilitation assessment
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