不同冲击波治疗肩袖损伤的效果分析

Analysis of the Effects about Treating Rotator Cuff Injury between Different Shock Waves

摘要: 目的：通过对肩袖损伤患者采用平面治疗头、可伸缩治疗头冲击波两种不同类型冲击波进行干预，然后用治疗前后指标来对比，从而得到最佳的治疗方式。方法：选取患有肩袖损伤的运动员21名，随机分成3组，7人/组，每周治疗一次，共治疗四次；主要选取超声诊断、压痛点的VAS评分、关节活动度、肩袖相关肌肉的肌力测试四个指标进行效果评估。结果：在炎症愈合程度方面，可伸缩治疗头组相对平面治疗头组有较好的治疗效果；在促进疼痛缓解方面，两种治疗头皆对患者肩袖疼痛起到缓解和治疗作用，皆有显著性差异；在改善关节活动度方面，平面治疗头冲击波对肩关节屈伸和内外旋活动度的有较明显的改善作用，而可伸缩治疗头冲击波在外展、水平内收、和内旋这三个运动方向中，治疗后相对治疗前有显著性差异；在改善关节肌力方面，两组冲击波对于提高肌力并没有明显效果。结论：两种冲击波方案均对缓解疼痛，增加关节活动度有一定效果，针对不同的需求可以选择不同的治疗方案。

Abstract: Objective: Throughing treating two groups of rotator cuff injury patients with plane-head shock wave and retractable head shock wave, comparison of the index before and after treatment, so as to get the best treatment. Methods: Select 21 athletes with rotator cuff injury, and divide them into three groups, 7 patients/group, once a week of treatment, 4 times in total. The Intensity of treatmentin each group is decided by the range of visual analog pain scale (VAS). To evaluate the effect, use four indicators include: Ultrasound diagnosis, the VAS score, the joint range of motion, the animal force of interrelated muscle. Results: In the degree of inflammation in healing, the effi-cacy of the retractable head shock wave group has the better significant effect compared with the plane-head shock wave; to promote pain relief, the effect of slight pain group and the extreme pain group was significantly obvious; to improve the joint range of motion, the plane-head shock wave can impove the shoulder’s activity of flexion, exrend, internal rotation and exter rotation obviously, nevertheless the retractable-head shock wave can impove the shoulder’s activity of abduction, horizontal abduction and internal rotation obviously; it has no obvious effect to impove the animal force of interrelated muscle. Conclusion: Both shock wave schemes have a certain effect on relieving pain and increasing joint mobility. Different treatment plans can be chosen according to different needs.