发散式冲击波疗法联合关节松动术治疗肩关节周围炎的疗效

Efficacy of Dispersive Shockwave Therapy Combined with Joint Mobilization in the Treatment of Periarthritis of the Shoulder

摘要: 目的：研究发散式冲击波疗法及关节松动术的联合治疗对肩关节周围炎的临床疗效如何。方法：选取在2022年8月至2023年8月收治于安徽医科大学第二附属医院康复科的40例肩关节周围炎患者为目标研究样本，按随机采样分组法进行分组研究，随机分为对照组和治疗组，每组20例，对照组及治疗组的20例患者均进行关节松动术治疗，在关节松动术治疗基础上，治疗组采用了联合发散式冲击波疗法对患者进行康复治疗。进一步评估比较两组患者的临床疗效，采用视觉模拟疼痛评分(VAS)和Constant Murley 肩关节评分(CMS)、关节活动度(Rang of Motion, ROM)等对其三个时间点(治疗前、治疗1周后、治疗2周后)进行同时评估。结果：两组患者经过1周和2周的治疗后，VAS评分、关节活动度及CMS评分均出现明显的改善(P < 0.05)，且治疗组明显优于对照组(P < 0.05)。结论：对于肩关节周围炎患者，采用联合关节松动术和发散式冲击波疗法的治疗方案，可以有效减轻患者肩部疼痛。提高患者肩关节活动度，提升治疗效果，改善其日常生活活动能力。

Abstract: Objective: To study the clinical efficacy of the combined treatment of dispersive shockwave therapy and joint mobilization on periarthritis of the shoulder. Methods: Forty patients with periarthritis of the shoulder admitted to the Department of Rehabilitation of the Second Affiliated Hospital of Anhui Medical University from August 2022 to August 2023 were selected as the target study samples, and they were grouped according to the random sampling grouping method, and randomly divided into the control group and the treatment group, with 20 cases in each group, and 20 cases in the control group and the treatment group were treated with joint mobilization, and based on the joint mobilization, the treatment group used combined dispersive shockwave therapy to rehabilitate patients. In the treatment group, joint dispersive shockwave therapy was used to rehabilitate the patients. Further assessment to compare the clinical outcomes of the two groups of patients was done simultaneously at three time points (pre-treatment, after 1 week of treatment, and after 2 weeks of treatment) using visual analogue pain scores (VAS) and Constant Murley shoulder score (CMS), and Rang of motion (ROM) of the joints. Results: Significant improvements in VAS scores, joint mobility and CMS scores were seen in both groups after 1 and 2 weeks of treatment (P < 0.05), and the improvement was more significant in the treatment group than in the control group (P < 0.05). Conclusion: For patients with periarthritis of the shoulder, the treatment plan of combined joint mobilization and dispersive shockwave therapy can effectively reduce patients’ shoulder pain. It improves the patients’ shoulder joint mobility, enhances the therapeutic effect, and improves their daily life activities.