冲击波联合表面肌电生物反馈训练对创伤后肘关节僵硬的疗效

doi:10.3969/j.issn.1006-5725.2024.10.006

Abstract

Abstract:

Objective To observe the therapeutic effect of extracorporeal shock wave therapy combined withsurface electromyography biofeedback training （ESW-sEMGBF） on post-traumatic elbow joint stiffness. Methods A total of 80 patients with post-traumatic elbow stiffness admitted to the Rehabilitation Department of Hangzhou Fuyang Hospital of Orthopedics of Traditional Chinese Medicine from January 2021 to December 2021 were randomly assigned into control group （n = 40） and treatment group （n = 40） using a lottery method. The control group received conventional rehabilitation treatment （including soft tissue release， joint mobilization， continuous passive motion and cold therapy）， and the treatment group received conventional treatment combined with ESW-sEMGBF. Both groups underwent training once daily for five days a week over eight weeks. The visual analogue scale （VAS）， active range of motion （AROM） of the elbow joint， and Mayo Elbow Performance Score （MEPS） were evaluated before and after treatment. Results After 8 weeks of treatment， significant improvements were observed in all outcomes for both groups. The treatment group showed better improvements in VAS scores， AROM， and MEPS after treatment compared with the control group （P < 0.05，P < 0.001，P < 0.001）. No side effects or adverse reactions were observed in either group after treatment. Conclusion Extracorporeal shock wave therapy combined with surface electromyography biofeedback training effectively alleviated pain in patients with post-traumatic elbow joint stiffness， improved elbow joint function， and increased active range of motion of the elbow joint.

Key words: post-traumatic elbow stiffness, shock wave therapy, surface electromyography, biofeedback training, trauma

CLC Number:

Liyu FANG,Yachun REN,Yefan CAO,Hewei. WANG. Effect of extracorporeal shock wave therapy combined with surface EMG biofeedback on post⁃traumatic stiffness of the elbow[J]. The Journal of Practical Medicine, 2024, 40(10): 1364-1369.

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References 37

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组别	例数	性别（例）		年龄（岁）	病程（年）	部位（例）
组别	例数	男	女	年龄（岁）	病程（年）	尺骨鹰嘴	桡骨小头	肱骨下段	复合损伤	伴脱位
对照组	40	24	16	40.80 ± 12.84	6.15 ± 3.36	10	7	9	9	5
治疗组	40	21	19	41.13 ± 11.32	7.03 ± 3.49	10	8	7	10	5
t/χ2值		0.457		-0.120	-1.142	0.369
P值		0.499		0.905	0.257	0.985

组别	例数	治疗前	治疗后	差值*	t值	P值
对照组	40	（56.62 ± 21.29）°	（80.13 ± 17.81）°	（23.50 ± 10.39）°	-14.305	< 0.001
治疗组	40	（51.95 ± 19.61）°	（85.00 ± 18.01）°	（33.30 ± 7.88）°	-27.327	< 0.001
t值		1.022	-1.217	-4.754
P值		0.310	0.227	< 0.001

组别	例数	治疗前	治疗后	差值*	t值	P值
对照组	40	1.63 ± 0.84	0.60 ± 0.49	1.03 ± 0.66	9.826	< 0.001
治疗组	40	1.80 ± 0.94	0.38 ± 0.49	1.42 ± 0.81	11.086	< 0.001
t值		-0.879	2.040	-2.416
P值		0.382	0.045	0.018

组别	例数	治疗前	治疗后	差值*	t值	P值
对照组	40	66.63 ± 11.73	80.38 ± 11.00	13.75 ± 9.04	-9.619	< 0.001
治疗组	40	62.75 ± 11.82	84.13 ± 11.15	21.38 ± 8.55	-15.816	< 0.001
t值		1.472	-1.515	-3.876
P值		0.145	0.134	< 0.001

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Effect of extracorporeal shock wave therapy combined with surface EMG biofeedback on post⁃traumatic stiffness of the elbow

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