目的:观察运动追踪联合电针治疗BiglianiⅠ型肩峰下撞击综合征的临床疗效。
方法:选取2019年1月至2021年6月BiglianiⅠ型肩峰下撞击综合征患者82例,分为治疗组和对照组。治疗组41例,23男18女,年龄从20岁到52岁,平均(39.31±5.80)岁。左肩12例,右肩29例。病程为3.2~35.4个月。治疗组采用KinesioTaping和电针治疗。在对照组中,有41例,包括22名男性和19名女性,年龄在19至53岁之间,平均(40.67±6.13)岁,右肩30例,左肩11例。病程为3.0~36.0个月。对照组采用单纯肩关节电针治疗。两组患者均采用电针治疗,每周3次,共3周。治疗组每次电针治疗后,立即应用KinesioTaping并保持2天。治疗前,治疗后立即,1、3、8周后,肩关节Constant-Murley评分,疼痛视觉模拟评分(VAS),采用肩关节活动度评价治疗效果。
结果:治疗1周后,治疗组有1例患者因对KinesioTaping过敏而拒绝治疗,对照组1例患者对金属针过敏,拒绝治疗。另外80名患者完成了全部治疗。治疗后立即,治疗后1、3和8周,治疗组VAS评分为(2.06±1.03),(2.74±1.66),(3.28±1.04),和(3.90±0.12)分,分别。肩关节Constant-Murley评分(86.41±3.52),(82.44±3.14),(80.46±2.54),(76.97±2.01)分。对照组VAS为(3.35±0.41),(3.08±0.92),(3.77±0.67),(3.96±1.04)分,肩关节的Constant-Murley评分为(75.82±2.73),(74.72±1.53),(73.66±1.53),(70.68±1.95)分。治疗后立即,VAS,Constant-Murley得分,两组患者的肩关节活动度均优于治疗前(P<0.05),两组治疗后差异有统计学意义(P<0.05)。治疗后一周,VAS,Constant-Murley得分,两组患者的肩关节活动度均优于治疗前(P<0.05),两组VAS评分比较差异无统计学意义(P>0.05)。两组Constant-Murley评分及肩关节活动度比较差异均有统计学意义(P<0.05)。在治疗后3周和8周,VAS,Constant-Murley得分,两组肩关节活动度均优于治疗前(P<0.05),但两组间差异无统计学意义(P>0.05)。
结论:运动训练结合电针治疗比连尼Ⅰ型肩峰下撞击综合征可减轻疼痛,有效改善肩关节功能。此外,运动时使用KinesioTaping保护,患者运动能力明显提高,具有良好的立竿见影的效果,也没有外伤.如果病人愿意接受,这将是一种立即有效的治疗方法。
OBJECTIVE: To investigate the clinical effect of Kinesio Taping combined with electroacupuncture in the treatment of Bigliani typeⅠsubacromial impingement syndrome.
METHODS: From January 2019 to June 2021, 82 cases with Bigliani typeⅠsubacromial impingement syndrome were selected and divided into treatment group and control group. Treatment group included 41 cases, 23 males and 18 females, aged from 20 to 52 years old, with an average of (39.31±5.80)years old. There were 12 cases on left shoulder and 29 cases on right shoulder. The course of disease was from 3.2 to 35.4 months. The treatment group was treated with Kinesio Taping and electroacupuncture. In control group, there were 41 cases, including 22 males and 19 females, aged from 19 to 53 years old with an average of (40.67±6.13) years old, 30 cases on right shoulder, 11 cases on left shoulder. The courses of disease was from 3.0 to 36.0 months. The control group was treated with simple shoulder electroacupuncture. Patients in both groups were treated with electroacupuncture 3 times a week for 3 weeks. After each electroacupuncture treatment in the treatment group, the Kinesio Taping was applied immediately and kept for 2 days. Before treatment, immediately after treatment, and after 1, 3, 8 weeks, the shoulder joint Constant-Murley score, pain visual analogue scale (VAS), and shoulder joint range of motion were used to evaluate the treatment effect.
RESULTS: After 1 week of treatment, there was 1 patient in treatment group refused treatment due to hypersensitivity to Kinesio Taping, 1 patient in control group was allergic to the metal needle and refused treatment. And the other 80 patients completed all treatment. Immediately after treatment, and 1, 3, and 8 weeks after treatment, VAS of treatment group were (2.06±1.03), (2.74±1.66), (3.28±1.04), and (3.90±0.12) points, respectively. The Constant-Murley scores of shoulder joint were(86.41±3.52), (82.44±3.14), (80.46±2.54), (76.97±2.01) points. VAS of control group were(3.35±0.41), (3.08±0.92), (3.77±0.67), (3.96±1.04) points, and the Constant-Murley scores of the shoulder joint were(75.82±2.73), (74.72±1.53), (73.66±1.53), (70.68±1.95) points respectively. Immediately after treatment, VAS, Constant-Murley score, and shoulder range of motion between two groups were better than those of before treatment (P<0.05), and the difference was statistically significant between two groups after treatment (P<0.05). One week after treatment, VAS, Constant-Murley score, and shoulder joint range of motion between two groups were better than those of before treatment (P<0.05), but there was no significant difference in VAS between two groups (P>0.05). There were significant differences in the Constant-Murley score and shoulder range of motion between two groups (P<0.05). At 3 and 8 weeks after treatment, VAS, Constant-Murley score, and the range of motion of shoulder joints between two groups were better than those of before treatment (P<0.05), but there was no significant difference between two groups(P>0.05).
CONCLUSIONS: The treatment for bigliani typeⅠsubacromial impingement syndrome with Kinesio Taping combined with electroacupuncture can reduce pain, effectively improve the function of shoulder joint. In addition, with Kinesio Taping protection when motion, the patients sports ability can be improved obviously, with good immediate effect, and no trauma. If the patients are willing to accept it, it would be an immediate and effective treatment.