CAJ | 학술논문

　　目的使用肌肉能量技术处理腕关节背伸肌，观察其对肱骨外上髁炎疗效的远期观察。方法48例肱骨外上髁炎患者分为肌肉能量组和封闭治疗组各24例，肌肉能量组患者用肌肉能量技术对腕伸肌进行处理，封闭治疗组进行封闭治疗，治疗前后行VAS、前臂腕伸肌肌力评定，出院后3个月、6个月和1年随访。结果治疗后封闭治疗组治疗后VAS评分明显低于肌肉能量组(P<0.01)；肌肉能量组前臂腕伸肌力量明显大于封闭治疗组(P<0.01)。3个月随访，肌肉能量组优良率(83.3%)与封闭治疗组(91.7%)无显著性差异(P>0.05)；6个月随访，肌肉能量组(75.0%)与封闭治疗组(46.1%)有显著性差异(P<0.01)；1年随访，肌肉能量组(54.2%)与封闭治疗组(16.7%)有显著性差异(P<0.01)。结论封闭治疗对肱骨外上髁炎短期阵痛疗效较肌肉能量技术好，但肌肉能量技术对于长期疗效维持好于单纯的封闭治疗。
　　목적사용기육능량기술처리완관절배신기，관찰기대굉골외상과염료효적원기관찰。방법48례굉골외상과염환자분위기육능량조화봉폐치료조각24례，기육능량조환자용기육능량기술대완신기진행처리，봉폐치료조진행봉폐치료，치료전후행VAS、전비완신기기력평정，출원후3개월、6개월화1년수방。결과치료후봉폐치료조치료후VAS평분명현저우기육능량조(P<0.01)；기육능량조전비완신기역량명현대우봉폐치료조(P<0.01)。3개월수방，기육능량조우량솔(83.3%)여봉폐치료조(91.7%)무현저성차이(P>0.05)；6개월수방，기육능량조(75.0%)여봉폐치료조(46.1%)유현저성차이(P<0.01)；1년수방，기육능량조(54.2%)여봉폐치료조(16.7%)유현저성차이(P<0.01)。결론봉폐치료대굉골외상과염단기진통료효교기육능량기술호，단기육능량기술대우장기료효유지호우단순적봉폐치료。
Objective To explore the effect of wrist extensor energy on humeral epicondylitis. Methods 48 humeral epicondylitis pa-tients were divided into muscular energy group and block therapy group with 24 cases in each group. The muscular energy group was treat-ed with muscle energy technique, and the other group received block therapy. They were assessed with Visual Analogue Scale (VAS) and muscle strength. They were followed up 3 months, 6 months and 1 year after discharge. Results The score of VAS was lower in the block therapy group than in the muscular energy group (P<0.01), and the muscle strength was weaker (P<0.01). 3 months after discharge, there was no significant difference in the effects between the muscular energy group (83.3%) and the block therapy group (91.7%) (P>0.05);6 months after discharge, the muscular energy group (75.0%) was better than the block therapy group (46.1%) (P<0.01); 1 year after dis-charge, the muscular energy group (54.2%) was better than the block therapy group (16.7%) (P<0.01). Conclusion The block therapy is bet-ter in short-term effect on humeral epicondylitis, and the muscle energy technique was better in long-term effect.