CAJ | 학술논문

目的：研究动态关节松动术( MWM)治疗肱骨外上髁炎时治疗频次和临床疗效的关系。方法：选取2012年10月至2012年5月在广州市第一人民医院及中山大学附属第三医院外科和康复科门诊确诊的肱骨外上髁炎患者40人,将患者随机归入治疗1组24例和治疗2组16例。治疗1组予患者1周内单次治疗,治疗2组予1周内2次治疗。记录两组患者治疗前和治疗后患肢无痛握力( pain free grip strength, PFG)及健、患肢最大握力( maximum grip strength, MGS),以患肢无痛握力和最大握力分别与健肢最大握力的比值( PFG患侧/MGS健侧,MGS患侧/MGS健侧)作为参数进行统计学比较。结果：治疗前2组的PFG患侧/MGS健侧和MGS患侧/MGS健侧无明显差别,各组内 MGS患侧/MGS健侧明显大于 PFG患侧/MGS健侧( P<0.05)。治疗后治疗2组的差别消失,而治疗1组的差别仍存在。治疗后治疗2组的PFG患侧/MGS健侧较治疗前显著提高(0.84±0.18对比0.45±0.19,P<0.05),同时明显高于治疗后的治疗1组(0.84±0.18对比0.48±0.18,P<0.05)。结论：MWM是一种针对肱骨外上髁炎有应用前景的康复治疗方式,1周治疗2次的治疗频次可达到有效疗效。
목적：연구동태관절송동술( MWM)치료굉골외상과염시치료빈차화림상료효적관계。방법：선취2012년10월지2012년5월재엄주시제일인민의원급중산대학부속제삼의원외과화강복과문진학진적굉골외상과염환자40인,장환자수궤귀입치료1조24례화치료2조16례。치료1조여환자1주내단차치료,치료2조여1주내2차치료。기록량조환자치료전화치료후환지무통악력( pain free grip strength, PFG)급건、환지최대악력( maximum grip strength, MGS),이환지무통악력화최대악력분별여건지최대악력적비치( PFG환측/MGS건측,MGS환측/MGS건측)작위삼수진행통계학비교。결과：치료전2조적PFG환측/MGS건측화MGS환측/MGS건측무명현차별,각조내 MGS환측/MGS건측명현대우 PFG환측/MGS건측( P<0.05)。치료후치료2조적차별소실,이치료1조적차별잉존재。치료후치료2조적PFG환측/MGS건측교치료전현저제고(0.84±0.18대비0.45±0.19,P<0.05),동시명현고우치료후적치료1조(0.84±0.18대비0.48±0.18,P<0.05)。결론：MWM시일충침대굉골외상과염유응용전경적강복치료방식,1주치료2차적치료빈차가체도유효료효。
Objective:To examine the association of the efficacy of mobilization with movement ( MWM) in lateral epicondylalgia and the frequency of administration. Methods: Between October 2012 and May 2013, we recruited 40 subjects with lateral epicondylalgia from the departments of orthopedics and rehabilitation, Guangzhou First People‘s Hospital and The Third Affiliated Hospital of Sun Yat sen University. Patients were randomly assigned to receive MWM once weekly ( group 1, n=24) or twice weekly ( group 2, n=16) . The pain free grip strength ( PFG) of the affected limb and maximum grip strength ( MGS) of the affected and unaffected limbs were measured before and after the intervention with MWM. The ratio of the PFG or MGS of the affected limb and the MGS of the unaffected limb ( PFGaf ected/MGSunaf ected , MGSaf ected/MGSunaf ected ) were compared. Results: Before intervention with MWM, the PFGaffected /MGSunaffected and MGSaffected /MGSunaffected were comparable between both groups. In respective group, the MGSaf ected/MGSunaf ected was markedly higher than the PFGaf ected/MGSunaf ected . Following intervention with MWM, the difference was insignificant in group 1, but not in group2. Intervention with MWM led to a significant increase in the PFGaf ected/MGSunaf ected(0.84±0.18 vs. 0.45± 0.19, P<0.05) in group2. The post treatment PFGaf ected/MGSunaf ected in group2 was also higher significantly than that in group1 (0.84±0.18 vs. 0.48±0.18, P<0.05). Conclusion:MWM is a promising for lateral epicondylalgia and may be effective when administered twice weekly.