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題 名 | 冰凍肩在中醫骨傷與西醫復健臨床療效之比較初探=Comparison of Chinese Manipulation and Western Medicine Rehabilitation in Treating Frozen Shoulder-Pilot Study |
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作 者 | 何宗融; 馬作鏹; 陳朝宗; 呂東武; 邱晏麟; 高木榮; 陳泰佑; 林昭庚; | 書刊名 | 臺灣中醫醫學雜誌 |
卷 期 | 4:1 民94.03 |
頁 次 | 頁58-73 |
分類號 | 413.423 |
關鍵詞 | 中醫傷科; 復健; 冰凍肩; 疼痛指數; 關節活動度; Chinese manipulation; Rehabilitation; Frozen shoulder; Pain scale; ROM; |
語 文 | 中文(Chinese) |
中文摘要 | 冰凍肩是一種自發性、漸進性的肩關節周圍炎。好發於50歲以上,故又名五十肩。其真正原因仍尚未十分清楚。對於冰凍肩的治療有很多種方法:包括休息、藥劑療法、物理療法、神經阻斷術、自我運動練習、推拿手法及針灸等。在中醫,傷科手法治療為一傳統治療方式,但國內發表於醫學期刊相關研究較少,現今在有關筋肉疼痛方面幾乎都尋求西方主流醫學治療。故針對冰凍肩病患,以現行中西醫之治療方式做一比較分析。本研究選取24位冰凍肩患者分別給予西醫復健與中醫傷科治療,並於第一週進行疼痛指數、主動式肩關節活動度的前後測,第二週及第四週則進行後測。收案標準需在疼痛1個月以上,肩活動度減少100度以上,外轉(ER)<45°,內轉(IR)<45°,外展(Abd)<100°。且排除曾經重大創傷(骨折),重大疾病,頸肩合併症,頸、肩、胸手術者。實驗組則以中醫傷科非侵入性手法治療冰凍肩。對照組則以西醫復健標準程序治療之。本研究在每一個同組之間,其前測及兩次後測將以Wilcoxon符號等級檢定分析;在兩個不同的組別間,將對每一個因子進行Mann-Whitney檢定分析。在臨床療效結果顯示中醫傷科與西醫復健兩組間治療改善比較幾無顯著之差異。且在治療四週後,中醫傷科較西醫復健在內轉(IR)確有明顯之改善。故中醫傷科應是一值得發展之學門。本研究是首次以中醫骨傷與西醫復健治療冷凍肩來作一比較,可為中醫於臨床療效提供證據醫學之研究。另外也可為中醫臨床療效評估及政策擬定提供參考。 |
英文摘要 | Adhesive capsulitis, also known as frozen shoulder, is a condition characterized by pain for the shoulder; the obstacle of shoulder ROM and daily activity function are limited. Frozen shoulder is most common over 50 year old age group, and the etiology is not yet clear. In Taiwan the usual ways to treat the frozen shoulder are medical therapy, Physical therapy, Nerve block and acupuncture etc. Chinese Manipulation is a traditional treating way, but there are few related studies. Besides, people would take the treatment of western medicine rehabilitation as they get some physique problems. Therefore, this study aimed at patients with frozen shoulder to compare their treating ways of western medicine to Chinese medicine. 24 patients are collected and treated them with rehabilitation and Chinese Manipulation. And then we performed pretest and posttest in first, second, and fourth weeks. Our sample standing includes: patients who get pain over one month; all their range of motion (ROM) reduce over 100°; ER<45°, IR<45°; and Abd<100°. Moreover, we also eliminated these who ever got serious trauma (fracture). The experiment group was treated with Chinese Manipulation and the control group was treated with rehabilitation. Our evaluation use Wilcoxon test and Mann-Whitney test by SPSS software. The result show that there is no difference between Chinese Manipulation and rehabilitation. Especially, Chinese Manipulation is better than rehabilitation in IR of ROM after 4 weeks. We strongly considered that Chinese Manipulation is a recommendable medical technique. |
本系統中英文摘要資訊取自各篇刊載內容。