摘要
目的：探讨三维动态牵伸回旋手法对冻结期冻结肩患者体表热像的影响。方法：11例冻结期冻结肩患者，男1例，女10例。年龄47～64岁，中位数52岁。左肩7例，右肩4例。病程3～12个月，中位数6个月。采用医用远红外热成像仪采集静息状态下双肩肱二头肌肌腱长头、三角肌抵止点和冈上肌、冈下肌、小圆肌等肌腱和肌腹红外热成像图，采集完成后对图像进行存储、编辑。采用三维动态回旋手法治疗前比较患侧与健侧三角肌抵止点、肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌等区域皮肤温度，并于治疗2个疗程后比较患侧治疗前后肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌等区域皮肤温度变化情况。结果：治疗前患侧肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌色码温值均高于健侧[（28．263±1．511）℃，（27．409±1．672）℃，t ＝8．225，P ＝0．000；（28．154±1．912）℃，（27．309±1．893）℃，t ＝5．047，P ＝0．000；（27．846±1．393）℃，（26．927±1．429）℃，t ＝6．095，P ＝0．000；（27．673±1．720）℃，（26．964±1．759）℃，t ＝4．535，P ＝0．001]；双侧三角肌抵止点色码温值比较，差异无统计学意义[（27．655±1．236）℃，（27．372±0．816）℃，t ＝1．460，P ＝0．175]。治疗2个疗程后，患侧肱二头肌肌腱长头、冈上肌、冈下肌、小圆肌色码温值均高于治疗前[（29．018±1．393）℃，（28．263±1．511）℃，t ＝6．404，P ＝0．000；（29．956±1．799）℃，（28．154±1．912）℃，t ＝8．476，P ＝0．000；（28．800±1．363）℃，（27．846±1．393）℃，t ＝14．342，P ＝0．000；（28．573±1．756）℃，（27．673±1．720）℃，t ＝14．925，P ＝0．000]。结论：三维动态牵伸回旋手法治疗冻结期冻结肩，可提高肩部皮肤温度，这为临床上手法治疗冻结肩提供了切实有�
Objective：To explore the influence of three-dimensional dynamic drafting and convolution manipulation on body surface in-frared thermal imaging in patients with frozen shoulder during frozen period.Methods：The patients with frozen shoulder during frozen peri-od consisted of 1 male and 10 females,and ranged in age from 47 to 64 years（Median =52 yrs）.The frozen shoulder located in left for 7 patients and right for 4 patients.The course of disease ranged from 3 to 12 months（Median =6 months）.The infrared thermal imaging pic-tures of long head of biceps brachii tendons,starting point and ending point of deltoideus and tendon and muscle bellys of supraspinatus,in-fraspinatus and teres minor muscle were collected in the relaxed state by using the medical far -infrared thermal image instrument.Then the pictures were reserved and edited.The skin temperatures were compared between affected side and healthy side in starting point and ending point of deltoideus,long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle before the treatment;and after two-course treatment,the skin temperature changes in the long head of biceps brachii tendons,supraspinatus,infraspinatus and teres minor muscle on the affected side were studied.Results：The color code values of skin temperature of long head of biceps brachii tendons,su-praspinatus,infraspinatus and teres minor muscle of affected side were higher than that of healthy side before the treatment（28.263 ＋/-1.511 vs 27.409 ＋/-1.672 ℃,t =8.225,P =0.000;28.154 ＋/-1.912 vs 27.309 ＋/-1.893 ℃,t =5.047,P =0.000;27.846 ＋/-1.393 vs 26.927 ＋/-1.429 ℃,t =6.095,P =0.000;27.673 ＋/-1.720 vs 26.964 ＋/-1.759 ℃,t =4.535,P =0.001）.There was no statistical difference in the color code values of skin temperature of starting point and ending point of deltoideus between the 2 sides （27.655 ＋/-1.236 vs 27.372 ＋/-0.816 ℃,t =1.460,P =0.175）.After two-course treatment,the color code values of long head ofbiceps brachii tendons,sup
出处
《中医正骨》
2015年第7期11-14,共4页
The Journal of Traditional Chinese Orthopedics and Traumatology
基金
天津市应用基础及前沿技术研究计划项目(12JCYBJC17500)
关键词
肩凝症
手法
骨科
红外热成像
frozen shoulder
manipulation,orthopedic
infrared thermal imaging
