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目的探讨虚拟情景结合常规康复疗法对肩周炎的临床治疗效果。方法选择2016年1月至6月在安徽医科大学第二附属医院康复医学科接受康复治疗的肩周炎患者40例,其中男性17例,女性23例;年龄40~65岁,平均年龄54.55岁。采用随机数字表法分为试验组和对照组。试验组20例,其中男性8例,女性12例,平均年龄55.00岁;左侧9例,右侧11例。对照组20例,其中男性9例,女性11例,平均年龄54.10岁;左侧7例,右侧13例。对照组行常规康复治疗(含蜡疗、干扰电、超短波等项目),治疗组除了行常规康复治疗外,再加一项虚拟情景疗法,时间为20 min,治疗频次均为1周5次。2组均于治疗前及治疗8周后采用美国肩肘外科协会(ASES)评分系统进行打分评估。结果治疗前肩关节前屈活动度、外展活动度、后伸活动度、ASES评分,试验组分别为80.25°±35.52°、90.16°±28.21°、27.19°±10.02°、(63.90±11.80)分,对照组分别为87.40°±33.25°、89.23°±24.72°、23.15°±7.62°、(65.75±10.11)分;两组比较,差异无统计学意义(P>0.05)。治疗后肩关节前屈活动度、外展活动度、后伸活动度、ASES,试验组分别为136.20°±29.92°、144.45°±32.66°、37.95°±6.61°、(80.10±8.20)分,对照组分别为115.65°±31.43°、126.05°±25.98°、30.90°±9.93°、(74.30±9.14)分;两组比较,差异有统计学意义(P<0.05)。试验组均优于对照组,治疗前、后肩关节活动度和ASES评分差异均有统计学意义(P<0.05)。结论虚拟情景可有效改善肩周炎中的肩关节活动度,提高肩关节功能,且与常规康复治疗相比更有乐趣,易于被患者接受,但远期效果仍需进一步研究。
Objective To explore the clinical effect of virtual scene combined with routine rehabilitation therapy on frozen shoulder. Methods From January to June 2016, 40 patients with frozen shoulder treated with rehabilitation were admitted to the Second Affiliated Hospital of Anhui Medical University, including 17 males and 23 females, aged from 40 to 65 years with an average age of 54.55 years . Using random number table divided into experimental group and control group. The experimental group of 20 patients, including 8 males and 12 females, mean age 55.00 years; 9 on the left and 11 on the right. The control group of 20 patients, including 9 males and 11 females, mean age 54.10 years; 7 on the left and 13 on the right. The control group underwent routine rehabilitation (including wax therapy, electrical interference, ultrashort wave and other projects). In addition to routine rehabilitation treatment, the treatment group was given a virtual scene therapy for 20 minutes and the treatment frequency was 5 times a week. Both groups were scored before and after 8 weeks of treatment using the American Society of Shoulder and Wrist Surgeons (ASES) scoring system. Results The scores of flexion, outreach, extensional mobility and ASES before treatment were 80.25 ° ± 35.52 °, 90.16 ° ± 28.21 °, 27.19 ° ± 10.02 ° and 63.90 ± 11.80, respectively The scores of control group were 87.40 ° ± 33.25 °, 89.23 ° ± 24.72 °, 23.15 ° ± 7.62 ° and 65.75 ± 10.11, respectively. There was no significant difference between the two groups (P> 0.05). The scores of flexion, outreach, extensional mobility, ASES and test group after treatment were 136.20 ° ± 29.92 °, 144.45 ° ± 32.66 °, 37.95 ° ± 6.61 ° and 80.10 ± 8.20, The control group were 115.65 ° ± 31.43 °, 126.05 ° ± 25.98 °, 30.90 ° ± 9.93 ° and (74.30 ± 9.14) points respectively. There was significant difference between the two groups (P <0.05). The experimental group was better than the control group. There were significant differences in the activities of the shoulder joint and ASES before and after treatment (P <0.05). Conclusions The virtual situation can effectively improve the shoulder mobility and improve the shoulder joint function. Compared with the conventional rehabilitation therapy, the virtual scene can be more easily accepted by the patients, but the long-term effect still needs further study.