摘要目的 观察单纯肱尺关节分离技术对肘关节功能障碍的疗效.方法 选取因上肢骨折固定制动造成肘关节功能障碍的患者27例,分为对照组14例和观察组13例.对照组采用多种关节松动术与被动牵伸技术相结合的综合治疗方法 ;观察组则单纯采用肱尺关节分离技术并辅以无痛且无负重的主动运动训练进行治疗.2组患者均于治疗前和治疗1,2,4周后采用关节活动度(ROM)与Mayo肘关节功能评分(MEPS)对疗效进行评估.结果 治疗前,对照组患者和观察组患者肘关节屈曲的ROM值分别为(47.86±23.35)°和(48.46±22.86)°,2组间差别无统计学意义(P>0.05).治疗4周后,2组患者肘关节屈曲的ROM值与组内治疗前比较,差异有统计学意义(P<0.05),观察组肘关节屈曲的ROM值为(110.00±20.00)°,显著优于对照组的(80.36±23.57)°,且差异有统计学意义(P<0.05).结论 单纯的肱尺关节分离技术治疗肘关节功能障碍所取得的疗效明显优于多种关节松动术结合被动牵伸技术的综合治疗方法 .

abstractsObjective To investigate simple manual humeroulnar distraction for alleviating elbow stiffness due to upper limb fracture. Methods Twenty-seven patients with elbow stiffness due to upper limb fracture were divided into control and experimental groups. Before treatment there was no significant difference in stiffness between the groups. The controls were treated with the combined mobilizations and passive stretching. The experimental group was treated with manual humeroulnar distraction alone. Both groups were treated for four weeks. Range of motion ( ROM) and the Mayo elbow function scale (MEFS) were used to evaluate elbow function before and after 4 weeks of treatment. Results After 4 weeks, there was a significant difference between the groups. In the experimental group average ROM reached (110±20) °,an average of 29.6°better than the controls (80.4±23.6) °. MEFS scores also showed significant differences between the experimental group (93. 85±7. 95) and the control group (83.93±9. 24). Conclusions Humeroulnar joint distraction might increase ROM and improve the functioning of stiff elbow joints. This finding may help rehabilitation professionals choose more effective manual mobilization techniques for treating elbow stiffness after upper limb fracture.