Influence of muscle energy technology combined with Maitland joint mobilization surgery on the elbow joint flexion function in patients with deep burn of elbow joint

Wu Kunping; Yuan Lin; Chen Pei; Ru Tianfeng; Luo Hao; Xie Weiguo

doi:10.3760/cma.j.cn501225-20220608-00228

Volume 39 Issue 5

May 2023

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(5): 443-449

Wu KP,Yuan L,Chen P,et al.Influence of muscle energy technology combined with Maitland joint mobilization surgery on the elbow joint flexion function in patients with deep burn of elbow joint[J].Chin J Burns Wounds,2023,39(5):443-449.DOI: 10.3760/cma.j.cn501225-20220608-00228.

Citation:

PDF( 2065 KB)

Influence of muscle energy technology combined with Maitland joint mobilization surgery on the elbow joint flexion function in patients with deep burn of elbow joint

doi: 10.3760/cma.j.cn501225-20220608-00228

Department of Burns, Tongren Hospital of Wuhan University ＆ Wuhan Third Hospital, Wuhan 430060, China

More Information

Corresponding author: Xie Weiguo, Email: wgxie@hotmail.com
Received Date: 2022-06-08

Abstract

Abstract

Objective To investigate the influence of muscle energy technology (MET) combined with Maitland joint mobilization surgery on the elbow joint flexion function in patients with deep burn of elbow joint. Methods A retrospective controlled clinical trial was conducted. From January 2020 to January 2022, 53 patients with elbow joint flexion dysfunction after deep burns who met the inclusion criteria were treated in Tongren Hospital of Wuhan University ＆ Wuhan Third Hospital, including 32 males and 21 females, aged (37±12) years. According to the treatment method used, the patients were divided into conventional treatment alone group (15 cases), conventional treatment+joint mobilization surgery group (18 cases), and conventional treatment+joint mobilization surgery+MET group (20 cases). Before treatment and 2 months after treatment, the patient's elbow joint range of motion was measured using a protractor, the Mayo elbow joint function score was used to evaluate elbow joint function, a portable muscle strength tester was used to measure elbow extensor muscle strength, and visual analogue scale was used to evaluate pain degree. Data were statistically analyzed with one-way analysis of variance, least significant difference test, paired sample t test, Kruskal-Wallis H test, Wilcoxon signed rank-sum test, chi-square test, Fisher's exact probability test, and Bonferroni correction. Results After two months of treatment, the elbow joint range of motion and elbow joint function scores of patients in conventional treatment+joint mobilization surgery group and conventional treatment+joint mobilization surgery+MET group ((103±12)° and 60 (50, 66), (131±14)° and 73 (65, 80)) were significantly larger and higher than those in conventional treatment alone group ((77±15)° and 45 (35, 50), Pvalues all <0.05), respectively. The elbow joint range of motion and elbow joint function scores of patients in conventional treatment+joint mobilization surgery+MET group were significantly larger and higher than those in conventional treatment+joint mobilization surgery group ( Pvalues all <0.05), respectively. After two months of treatment, the elbow extensor muscle strength and pain score of patients in conventional treatment+joint mobilization surgery+MET group were respectively significantly larger and lower than those in conventional treatment alone group and conventional treatment+joint mobilization surgery group ( Pvalues all <0.05). The elbow extensor muscle strength and pain score of patients in conventional treatment+joint mobilization surgery group were similar to those in conventional treatment alone group ( P>0.05). The elbow joint range of motion and elbow extensor muscle strength (with t values of 9.37, 25.54, 28.71, 6.70, 7.20, and 7.01, respectively, P<0.05), elbow joint function scores and pain scores (with Z values of 3.15, 3.63, 3.93, 3.30, 3.52, and 3.84, respectively, P<0.05) of patients in conventional treatment alone group, conventional treatment+joint mobilization surgery group, and conventional treatment+joint mobilization surgery+MET group after two months of treatment were significantly improved compared with those before treatment. Conclusions The combination of MET and Maitland joint mobilization surgery can effectively improve elbow joint range of motion, elbow joint function, elbow extensor muscle strength, and pain of patients with deep elbow joint burns, therefore it is worthy of promotion.
- Burns,
- Rehabilitation,
- Elbow joint,
- Muscle strength,
- Joint range of motion

FullText(HTML)

References(30)

References

[1]	茹天峰,李菲虹,陈佩,等.关节活动训练系统治疗深度烧伤后关节功能障碍的临床效果[J].中华烧伤杂志,2017,33(5):267-271.DOI: 10.3760/cma.j.issn.1009-2587.2017.05.003.
[2]	RobertsBL. Soft tissue manipulation: neuromuscular and muscle energy techniques[J].J Neurosci Nurs, 1997,29(2):123-127.DOI: 10.1097/01376517-199704000-00006.
[3]	李剑峰,张君,黑光,等.肌内效贴联合肌肉能量技术治疗肱骨外上髁炎的疗效观察[J].中华物理医学与康复杂志,2018,40(3):208-210.DOI: 10.3760/cma.j.issn.0254-1424.2018.03.013.
[4]	隋荣玲,杨洪兴,于丽瑛,等.视觉反馈下肌肉能量技术对肘关节骨折患者术后上肢功能康复的影响[J].国际医药卫生导报,2019,25(17):2908-2910.DOI: 10.3760/cma.j.issn.1007-1245.2019.17.018.
[5]	Cioppa-MoscaJ, CahillJB, CavanaughJT, et al.骨科术后康复指南[M]. 陆芸,周谋望,李世民,译.天津:天津科技翻译出版公司,2009:54-55.
[6]	ChoYS,JeonJH,HongA,et al.The effect of burn rehabilitation massage therapy on hypertrophic scar after burn: a randomized controlled trial[J].Burns,2014,40(8):1513-1520.DOI: 10.1016/j.burns.2014.02.005.
[7]	吴坤平,陈佩,茹天峰,等.功率自行车康复训练对大面积烧伤致下肢功能障碍患者股四头肌和步行能力影响的前瞻性随机对照研究[J].中华烧伤与创面修复杂志,2022,38(5):447-453.DOI: 10.3760/cma.j.cn501120-20210221-00060.
[8]	田凌云,李映兰,吴英,等.压力疗法治疗增生性瘢痕患者有效性的荟萃分析[J].中华烧伤杂志,2019,35(9):668-675.DOI: 10.3760/cma.j.issn.1009-2587.2019.09.005.
[9]	刘悦,王连召.瘢痕综合治疗的临床实践与思考[J].中华整形外科杂志,2020,36(10):1069-1074.DOI: 10.3760/cma.cn114453-20201009-00523.
[10]	ZaidiF,AhmedI. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction[J].J Pak Med Assoc,2020,70(10):1693-1697.DOI: 10.5455/JPMA.43722.
[11]	LiLL, HuXJ, DiYH, et al.Effectiveness of Maitland and Mulligan mobilization methods for adults with knee osteoarthritis: a systematic review and meta-analysis[J].World J Clin Cases,2022,10(3):954-965.DOI: 10.12998/wjcc.v10.i3.954.
[12]	孙志成,莫非,管重远,等.等速训练结合康复手法松解治疗创伤后肘关节僵直的疗效观察[J].中华物理医学与康复杂志,2016,38(6):444-446.DOI: 10.3760/cma.j.issn.0254-1424.2016.06.012.
[13]	MorreyB, AdamsRA. Semiconstrained arthroplasty for the treatment of rheumatoid arthritis of the elbow[J]. J Bone Joint Surg Am,1992,74(4):479-490.
[14]	任虹,肖爱伟,种肖宇,等.玻璃酸钠关节腔内注射联合松解术及中药熏洗治疗创伤后肘关节僵硬的疗效观察[J].中华物理医学与康复杂志,2022,44(6):533-535.DOI: 10.3760/cma.j.issn.0254-1424.2022.06.012.
[15]	赵贤,陈辰,公茂琪,等.静脉联合局部应用氨甲环酸对肘关节松解围手术期失血量的影响研究[J].中华创伤骨科杂志,2021,23(8):651-655.DOI: 10.3760/cma.j.cn115530-20210105-00005.
[16]	ShahgholiL,BengtsonKA,BishopAT,et al. A comparison of manual and quantitative elbow strength testing[J]. Am J Phys Med Rehabil,2012,91(10):856-862.DOI: 10.1097/PHM.0b013e31825f14f9.
[17]	王芳,李剑峰,张君.体外冲击波联合肱骨外上髁及冈下肌内热针治疗肱骨外上髁炎临床观察[J].中华物理医学与康复杂志,2022,44(4):331-333.DOI: 10.3760/cma.j.issn.0254-1424.2022.04.009.
[18]	MorreyBF.Post-traumatic contracture of the elbow.Operative treatment,including distraction arthroplasty[J].J Bone Joint Surg Am,1990,72(4):601-618.
[19]	李桦,陈浩杰,陈国华,等.电烧伤后肘关节纤维性强直的解剖学基础与临床治疗[J].中华烧伤杂志,2005,21(3):207-209. DOI: 10.3760/cma.j.issn.1009-2587.2005.03.014.
[20]	缪鸿石.康复医学理论与实践[M].上海:上海科学技术出版社,2000:287.
[21]	万里,赵晓红,朱奕,等.改良关节松动术治疗创伤后膝关节功能障碍的疗效观察[J].中华物理医学与康复杂志,2011,33(6):477-478.DOI: 10.3760/cmaj.issn.0254-1424.2011.06.025.
[22]	张振君,白伦浩.两种关节松动术联合肌力训练用于肩关节撞击综合征的效果比较[J].中国基层医药,2020,27(20):2501-2504.DOI: 10.3760/cma.j.issn.1008-6706.2020.20.016.
[23]	黄思思,朱兰,陈悦,等.高能量激光联合关节松动术治疗肩周炎的临床疗效观察[J].中华物理医学与康复杂志,2018,40(9):682-684. DOI: 10.3760/cma.j.issn.0254-1424.2018.09.012.
[24]	王刚,张德清,林元平,等.体外冲击波与关节松动术治疗肩关节周围炎的临床疗效对比[J].中华物理医学与康复杂志,2006,28(2): 110-113.DOI: DOI:10.3760/j:issn:0254-1424.2006.02.012.
[25]	汪娟,徐一宏,杨景朝,等.肌肉能量技术对久坐人群颈椎关节活动度的影响[J].中华物理医学与康复杂志,2021,43(8):704-706.DOI: 10.3760/cma.j.issn.0254-1424.2021.08.008.
[26]	RiddleDL,PulisicM,PidcoeP, et al. Risk factors for plantar fasciitis: a matched case-control study[J]. J Bone Joint Surg Am,2003,85(5):872-877.DOI: 10.2106/00004623-200305000-00015.
[27]	董明,刘守国,励建安,等.肌肉能量技术结合关节松动术治疗肩周炎的临床疗效分析[J].中华物理医学与康复杂志,2013,35(10):795-799.DOI: 10.3760/cma.j.issn.0254-1424.2013.10.013.
[28]	廖亮华,江兴妹,叶志卫,等.早期康复对肘关节骨折术后功能恢复的影响[J].中国康复理论与实践,2010,16(9):867-869.DOI: 10.3969/j.issn.1006-9771.2010.09.030.
[29]	牛岩,黄力平,曹龙军,等.静力牵伸与等长收缩对颈肩肌肉疼痛患者上斜方肌肌电图特征性变化及疼痛指数的影响[J].中国康复医学杂志,2016,31(4):411-416. DOI: 10.3969/j.issn.1001-1242.2016.04.007.
[30]	ThorénP,FlorasJS,HoffmannP,et al.Endorphins and exercise: physiological mechanisms and clinical implications[J]. Med Sci Sports Exerc,1990,22(4):417-428.

Relative Articles

[1]	Tan Jianglin, Luo Gaoxing. Pay attention to burn rehabilitation assessment[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(12): 1109-1114. doi: 10.3760/cma.j.cn501225-20230831-00070
[2]	Xie Weiguo. A long way for the popularization and improvement of burn rehabilitation[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(12): 1105-1109. doi: 10.3760/cma.j.cn501225-20221111-00484
[3]	Tian Yafei, Liu Yi. Research advances on functional training robots in burn rehabilitation[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(6): 580-584. doi: 10.3760/cma.j.cn501120-20210416-00131
[4]	Shi Jiajia, Sun Ying, Peng Zhijian. Effects of wedge-shaped heel pad in the treatment of extremely severe burn patients with foot drop deformity[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(6): 562-567. doi: 10.3760/cma.j.cn501120-20200319-00181
[5]	Zhao Haiyang, Han Juntao, Liu Jiaqi, Wang Hongtao, Zhou Qin, Zhu Chan, Lu Ying, Hu Dahai. Effects of hand continuous passive motion system combined with functional training and pressure gloves in treating early scar contracture after burn on the back of the hand[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(4): 319-326. doi: 10.3760/cma.j.cn501120-20201020-00443
[6]	Shi Xueqin, Zhou Qin, Qu Yanyan, Wang Xue, Zhou Duo, Yuan Rui, Cao Jie, Jiao Xiaochun, Ye Jinglin. Influences of follow-up methods on rehabilitation and compliance of patients with severe scar after burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2019, 35(7): 537-539. doi: 10.3760/cma.j.issn.1009-2587.2019.07.011
[7]	Wu Jun, Wang Yuzhen. A brief history of burn rehabilitation medicine in China[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2019, 35(2): 81-85. doi: 10.3760/cma.j.issn.1009-2587.2019.02.001
[8]	Ru Tianfeng, Li Feihong, Yuan Lin, Xie Weiguo. Clinical effects of Archimedes sling system in the rehabilitation of knee joint flexion dysfunction after deep burn[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2019, 35(6): 428-433. doi: 10.3760/cma.j.issn.1009-2587.2019.06.006
[9]	Xu Qinglian, Song Junhui. Characteristics of scar hyperplasia after burn and the rehabilitation treatment in children[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(8): 509-512. doi: 10.3760/cma.j.issn.1009-2587.2018.08.005
[10]	Liu Rui, Cao Weihong, Liu Hongli, Zhang Dandan. Effects of hydrotherapy with traditional Chinese medicine and magnetotherapy on treatment of scars after healing of deep partial-thickness burn wounds in children[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(8): 516-521. doi: 10.3760/cma.j.issn.1009-2587.2018.08.007
[11]	Shi Jiajia, Shen Aiming, Sun Ying, Li Yajun, Wang Sainan, Pan Shanshan, Li Zhou, Jiao Long. Occupational activity disorders of extremely severe mass burn patients in recovery period after injury: a cross-sectional survey[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(9): 624-628. doi: 10.3760/cma.j.issn.1009-2587.2018.09.012
[12]	Ru Tianfeng, Li Feihong, Chen Pei, Luo Hao, Yuan Lin, Lei Fang, Tang Youling, Xie Weiguo. Clinical effects of Joint Active System on the treatment of joint dysfunction after deep burn[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2017, 33(5): 267-271. doi: 10.3760/cma.j.issn.1009-2587.2017.05.003
[13]	Jia Chiyu, Zou Xiaofang. Current status in rehabilitation of burn injury in China[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2015, 31(3): 161-163. doi: 10.3760/cma.j.issn.1009-2587.2015.03.001
[14]	WU Jun, CHEN Jian. Current situation and reflection on rehabilitation after burn injury in China[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2013, 29(6): 505-508. doi: 10.3760/cma.j.issn.1009-2587.2013.06.002
[15]	JIA Chi-yu. On the rehabilitation of pediatric burn patients in China[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2013, 29(1): 4-5. doi: 10.3760/cma.j.issn.1009-2587.2013.01.002
[17]	HAN Da-wei, FU Jin-feng, YAN Gang, JIANG He, LIU Wen-jun. Investigation and analysis of the cognition degree of parents of 150 pediatric burn patients on scar rehabilitation[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2013, 29(1): 11-13. doi: 10.3760/cma.j.issn.1009-2587.2013.01.004
[18]	CHENG Tian-min, RAN Xin-ze. Studies on the treatment of combined radiation-burn injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2008, 24(5): 387-389.
[19]	LI Hua, CHEN Hao-jie, CHEN Guo-hua, HE Zheng-rui. The anatomic basis and the clinical treatment of the elbow joint stiffness after electric injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2005, 21(3): 207-209.

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Figures(2) / Tables(5)

Get Citation

PDF

XML

Article Metrics

Article views (636) PDF downloads(88)

Influence of muscle energy technology combined with Maitland joint mobilization surgery on the elbow joint flexion function in patients with deep burn of elbow joint

doi: 10.3760/cma.j.cn501225-20220608-00228

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Influence of muscle energy technology combined with Maitland joint mobilization surgery on the elbow joint flexion function in patients with deep burn of elbow joint

doi: 10.3760/cma.j.cn501225-20220608-00228

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content