网球肘是临床常见病、多发病，又称肱骨外上髁炎，常因打球或乒乓球.doc

颈源性网球肘推拿与康复训练研究 陈香仙 何章明 （安徽师范大学体育学院，安徽，芜湖，241000） 摘 要:目的:探讨由颈椎病变引起的网球肘的治疗与康复方法；方法:颈源性网球肘患者36例，分成对照组18例和实验组18例，对照组行患臂推拿、一般康复训练，实验组行颈部与患侧臂推拿、颈椎复位、Thera-Band弹性阻力带康复训练，经45天各21次的治疗与康复训练，三个月后统计结果；结果: 两组之间在网球肘征状、颈椎病症状、康复训练和mills征等四项呈显著的差异（P 0.05）。对照组mills征阴性16.67%、总有效率44.44%；实验组mills征阴性77.78%、总有效率94.44%。结论: 颈部和患侧手臂推拿、颈椎下颈段复位和Thera-Band弹性阻力带康复训练，对颈源性网球肘有显著疗效。 关键词: 颈源性网球肘；颈椎复位；康复训练 中图分类号：G804.54 文献标识码：A 文章编号：： Treatment and Rehabilitation Researching of Cervicogenic Tennis Elbow CHEN Xiang-xian HE Zhang-ming (Department of Physical Education, Anhui Normal University, Wuhu 241000, Anhui China) Abstract: Purpose: Exploring the treatment and rehabilitation of tennis elbow; Method: Cervicogenic patients 36 cases of tennis elbow, Divided into control group, 18 cases and 18 cases of the experimental group, Control group suffering from arm massage, general rehabilitation training, Experimental group suffering from the neck line and side-arm massage, cervical reset, Thera-Band rehabilitation training with elastic resistance, After 45 days of the 21 treatment and rehabilitation training, three months after the statistical results. Result: Between the two groups in the tennis elbow symptoms, the symptoms of cervical spondylosis, rehabilitation training and four mills levy were significant differences（P 0.05）. Control group, negative 16.67% percent levy mills , the total effective rate 44.44%; Experimental group, negative 77.78 percent levy mills, the total effective rate 94.44%. Conclusion: Ipsilateral neck and arm massage, reposition and cervical spondylosis of Thera-Band elastic resistance with rehabilitation training, cervicogenic have a significant effect of tennis elbow. Key words: Cervicogenic tennis elbow; Cervical reset; Rehabilitation Training 网球肘又称肱骨外上髁炎，该病多发于网球、乒乓球、羽毛球运动项目中。由于长期反拍击球过多，肱骨外上髁腕伸肌腱群负荷过度造成慢性损伤，致肱骨外上髁腕伸肌腱附着处纤维组织变性、粘连。目前临床上多用肘部推拿、中药内服外敷等方法治疗，对单纯的运动引起的肱骨外上髁炎有一定效果。但仍有40%左右的网球肘采用肘部推拿、中草药外敷效果很差，甚至经小针刀、封闭疗法也难以治愈[1]，这些患者并没有过量的运动负荷和运动经历，却患有网球肘。本文研究认为这种网球肘是由颈椎