摘要
目的观察屈膝拔伸旋转法对内翻型膝骨关节炎患者胫股角度数的改善程度。方法选取上海中医药大学附属岳阳中西医结合医院内翻型膝骨关节炎患者72例,随机分为对照组与治疗组,对照组采用常规推拿手法,治疗组采用常规推拿手法结合屈膝拔伸旋转法,两组均1周治疗3次,4周为1个疗程,共3个疗程。治疗结束后比较两组治疗前后胫股角度数及VAS评分。结果(1)两组均有3例病例脱落,最终每组入组例数为33例,两组入组人数基线资料比较,差异无统计学意义(P>0.05),具有可比性。(2)两组患者治疗后胫股角度数呈升高趋势,不同治疗时间点差异有统计学意义(P<0.05);治疗后与对照组相比,治疗组T1与T2时胫股角度数较高,差异有统计学意义(P<0.05)。(3)两组患者VAS评分呈下降趋势,且不同治疗时间点差异有统计学意义(P<0.05)。与对照组相比,治疗组T1与T2时VAS评分较低,但差异无统计学意义(P>0.05)。结论结构调整性手法结合传统常规手法既可以改善患者的软组织张力又能调整膝关节结构性关系,使胫骨角趋向正常范围以平衡局部力学,减轻患者内翻畸形的程度从而降低患者的疼痛,并使患者的疼痛稳定在一定程度,预防畸形形成或延缓畸形的进展。
Objective To observe the improvement of tibiofemoral angle in patients with varus knee osteoarthritis by knee flexion,extension and rotation.Methods 72 patients with varus koa in Yueyang integrated traditional Chinese and Western medicine hospital affiliated to Shanghai university of traditional Chinese medicine were selected and randomly divided into control group and treatment group.The control group was treated with conventional massage,while the treatment group was treated with conventional massage combined with knee flexion,extension and rotation.Both groups were treated three times a week,and four weeks was a course of treatment.After the treatment,the tibiofemoral angle and VAS score were compared between the two groups before and after treatment.Results(1)There were 3 cases falling off in the two groups,and the final number of participants in each group was 33 cases.There was no significant difference between the two groups in baseline data(P>0.05).(2)After treatment,the tibiofemoral angle of the two groups showed an increasing trend,and the difference was statistically significant at different time points(P<0.05);after treatment,compared with the control group,the degree of tibiofemoral angle at T1 and T2 in the treatment group was higher,and the difference was statistically significant(P<0.05).(3)The VAS score of the two groups showed a downward trend,and the difference was statistically significant at different treatment time points(P<0.05).Compared with the control group,the VAS score at T1 and T2 in the treatment group was lower,but the difference was not statistically significant(P>0.05).Conclusion Structural adjustment manipulation combined with traditional routine manipulation can not only improve the soft tissue tension of patients,but also adjust the structural relationship of knee joint,make the tibial angle tend to normal range to balance local mechanics,reduce the degree of varus deformity,so as to reduce the pain of patients,stabilize the pain of patients to a certain extent,prevent the formation of deformity or delay the progress of deformity.
作者
刘鲲鹏
曹欣地
孙恺昕
柳文韬
李云龙
顾非
王成
王峻良
张俊
吉登军
李亚洲
LIU Kunpeng;CAO Xindi;SUN Kaixin;LIU Wentao;LI Yunlong;GU Fei;WANG Cheng;WANG Junliang;ZHANG Jun;JI Dengjun;LI Yazhou(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
出处
《辽宁中医药大学学报》
CAS
2021年第11期167-170,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
上海市卫生和计划生育委员会项目(201740196)
上海中医药大学附属岳阳医院中西结合医院院级基金(2017YJ15)
曹仁发上海市名老中医学术经验研究工作室项目(ZYSNXD-CC-MZY004)
关键词
屈膝拔伸旋转法
胫股角
内翻型膝骨关节炎
疼痛
VAS评分
knee flexion extension and rotation
tibiofemoral angle
varus knee osteoarthritis
pain
VAS score
