摘要
目的探究中医推拿联合肌力训练对髌骨关节炎关节镜术后患者肌力及膝关节功能的影响。方法选择行关节镜术治疗的60例髌骨关节炎患者为研究对象,随机分为研究组与对照组,各30例。对照组术后给予常规药物+中医推拿+被动训练,研究组在对照组的基础上联合应用肌力训练进行治疗,2组均连续治疗6个月。比较2组治疗前后肌力水平及RMS水平;统计2组治疗前后膝关节功能变化情况。结果2组术后6个月PT、AP、股内侧肌与股外侧肌的RMS比值均升高,且研究组高于对照组(P<0.05);与术前相比,2组术后6个月AROM积分下降,且研究组低于对照组(P<0.05)。2组术后3个月、术后6个月时双下肢肌肉围度平均值差<1 cm的患者例数均多于术前,且研究组多于对照组(P<0.05)。2组自术前至术后6个月Lysholm评分均升高,且研究组术后1个月、术后3个月、术后6个月均高于对照组(P<0.05)。结论中医推拿联合肌力训练可有效提升髌骨关节炎关节镜术后患者肌力水平,改善膝关节功能与关节活动度,疗效明显。
Objective To explore the effect of the traditional Chinese medicine(TCM)massage combined with the muscle strength training on the muscle strength and knee joint function of patients with patellar arthritis after arthroscopy.Methods A total of sixty patients with patella osteoarthritis who underwent arthroscopy were selected as the research subjects,and they were randomly divided into a study group and a control group,with 30 cases in each group.The control group was given the conventional drugs+TCM massage+passive training after operation,while the study group was combined with the muscle strength training on the basis of the control group.The two groups received a continuous treatment for 6 months.The muscle strength and RMS levels of the two groups before and after treatment were compared,and the changes in the knee joint function before and after treatment were analyzed.Results The PT,AP,and RMS ratio of medial femoris muscle to lateral femoris muscle were increased in the two groups at the 6th month after operation,and the study group was higher than the control group(P<0.05).The AROM score of the two groups was decreased at the 6th month after operation,and the study group was lower than the control group(P<0.05).There were more patients in the two groups with a mean difference of less than 1 cm in the muscle circumference of both lower extremities at the 3rd and 6th month after surgery,and there were more patients in the study group than in the control group(P<0.05).The Lysholm scores of the two groups were increased from before operation to the 6th month after operation,and the study group was higher than the control group at the 1st,3rd and 6th month after operation(P<0.05).Conclusion The TCM massage combined with the muscle strength training can effectively enhance the muscle strength level of patients with patellar arthritis after arthroscopy,improve the knee joint function and joint mobility,with a significant curative effect.
作者
朱希伟
赵焰
ZHU Xiwei;ZHAO Yan(Hubei Provincial Hospital of Traditional Chinese Medicine/Affiliated Hospital of Hubei University of Chinese Medicine,Wuhan 430074,China)
出处
《长春中医药大学学报》
2021年第4期811-815,共5页
Journal of Changchun University of Chinese Medicine
基金
湖北省科技计划项目(2017ACA192)。
关键词
髌骨关节炎
关节镜术
中医推拿
肌力训练
肌力
膝关节功能
patella osteoarthritis
arthroscopy
TCM massage
muscle strength training
muscle strength
knee joint function
