摘要
目的观察韦氏三联手法联合股四头肌功能锻炼治疗髌股关节不稳定的临床效果。方法将50例髌股关节不稳患者随机分为观察组与对照组,各25例。观察组患者采用韦氏三联手法联合股四头肌功能锻炼进行治疗,对照组患者采用股四头肌力量训练联合口服塞来昔布胶囊进行治疗。比较两组患者治疗前后的疼痛视觉模拟量表(VAS)评分及膝关节功能Lysholm评分,以及治疗后的疗效。结果治疗2周后,两组患者的疼痛VAS评分及膝关节功能Lysholm评分均较治疗前改善,且观察组的膝关节功能Lysholm评分高于对照组(均P<0.05),而两组疼痛VAS评分比较差异无统计学意义(P>0.05)。观察组的疗效优于对照组(P<0.05)。结论采用韦氏三联手法联合股四头肌锻炼治疗髌股关节不稳定的效果显著,可明显减轻患者膝部疼痛,改善患者膝关节功能。
Objective To observe the clinical effects of Weishi's triple manipulation combined with functional exercise of quadriceps femoris for treating patellofemoral instability.Methods Fifty patients with patellofemoral instability were randomly assigned to observation group or control group,with 25 cases in each group.Patients in the observation group were treated with Weishi's triple manipulation combined with functional exercise of quadriceps femoris,whereas patients in the control group were treated with strength training of quadriceps femoris combined with oral administration of celecoxib capsules.The pre-and post-treatment Visual Analogue Scale(VAS)score for pain and the Lysholm score for knee function,as well as the post-treatment efficacy were compared between the two groups.Results After two weeks of treatment,the VAS score for pain and the Lysholm score for knee function of patients in the two groups were improved compared with those before treatment,and the Lysholm score for knee function of the observation group was higher than that of the control group(all P<0.05),while there was no statistically significant difference in the VAS score for pain between the two groups(P>0.05).The efficacy of the observation group was superior to that of the control group(P<0.05).Conclusion The utilization of Weishi's triple manipulation combined with functional exercise of quadriceps femoris exerts a significant efficacy for treating patients with patellofemoral instability,which can prominently alleviate patients'knee pain and ameliorate patients'knee function.
作者
李富涛
黄龙
丰哲
薛春阳
陈禺
张旭
傅少峰
谢冲冲
LI Fu-tao;HUANG Long;FENG Zhe;XUE Chun-yang;CHEN Yu;ZHANG Xu;FU Shao-feng;XIE Chong-chong(Ruikang Clinical Medical School,Guangxi University of Chinese Medicine,Nanning 530000,China;Department of Joint and Sports Medicine,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530012,China;Department of Orthopedics,Zhoupu Hospital of Pudong New District,Shanghai 201318,China;Department of Orthopedics,Guilin Municipal Hospital of Traditional Chinese Medicine,Guilin 541002,China)
出处
《广西医学》
CAS
2022年第11期1245-1248,1269,共5页
Guangxi Medical Journal
基金
国家自然科学基金(81560779)
广西中医药大学博士科研启动基金项目(2018BS053)。
关键词
髌股关节不稳
韦氏三联手法
股四头肌功能锻炼
膝关节功能
疼痛
疗效
Patellofemoral instability
Weishi's triple manipulation
Functional exercise of quadriceps femoris
Knee function
Pain
Efficacy
