1. 上海中医药大学附属岳阳中西医结合医院推拿科
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梁红广, 姜淑云, 李建华, 等. 坐位调膝法治疗膝骨关节炎的疗效与步态分析研究[J]. 北京中医药, 2018,37(2):135-138.
LIANG Hong-guang, JIANG Shu-yun, LI Jian-hua, et al. Study on the curative effects and gait analysis of knee osteoarthritis treated by the method for adjusting knee joint in a sitting position[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(2):135-138.
梁红广, 姜淑云, 李建华, 等. 坐位调膝法治疗膝骨关节炎的疗效与步态分析研究[J]. 北京中医药, 2018,37(2):135-138. DOI: 10.16025/j.1674-1307.2018.02.011.
LIANG Hong-guang, JIANG Shu-yun, LI Jian-hua, et al. Study on the curative effects and gait analysis of knee osteoarthritis treated by the method for adjusting knee joint in a sitting position[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(2):135-138. DOI: 10.16025/j.1674-1307.2018.02.011.
目的观察坐位调膝法治疗膝关节骨性关节炎临床疗效及对患者膝关节功能与步行能力的影响。方法将76例KOA患者随机分成2组,对照组38例采用传统理筋推拿治疗,观察组38例采用坐位调膝法治疗,比较2组治疗前后症状、指标及临床疗效。结果观察组即刻有效率80.00%、对照组为71.05%,差异有统计学意义(P<0.05)。2组治疗后WOMAC总分、疼痛、僵硬、日常活动程度积分均较治疗前改善(P<0.05);即刻疼痛积分组间比较,差异有统计学意义(P<0.05);治疗4周后步长、步幅、摆动相、双支撑相组间比较,差异亦有统计学意义(P<0.05)。结论坐位调膝法即刻疗效优于传统理筋手法,对疼痛改善明显;4周后更能改善步行能力。
Objective To observe the curative effects of method for adjusting knee joint in a sitting position on knee osteoarthritis(KOA)and the influence on knee function and walking ability of patients. Methods A total of 76 cases of KOA patients were randomly divided into two groups,the control group of 38 patients were treated with traditional tendon-regulating massage therapy,and the observation group of 38 patients with the therapy of adjusting knee joint in a sitting position. The symptoms,data and clinical effects of two groups before and after the treatment were compared. Results The immediate effective rate of the observation group and the control group were 80. 00% and 71. 05%respectively,and the difference was statistically significant(P < 0. 05). After the treatment,the total scores of WOMAC,pain,stiffness,and the degree of daily activity of both groups were much more improved than that before the treatment(P < 0. 05). The difference of immediate pain scores of two groups were statistically significant(P < 0. 05). After four weeks of treatment,the differences of gait parameters between the two groups,including step length,step size,swing phase,double support phase,were also statistically significant(P < 0. 05).Conclusion The method for adjusting knee joint in a sitting position has a better immediate effect than that of the traditional massage therapy for it can improve pain obviously; and even improve walking ability after four weeks of treatment.
膝关节骨性关节炎手法步态分析关节松动
knee osteoarthritis(KOA)manipulationgait analysisjoint mobilization
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