基于“骨-筋-肉”理论的理筋正骨手法配合核心肌群肌力训练治疗膝骨关节炎的临床观察  

Efficacy of bone setting manipulation based on the Gu Jin Rou theory plus core muscles strength training on knee osteoarthritis

作　　者：杨小欢[1] 林金[1] 王佳[1] Yang Xiaohuan

机构地区：[1]德阳市人民医院

出　　处：《中医临床研究》2019年第26期106-108,共3页Clinical Journal Of Chinese Medicine

基　　金：科研基金项目:四川省卫计委(20180020)

摘　　要：目的:观察基于“骨-筋-肉”理论的理筋正骨手法配合核心肌群肌力训练治疗膝骨关节炎的临床观察。方法:在本院收集40例该病患者,采取理筋正骨手法配合核心肌群肌力训练,为期8周。观测治疗前后的疼痛视觉模拟评分量表(VisualAnalogue Scale,VAS)、徒手肌力评定、以及膝关节运动功能评分(IKDC2000主观评分和Lysholm评分),并进行前后对比,并电话随访其出院1个月后的VAS评分。结果:治疗后疼痛、肌力、以及运动功能评分各指标较治疗前有统计学意义(P<0.05),出院1个月后与治疗8周后的VAS评分比较差异无统计学意义。结论:基于“骨-筋-肉”理论的理筋正骨手法配合核心肌群肌力训练能有效的改善患者的疼痛,提高核心肌群肌肉的力量,改善其功能障碍,同时核心肌群肌力的训练方案可以出院后自行练习,使得该病不易复发,其方案值得继续研习。Objective:To observe clinical efficacy of bone setting manipulation based on the Gu Jin Rou theory(“骨-筋-肉”理论)plus core muscles strength training on knee osteoarthritis.Methods:40 cases were given bone setting manipulation plus core muscles strength training,for 8 weeks.VAS,hand muscle strength assessment,knee motor function scores before and after treatment were observed and compared by IKDC2000 subjective score and Lysholm score;and VAS was followed for 1 month.Results:After treatment,the indexes of pain,muscle strength and motor function scores were improved(P<0.05).There was no significant difference in VAS scores after one month of discharge and after 8 weeks of treatment.Conclusion:Bone setting manipulation based on the Gu Jin Rou theory plus core muscles strength training on knee osteoarthritis shows good effects,can improve pain and dysfunction,increase muscle strength,and prevent recurrence.

关 键 词：“骨-筋-肉”理论 理筋正骨手法 核心肌群肌力训练 膝骨关节炎 

分 类 号：R274.2[医药卫生—中医骨伤科学]