坐位调膝法联合本体感觉训练治疗缓解期膝骨关节炎的临床研究  

Clinical study of sitting knee adjustment combined with proprioceptive training in the treatment of knee osteoarthritis in remission

作　　者：梁安 任丽珠 谢云兴 韩笑 刘晨 杜红根[1] LIANG An;REN Lizhu;XIE Yunxing;HAN Xiao;LIU Chen;DU Honggen(Department of Massage,the First Affiliated Hospital of Zhejiang Chinese Medical University,Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China;Department of Rehabilitation,Xiaoshan Hospital,Hangzhou Normal University,Hangzhou 311200,Zhejiang,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院)推拿科,浙江杭州310006 [2]杭州师范大学附属萧山医院中医康复科,浙江杭州311200

出　　处：《中国现代医生》2023年第22期30-33,48,共5页China Modern Doctor

基　　金：浙江省基础公益研究计划项目(LQ22H270007)。

摘　　要：目的探讨坐位调膝法联合本体感觉训练对缓解期膝骨关节炎的临床疗效。方法选取2021年5月至2022年5月于浙江中医药大学第一附属医院就诊的缓解期膝骨关节炎患者73例,根据随机数字表法将其分为对照组(n=36)和治疗组(n=37)。对照组患者给予推拿治疗,治疗组患者在对照组基础上联合坐位调膝法和本体感觉训练治疗。观察两组患者的西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities osteoarthritis index,WOMAC)评分、膝关节力学参数和临床疗效。结果治疗组患者的总有效率显著高于对照组(P<0.05)。治疗后,治疗组患者的WOMAC评分显著低于对照组,膝关节Q角、内外翻轴距均显著小于对照组,髋–膝–踝关节角、膝关节活动度显著大于对照组(P<0.05)。结论坐位调膝法联合本体感觉训练有助于减轻缓解期膝骨关节炎患者的疼痛症状,改善膝关节力学参数,调整关节损伤的力学基础,值得临床推广。Objective To explore the clinical effect of sitting knee adjustment combined with proprioceptive training on knee osteoarthritis in remission.Methods Seventy-three patients with knee osteoarthritis in remission who were admitted to the First Affiliated Hospital of Zhejiang Chinese Medical University from May 2021 to May 2022 were selected and divided into control group(n=36)and treatment group(n=37)according to random number table method.The control group was given massage treatment,and the treatment group was combined with sitting knee adjustment and proprioceptive training on the basis of the control group.Western Ontario and McMaster Universities osteoarthritis index(WOMAC)scores,knee joint mechanics parameters and clinical efficacy of the two groups were observed.Results The total effective rate of treatment group was significantly higher than that of control group(P<0.05).After treatment,WOMAC score of treatment group was significantly lower than that of control group,the Q-angle of the knee joint and the wheelbase of the internal and external rotation were significantly lower than those of control group,and the hip-knee-ankle angle and the motion of the knee joint were significantly higher than those of control group(P<0.05).Conclusion Sitting knee adjustment combined with proprioceptive training is helpful to alleviate pain symptoms in patients with knee osteoarthritis in remission,improve knee joint mechanics parameters and adjust the mechanical basis of joint injury,which is worthy of clinical promotion.

关 键 词：坐位调膝法 本体感觉训练 膝骨关节炎 力学参数 

分 类 号：R244.1[医药卫生—针灸推拿学]