肌筋膜触发点手法按摩联合等速肌力训练治疗髌骨软化症的疗效观察  

Therapeutic effect of myofascial trigger point manipulation massage combined with isokinetic muscle strength training in the treatment of chondromalacia patellae

作　　者：王鹏云 李晨 沈茂荣 谢富荣 张辉宇 徐静 梁俊林 刘宁 Mao-rong;XIE Fu-rong;ZHANG Hui-yu;XU Jing;LIANG Jun-lin;LIU Ning(Department of SHEN Mao-rong Famous Traditional Chinese Medicine Inheritance Studio,Guangxi Bone Injury Hospital,Nanning 530000,Guangxi,China;不详)

机构地区：[1]广西骨伤医院沈茂荣名中医传承工作室,广西南宁530000 [2]广西中医药大学研究生学院,广西南宁530000

出　　处：《广东医学》2024年第9期1172-1176,共5页Guangdong Medical Journal

基　　金：广西医药卫生自筹经费科研课题项目(Z20191036);第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);2022年广西岐黄学者培养项目;第二届桂派中医大师传承工作室建设项目(GZY2024009)。

摘　　要：目的探讨肌筋膜触发点手法按摩联合等速肌力训练治疗髌骨软化症的临床疗效。方法选取2019年4月至2021年4月在广西骨伤医院门诊就诊的髌骨软化症患者60例,随机分为两组,每组30例,对照组予非甾体类消炎药口服联合静蹲训练治疗,治疗组予肌筋膜触发点手法按摩联合等速肌力训练治疗,观察两组治疗前、治疗后1周、治疗后6个月的VAS评分、Lysholm评分及HSS评分,两组治疗后1周的治愈率及有效率。结果治疗组治疗后1周、6个月的VAS评分、Lysholm评分、HSS评分及治愈率均优于对照组(P<0.05),有效率差异无统计学意义(P>0.05)。治疗组治疗后1周、6个月的VAS评分、Lysholm评分及HSS评分均优于治疗前(P<0.05)。结论肌筋膜触发点手法按摩联合等速肌力训练可有效缓解膝关节疼痛,改善膝关节活动功能。Objective To explore the clinical efficacy of myofascial trigger point manual massage combined with isokinetic strength training in the treatment of chondromalacia patellae.Methods Sixty patients with chondromalacia patellae who were treated at the outpatient department of Guangxi Orthopedic and Traumatology Hospital from April 2019 to April 2021 were randomly divided into two groups,each with 30 cases.The control group received oral non-steroidal anti-inflammatory drugs combined with static squat training,while the treatment group received myofascial trigger point manual massage combined with isokinetic strength training.Visual Analogue Scale(VAS)scores,Lysholm scores,and Hospital for Special Surgery(HSS)scores were observed before treatment,one week after treatment,and six months after treatment.The cure rate and efficacy rate were evaluated one week after treatment.Results One week and six months after treatment,the treatment group showed better VAS scores,Lysholm scores,HSS scores,and cure rates compared to the control group(P<0.05),but no significant difference was observed in the efficacy rate(P>0.05).One week and six months after treatment,the treatment group showed significant improvements in VAS scores,Lysholm scores,and HSS scores compared to before treatment(P<0.05).Conclusion Myofascial trigger point manual massage combined with isokinetic strength training can effectively relieve knee joint pain and improve knee joint function.

关 键 词：髌骨软化症 肌筋膜触发点手法 等速肌力训练 临床疗效 

分 类 号：R684[医药卫生—骨科学] R681.3[医药卫生—外科学]