推拿联合关节松动训练治疗膝关节活动受限患者的临床效果  

Clinical Effect of Massage Combined with Joint Mobilization Training in the Treatment of Patients with Limited Knee Joint Mobility

作　　者：丁一航 DING Yihang(Department of Rehabilitation Medicine,Beijing Jishuitan Hospital Guizhou Hospital Guiyang 550000,China)

机构地区：[1]北京积水潭医院贵州医院康复医学科,贵州贵阳550000

出　　处：《反射疗法与康复医学》2024年第21期10-13,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨推拿联合关节松动训练治疗膝关节活动受限患者的临床疗效。方法选取2020年2月—2024年2月北京积水潭医院贵州医院收治的89例膝关节活动受限患者为研究对象,按随机数字表法将其分为对照组(n=44)和观察组(n=45)。对照组采用常规训练治疗,观察组采用推拿联合关节松动训练治疗。两组患者均持续治疗4周。比较两组临床疗效、膝关节活动度、膝关节功能。结果观察组治疗总有效率为95.56%,高于对照组的79.55%,差异有统计学意义(P<0.05)。治疗前,两组膝关节活动度、膝关节功能比较,组间差异无统计学意义(P>0.05);治疗4周后,观察组屈曲度大于对照组,伸直度小于对照组,差异有统计学意义(P<0.05);日本整形外科学会的膝关节功能评定表中上下楼能力、行走能力、关节肿胀、膝关节活动度评分均高于对照组,差异有统计学意义(P<0.05)。结论采用推拿治疗联合关节松动训练治疗膝关节活动受限患者的临床疗效较高,可有效提高患者膝关节活动度,改善其膝关节功能。Objective To explore the clinical efficacy of massage combined with joint mobilization training in the treatment of patients with limited knee joint mobility.Methods Eighty-Nine patients with limited knee joint mobility who were admitted to Beijing Jishuitan Hospital Guizhou Hospital from February 2020 to February 2024 were selected as the research objects.They were divided into a control group(n=44)and an observation group(n=45)according to the random number table method.The control group was treated with conventional training,while the observation group was treated with massage combined with joint mobilization training.Both groups of patients received continuous treatment for 4 weeks.The clinical efficacy,knee joint range of motion and knee joint function of the two groups were compared.Results The total effective rate of treatment in the observation group was 95.56%,which was higher than 79.55%in the control group,and the difference was statistically significant(P<0.05).Before treatment,the knee joint range of motion and knee joint function were compared between the two groups,and the differences between the groups were not statistically significant(P>0.05);after 4 weeks of treatment,the flexion degree of the observation group was greater than that of the control group,while the extension degree was less than that of the control group,and the difference was statistically significant(P<0.05);in the knee joint function assessment form of the Japanese Orthopaedic Association,the scores of the ability to go up and down stairs,walking ability,joint swelling and knee joint range of motion in the observation group were all higher than those of the control group,and the differenc was statistically significant(P<0.05).Conclusion The clinical efficacy of using massage treatment combined with joint mobilization training in the treatment of patients with limited knee joint mobility is relatively high.It can effectively improve the range of motion of patients'knee joints and enhance their knee joint functions.

关 键 词：膝关节活动受限 推拿 关节松动训练 膝关节活动度 膝关节功能 

分 类 号：R68[医药卫生—骨科学]