血流限制疗法联合Mulligan动态关节松动术对膝骨关节炎患者疼痛、运动恐惧心理和功能恢复的影响  

The Effect of Blood Flow Restriction Therapy Combined with Mulligan Dynamic Mobilization on Pain,Fear of Movement,and Functional Recovery in Patients with Knee Osteoarthritis

作　　者：樊梦豪 FAN Menghao(Shanxi Provincial Integrated TCM and WM Hospital,Taiyuan 030000,China)

机构地区：[1]山西省中西医结合医院,山西太原030000

出　　处：《中外医学研究》2025年第9期34-37,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨血流限制疗法联合Mulligan动态关节松动术对膝骨关节炎患者疼痛、运动恐惧心理和功能恢复的影响。方法:选取2022年1月-2023年6月在山西省中西医结合医院就诊的120例膝骨关节炎患者作为研究对象,根据随机数表法分为联合组、血流限制疗法组和动态关节松动术组,每组各40例。动态关节松动术组接受Mulligan动态关节松动术,血流限制疗法组接受血流限制训练,联合组同时接受动态关节松动术和血流限制训练,共治疗8周。比较三组干预前后视觉模拟量表(VAS)、运动恐惧量表(TSK)、西安大略和麦克马斯特大学评分量表(WOMAC)、Berg平衡量表(BBS)、起立-坐行测试(TUGT)评分和10米步行测试结果。结果:干预后,三组VAS评分、TSK评分、WOMAC评分、TUGT和10米步行测试均降低,BBS评分提高,差异有统计学意义(P<0.05)。干预后,与血流限制组和动态关节松动术组相比,联合组VAS评分、TSK评分、WOMAC评分、TUGT和10米步行测试均改善,BBS评分较高,差异有统计学意义(P<0.05)。结论:血流限制疗法与Mulligan动态关节松动术联合应用或者单一方法均能改善膝骨关节炎患者疼痛程度、运动恐惧心理和促进功能恢复,但联合应用效果更加明显。Objective:To explore the effects of blood flow restriction therapy combined with Mulligan dynamic joint mobilization on pain,exercise fear,and functional recovery in patients with knee osteoarthritis.Method:A total of 120 patients with knee osteoarthritis who were treated in Shanxi Provincial Integrated TCM and WM Hospital from January 2022 to June 2023 were selected as the study objects,and were divided into combination group,blood flow restriction therapy group and dynamic joint loosening group according to random number table method,with 40 cases in each group.The dynamic joint loosening group received Mulligan dynamic joint loosening,the blood flow restriction therapy group received blood flow restriction training,and the combined group received both dynamic joint loosening and blood flow restriction training for a total of 8 weeks.Visual Analog Scale(VAS),Tampa Scale for Kinesiophobia(TSK),Western Ontario and McMaster University Rating Scale(WOMAC),Berg Balance Scale(BBS),standing up and Sitting test(TUGT)and 10-meter walking test were compared before and after the intervention.Result:After intervention,VAS score,TSK score,WOMAC score,TUGT score and 10-meter walking test were all decreased in the three groups,and BBS score was increased,and the difference was statistically significant(P<0.05).After intervention,compared with the blood flow restriction group and dynamic joint loosening group,VAS score,TSK score,WOMAC score,TUGT score and 10-meter walking test were lower in the combined group.And BBS score was higher,with statistical significance(P<0.05).Conclusion:The combination of flow restriction therapy and Mulligan dynamic joint loosening or single method can improve pain,exercise fear and functional recovery in patients with knee osteoarthritis,but the combined effect is more obvious.

关 键 词：血流限制疗法 Mulligan动态关节松动术 膝骨关节炎 功能恢复 

分 类 号：R684.3[医药卫生—骨科学]