首页|关刺法联合本体感觉训练对膝骨关节炎患者的影响

关刺法联合本体感觉训练对膝骨关节炎患者的影响

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目的 观察关刺法联合本体感觉训练治疗膝骨关节炎(KOA)的临床疗效.方法 选择2021年2月—2022年10月在广州中医药大学附属佛山中医院住院治疗的KOA患者90例,按随机数字表法分为对照组和观察组,每组45例.对照组接受牵伸疗法、关节松动、肌力训练及中频治疗等常规治疗,每项10 min/次,1次/d,6 d/周,连续治疗4周.观察组在对照组基础上接受关刺法联合本体感觉训练,其中关刺法20 min/次,1次/d,6 d/周,连续治疗4周;本体感觉训练10 min/次,1次/d,6 d/周,连续治疗4周.分别于治疗前后采用视觉模拟评分法(VAS)评价患者膝关节疼痛程度;采用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评价患者膝关节功能;采用患肢平均轨迹误差及Berg平衡量表(BBS)评分评估患者下肢平衡功能.结果 与治疗前比较,2组治疗后VAS评分、WOMAC评分、患肢平均轨迹误差均明显降低,BBS评分明显升高,差异具有统计学意义(P<0.05).与对照组比较,观察组治疗后VAS评分、WOMAC评分、患肢平均轨迹误差均明显更低,BBS评分明显更高,差异具有统计学意义(P<0.05).结论 关刺法联合本体感觉训练可有效改善KOA患者膝关节疼痛、膝关节功能和下肢平衡功能.
Effect of Articular Needling Therapy Combined with Proprioceptive Training on Patients with Knee Osteoarthritis
Objective To observe the clinical effect of articular needling therapy combined with proprioceptive training on pa-tients with knee osteoarthritis(KOA).Methods A total of 90 patients with KOA in the Foshan Traditional Chinese Medicine Hos-pital Affiliated to Guangzhou University of Chinese Medicine from February 2021 to October 2022 were randomly divided into con-trol group and observation group,with 45 cases in each group.The control group received routine treatments such as stretching thera-py,joint mobilization,muscle strength training and intermediate frequency therapy,with each item treated for 10 minutes a time,once a day,six days a week for four weeks.The observation group received articular needling therapy combined with proprioceptive training based on the treatment of the control group,including articular needling therapy 20 minutes a time,once a day,six days a week for four weeks and proprioceptive training 10 minutes a time,once a day,six days a week for four weeks.Before and after treatment,visual analog scale(VAS)score was used to assess knee joint pain level.Western Ontario and McMaster University os-teoarthritis index(WOMAC)was used to assess knee joint function.The average trajectory error of the affected limb and Berg bal-ance scale(BBS)were used to assess the balance function of lower limb.Results Compared with that before treatment,VAS score,WOMAC score and average trajectory error of the affected limb of both groups decreased significantly after treatment,while BBS score increased significantly,and the differences were statistically significant(P<0.05).Compared with the control group,VAS score,WOMAC score and average trajectory error of the affected limb of the observation group were lower after treatment,while BBS score of the observation group was significantly higher,and the differences were statistically significant(P<0.05).Conclusion Articular needling therapy combined with proprioceptive training can effectively improve pain of knee joint,knee joint function,and balance function of lower limb in patients with KOA.

knee osteoarthritisarticular needling therapyproprioceptive trainingknee joint functionbalance function

陈鹤、李雪媚、邝雪辉、余瑾

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广州中医药大学针灸康复临床医学院,广东 广州 510006

广州中医药大学附属佛山中医院,广东 佛山 528000

膝骨关节炎 关刺法 本体感觉训练 膝关节功能 平衡功能

广东省普通高等学校重点领域专项

2019KZDZX1041

2024

康复学报
福建中医药大学

康复学报

CSTPCD
影响因子:0.545
ISSN:2096-0328
年,卷(期):2024.34(2)
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