首页|一指禅推法联合常规康复训练治疗创伤后膝关节僵硬临床研究

一指禅推法联合常规康复训练治疗创伤后膝关节僵硬临床研究

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目的:观察一指禅推法联合常规康复训练治疗创伤后膝关节僵硬的临床疗效。方法:选择创伤后膝关节僵硬患者50例,按照随机数字表法分为观察组和对照组各25例。对照组实施常规康复训练,包括Maitland关节松动术、物理因子治疗、运动疗法、静态牵伸。观察组在对照组的基础上联合一指禅推法,两组治疗频率均为每周5次,连续治疗4周。治疗前后均使用主动关节活动度(AROM)、视觉模拟评分法(VAS)评分、膝关节美国特种外科医院(HSS)评分进行评估。结果:治疗后,两组患者膝关节AROM、HSS评分均较治疗前提高,VAS评分较治疗前降低,差异均有统计学意义(P<0。01),且观察组AROM、HSS评分、VAS评分改善程度均优于对照组,差异有统计学意义(P<0。05)。结论:一指禅推法联合常规康复训练,能够提高创伤后膝关节僵硬患者的膝关节活动度,减轻膝关节疼痛,改善膝关节功能,且治疗效果优于单独应用常规康复训练。
Clinical Study on One-Finger Tuina Combined with Conventional Rehabilitation Training on Post-Traumatic Knee Stiffness
Objective:To observe the clinical efficacy of one-finger tuina combined with conventional rehabili-tation training in treating post-traumatic knee stiffness.Methods:Total 50 patients with post-traumatic knee stiffness were selected and divided into the observation group and the control group according to random number table method,with 25 cases in each group.The control group received conventional rehabili-tation training,including Maitland joint mobilization,physical factor therapy,exercise therapy and static progressive stretch.The observation group received one-finger tuina on the basis of the treatment of the control group,and the treatment frequency of both groups was 5 times per week for 4 consecutive weeks.Active range of motion(AROM),visual analogue scale(VAS)score,and knee hospital for special surgery(HSS)score were used for evaluation before and after treatment.Results:After treatment,knee joint AROM and HSS scores of both groups were improved and VAS scores were reduced compared with those before treatment,and the differences were statistically significant(P<0.01),and the improvement of AROM,HSS score,and VAS score of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:One-finger tuina combined with conventional rehabilitation training can improve knee joint mobility,reduce knee joint pain,improve knee joint function in patients with post-traumatic knee stiffness,and the therapeutic effect is better than the application of conventional rehabilitation training alone.

one-finger tuinamassagerehabilitation trainingpost-traumatic knee stiffnessactive range of motionvisual analogue scalehospital for special surgery score

王润清、权玉俊、申彤、马丽虹

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山东中医药大学,山东济南 250355

济宁市第二人民医院,山东济宁 272100

一指禅推法 推拿 康复训练 创伤后膝关节僵硬 主动关节活动度 视觉模拟评分法 美国特种外科医院评分

山东省高等医学教育研究中心科研规划项目

202102424004

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(3)
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