摘要
目的:探讨膝内翻矫形器械对膝关节骨性关节炎(KOA)患者的影响.方法:选择合并膝内翻的KOA患者60例,随机分为观察组和对照组.2组均采用基础治疗,在此基础上观察组采用膝内翻矫形器械,对照组采用常规牵引治疗.治疗4周后,采用疼痛视觉模拟评分(VAS)、关节活动度(ROM)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、美国特种外科医院膝关节评分(HSS)、胫股角(TFA)、膝间距(IC)评价膝关节功能.结果:4周治疗后,2组VAS、WOMAC、IC评分均较治疗前降低(P＜0.01),观察组均低于对照组(P＜0.01);2组HSS、TFA评分均较治疗前提高,观察组均高于对照组(P＜0.01,0.05);2组组内和组间ROM评分比较差异无统计学意义.结论:膝内翻矫形器械可以减轻KOA患者的疼痛,提高活动功能,改善膝关节生物力线,减缓膝内翻进展,值得临床推广应用.
Abstract
Objective:To explore the effect of knee varus orthosis on patients with knee osteoarthritis.Methods:A total of 60 knee osteoarthritis patients with knee varus were selected and randomly divided into an orthosis group and a control group.Both groups received conventional treatment,with the orthosis group receiving knee varus orthosis and the control group receiving traction treatment.After 4 weeks of treatment,knee joint function was evaluated u-sing Visual Analog Scale(VAS),Joint Range of Motion(ROM),Western Ontario and McMaster University Oste-oarthritis Index(WOMAC),United States Hospital of Special Surgery Knee Score(HSS),Tibiofemoral Angle(TFA),and Knee Distance(IC).Results:After 4 weeks of treatment,the VAS,WOMAC,and IC scores of both groups decreased compared to those before treatment(P＜0.01),and those in the observation group were lower than in the control group(P＜0.01).After treatment,the HSS and TFA scores of both groups were improved compared to those before treatment,and those in the observation group were higher than those in the control group(P＜0.01,0.05).There was no statistically significant difference in ROM scores within and between the 2 groups.Conclusion:Knee varus orthosis can alleviate pain,improve knee function,improve lower limbs biomechanics,and slow down the progression of knee varus in KOA patients.It is worthy of clinical promotion and application.
基金项目
河南省中医药科学研究专项课题(20-21ZY1059)
中医药传承与创新人才工程(仲景工程)中医药学科拔尖人才()
第五批全国中医临床优秀人才研修项目()
维普
万方数据