深部揉压按摩法治疗老年膝关节骨性关节炎的短期疗效观察.PDFVIP

ChineseJournalofRehabilitationMedicine, Jun.2015,Vol. 30, No.6 ·临床研究· 深部揉压按摩法治疗老年膝关节骨性关节炎的 短期疗效观察 李忠龙 王建军 刘 康1 2 1 摘要 目的：观察深部揉压按摩手法治疗老年膝关节骨性关节炎的短期临床疗效。 方法：将118例老年膝关节骨性关节炎患者随机分为试验组（61 例）和对照组（57 例），分别予杨清山深部揉压按摩手 法和电针疗法，并两组均同时进行股四头肌训练。以视觉模拟评分法（VAS ）、起立-行走时间测试、膝关节活动度及 西安大略和麦克马斯特大学骨关节炎指数（WOMAC ）为观察指标对比两组的临床疗效。 结果：杨清山深部揉压按摩手法在减轻膝关节疼痛、改善膝关节僵硬程度和日常功能障碍、增加膝关节活动度、提高 患者功能性步行能力方面均优于电针疗法（P ＜0.05 ，P ＜0.001 ）。 结论：杨清山深部揉压按摩手法具有向心性，操作面积大，点、线、面结合，刚柔并济的特点，适合老年患者，对膝关节 骨性关节炎有显著疗效。 关键词 膝关节骨性关节炎；深部揉压；按摩；手法；股四头肌训练 中图分类号：R684.3, R244.1 文献标识码：A 文章编号：1001-1242（2015 ）-06-0580-05 An observation of the short-term therapeutic effect of deep kneading-pressing manipulation on the elder⁃ ly knee osteoarthritis/LI Zhonglong, WANG Jianjun, LIU Kang//Chinese Journal of Rehabilitation Medi⁃ cine, 2015, 30(6): 580—584 Abstract Objective：To observe the short-term effect of Yang Qingshans deep kneading- pressing manipulation on the el- derly knee osteoarthritis. Method：A total of 118 patients were randomly divided into the treatment group(61) with Yang Qingshans deep kneading- pressing manipulation and the control group (57)with electro- acupuncture therapy, and both groups take quadriceps training at the same time. We use the VAS score, timed ‘up and go test, range of knee motion and WOMAC scale to compare the clinical effect of the two groups. Result：Yang Qingshans deep kneading- pressing manipulation can increase the knee joint mobility and physi- cal mobility by means of relieving pain of the knee, improving the degree of knee joint stiffness and rectify- ing the daily dysfunction, which is superior to the electro-acupuncture therapy (P0.05, P0.001). Conclusion：Yang Qingshans deep kneading- pressing manipulation has remarkable effect on knee osteoarthritis ， especially has the