压腿锻炼、手法弹拨、中药熏洗三联法治疗膝关节骨性关节炎疗效观察

A therapeutic-effect observation on the treatment of knee osteoarthritis by leg-pressing exercises, stirring maneuvers and steaming-washing with medicinal herbs

采用压腿伸膝锻炼、手法弹拨下肢后侧肌肉、中药局部熏洗三联法治疗膝关节骨性关节炎４２例（６８个膝），优良率为７０．６％。认为本法可促进静脉回流，消除髌骨静脉瘀滞，缓解 绳肌痉挛，降低髌骨内和髌股关节内压，从而使症状改善。指出过早练习股四头肌收缩、强调屈膝锻炼、重力按压摩擦髌骨等均不利于病变好转。

Forty-two cases (68 knees) of knee osteoarthritis were treated by legpressing exercises, stirring maneuvers and steaming-washing with medicinal herbs with an excellent-good rate of 70.6% . It was considered that this method could improve popliteal venous return .eliminate patellar venous stagnation, relax hamstring muscular spasm,lower intra-patellar and intra-patello-femoral pressure and thereby improve the symptoms.The auhtors pointed out that early contracting quadriceps muscles of thigh and flexing the knees,heavily pressing and rubbing the patella produced no benefit to the improvement of the illness.