推拿治疗膝关节骨性关节炎的等速测评研究

Study of constant speed assessment after testing and measuring on knee osteoarthritis by manipulation therapies

目的观察推拿治疗后膝关节骨性关节炎(OA)患者患侧膝关节股四头肌和绳肌的离心收缩功能和VAS疼痛评分的变化。方法对37例单侧膝关节OA患者进行推拿治疗,应用BTE Primus型等速肌力测试训练系统对治疗前后患侧的股四头肌及绳肌的离心收缩功能进行测试,并对治疗前后进行疼痛评分。结果治疗后股四头肌及绳肌PT、TAE值明显升高(P<0.05),VAS评分治疗前为(6.24±1.74)分,治疗后为(3.16±2.65)分,两者比较有显著性差异(P<0.05)。结论推拿可增加膝关节OA患者离心收缩状态下PT、TAE值,降低VAS疼痛指数。

Objective It is to observe the influence of manipulation therapies on the VAS and the eccentric contraction function of quadriceps and hamstrings in patients with knee osteoarthritis. Methods 37 patients with knee osteoarthritis were treated by manipulation. And were tested by BTE Primus isokinetic muscle testing and training system was used to assess the centric contraction function of quadriceps and hamstring. And the VAS ache grading was assessed. Results The values of PT and TAE of quadriceps and hamstrings were significantly higher （ P 〈 0.05）. The VAS was （6.24±1.74 ） points before treatment and （3.16± 2.56） points after treatment, there was significant difference in them （P〈 0.05）. Conclusion The PT and TAE are significantly increased on eccentric contraction after manipulation, and the VAS is decreased.