推拿治疗对膝骨关节炎患者股四头肌功能的影响

Effects of Tuina therapy on musculus quadriceps fexoris function in knee osteoarthritis patients

目的观察推拿手法治疗膝骨关节炎的临床疗效及其对患者股四头肌功能的影响。方法采用随机分组的方法将96例膝骨关节炎患者分为治疗组和对照组各48例,分别采用推拿手法治疗和口服芬必得治疗,疗程20天。观察临床疗效、Lequene&Mery严重度指数、JOA评分及等速肌力测试结果变化情况。结果治疗组的总有效率为89.58%,对照组为87.5%(P>0.05);两组治疗后Lequene&Mery严重度指数、JOA评分均明显改善(P<0.05),但两组间比较差异无统计学意义(P>0.05);治疗后两组患者股四头肌PT、TW、AP均明显增加(P<0.05),且治疗组的增加大于对照组(P<0.05)。结论推拿治疗能改善膝骨关节炎患者症状,且能提高其股四头肌的肌力和做功等。

Objective To observe the clinical efficacy of Tuina therapy in treating knee osteoarthritis and its effects on musculus quadriceps fexoris function.Methods Ninety-six subjects were randomized into two groups： treatment group in which 48 cases were treated by Tuina therapy and control group in which 48 cases were treated by Fenbid,with a course of 20 days.The clinical efficacy,LequeneMery test,JOA test and isokinetic muscular strength were observed.Results The total effective rate was 89.58% in the treatment group and 87.5% in the control group,with no difference between the two groups（P〈0.05）;after treatment,the LequeneMery test and JOA test were improved in both groups（P〈0.05）,but with no significant difference between the two groups（P〈0.05）;the PT,TW and AP of musculus quadriceps fexoris were improved in the two groups（P〈0.05）,with more significant improvement in the treatment group than in the control group（P〈0.05）.Conclusion Tuina therapy is effective to improve the knee osteoarthritis patients＇clinical symptoms,and increase their musculus quadriceps fexoris strength and power.