温针灸阳陵泉穴及等速运动训练改善膝关节僵直效果观察

Observation of effect of warming needle moxibustion on Yanglingquan point and isokinetic training on stiff knee

目的观察温针灸阳陵泉穴及等速运动训练对膝关节僵直的影响。方法将60例膝关节僵直患者随机分为研究组、对照A组、对照B组,每组各20例。3组患者均行常规主动活动训练及消肿止痛等对症治疗,研究组加行温针灸阳陵泉穴及等速运动训练,对照A组加行等速运动训练。3组患者分别在治疗前后行膝关节活动度(ROM)评定、HSS指数评定及等速肌力测试系统评定膝关节伸屈肌的峰力矩值(PT)、峰力矩与体质量比值(PT/BW)。结果治疗后3组膝关节屈曲度、伸直度、屈伸弧度及伸肌群和屈肌群PT、PT/BW值均较治疗前明显改善(P均<0.05),且研究组改善情况明显优于对照A组及对照B组(P均<0.05),对照A组优于对照B组(P<0.05);3组治疗后HSS指数均明显升高(P均<0.05),且研究组高于对照A组及对照B组(P均<0.05),对照A组高于对照B组(P<0.05)。结论温针灸阳陵泉穴联合等速运动训练可明显改善膝关节僵直(P<0.05),值得临床推广应用。

Objective It is to observe the effects of warming needle moxibustion on Yanglingquan point and isokinetic training on stiff knee.Methods 60 cases of patients with stiff knee were randomly divided into research group,control A group and control B group,each group had 20 cases.All the three groups received the regular therapy.Besides,the research group added warming needle moxibustion Yanglingquan point and the isokinetic training and the control A group added the isokinetic training.Range of motion （ROM）,maximum peak torque （PT）,peak torque/body weight （PT/BW） and knee HSS index were assessed in the patients of the three groups before and after the treatments.Results The flexion degree,extention degree and flexion radian were improved significantly after treatments in all 3 groups,but the improvements in the research group were better than that of control A group and control B group （P 〈 0.05）,the improvements were better in the control A group than that in control B group （P 〈 0.05）.All HSS indexes were significantly improved after training in the three groups（P 〈 0.05）,which were higher in the research group than that in control A group and control B group（P 〈 0.05）,higher in the control A group than that in control B group（P 〈 0.05）.Conclusion the effects on the knee functions to the stiff knee after the treatments of warming needle moxibustion Yanglingquan point and isokinetic training is evident,therefore,it is worthy of clinical popularization and application.