赤凤迎源法对膝关节骨性关节炎患者膝部肌群的等速肌力测试研究

Effect of Chifeng Yingyuan Method on Isokinetic Muscle Strength of Knee Muscles in Patients with Knee Osteoarthritis

目的:观察赤凤迎源法治疗膝关节骨性关节炎的膝部肌群等速肌力变化。方法:将膝关节骨性关节炎患者30例随机分为观察组(n=15)和对照组(n=15),对照组采取平补平泻针法,观察组采用赤凤迎源法治疗。治疗前后采用WOMAC OA指数、KSS评分、峰力矩(PT)、平均功率(AP)、屈肌峰力矩/伸肌峰力矩比值(F/E)和峰力矩体质量比(PT/BW)评价患者的治疗效果和等速肌力变化。结果:治疗后两组患者WOMAC OA指数、KSS评分、屈伸肌群PT、AP、F/E和PT/BW改善效果均显著优于治疗前,组内比较差异具有统计学意义(P<0.05);且观察组各项指标均显著优于对照组,组间比较差异具有统计学意义(P<0.05)。结论:赤凤迎源法对减少膝关节骨性关节炎疼痛症状、改善膝关节运动能力、增强膝部屈伸肌群肌力和提高膝关节稳定性具有较好的治疗效果。

Objective:To observe the changes of isokinetic muscle strength of knee muscles in patients with knee osteoarthritis(KOA)treated by Chifeng Yingyuan method.Methods:30 patients with KOA were randomly divided into the observation group(n=15)and the control group(n=15).The control group was treated with mild reinforcing and reducing method,whereas the observation group was treated with Chifeng Yingyuan method.WOMAC OA index,KSS score,Peak Torque(PT),Average Power(AP),Flexor/Extensor(F/E),Peak Torque/Body Weight(PT/BW)were used to evaluate the therapeutic effect and the changes of isokinetic muscle strength.Results:WOMAC OA index,KSS score,PT,AP,F/E,PT/BW of flexors and extensors were significantly improved after the treatment compared to those before the treatment in the two groups(P<0.05);of which the improvements in the observation group were more significant(P<0.05).Conclusion:Chifeng Yingyuan method can reduce the pain symptoms of KOA,improve the knee movement ability,enhance the strength of flexor and extensor muscle of the knees,and improve the stability of knee joint.It has a good therapeutic effect.