Mulligan动态关节松动术结合冲击波对股骨头坏死患者髋关节功能恢复及血液流变学的影响

Effect of Mulligan dynamic joint mobilization combined with shock wave on hip joint function recovery and hemorheology in patients with osteonecrosis of the femoral head

目的探讨Mulligan动态关节松动术结合冲击波对股骨头坏死(ONFH)患者髋关节功能恢复及血液流变学的影响。方法选取2019年9月至2021年8月黑龙江中医药大学附属第二医院治疗的ONFH患者60例,按照随机数字表法分为研究组(Mulligan动态关节松动术结合冲击波)、对照组(冲击波),每组30例。比较两组治疗前后髋关节活动度、血液流变学指标、临床疗效。结果治疗后,研究组髋关节活动度高于治疗前,对照组屈曲、内旋、外旋、内收活动度高于治疗前,差异有统计学意义(P<0.05);研究组髋关节活动度高于对照组,差异有统计学意义(P<0.05)。治疗后,两组血浆黏度、全血低切还原黏度、全血高切还原黏度低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组优良率高于对照组,差异有统计学意义(P<0.05)。结论Mulligan动态关节松动术结合冲击波治疗ONFH能有效改善髋关节的活动度,对于血液流度学指标也有明显改善,有利于髋关节功能的恢复。

Objective To investigate the effect of Mulligan dynamic joint mobilization combined with shock wave on hip joint function recovery and hemorheology in patients with osteonecrosis of the femoral head(ONFH).Methods From September 2019 to August 2021,60 patients with early ONFH treated in the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine were selected,they were divided into study group(Mulligan dynamic joint mobilization combined with shock wave)and control group(shock wave)according to the random number table method,with 30 caese in each group.Hip joint mobility,hemorheology indicators,and clinical efficacy were compared between two groups before and after treatment.Results After treatment,hip joint mobility in study group was higher than that before treatment,while the flexion,internal rotation,external rotation,and adductionmobility in control group were higher than those before treatment,and the differences were statistically significant(P<0.05);the hip joint mobility in study group was higher than that in control group,and the difference was statistically significant(P<0.05).After treatment,the plasma viscosity,whole blood low-cut reduced viscosity and whole blood high-cut reduced viscosity of two groups were lower than those before treatment,and study group was lower than control group,and the differences were statistically significant(P<0.05).The excellent and good rate of study group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion Mulligan dynamic joint mobilization combined with shock wave treatment of ONFH can effectively improve hip joint mobility.It also has a significant improvement in hemorheology indicators,and is beneficial to the recovery of hip joint function.