现代康复手法结合中药外敷治疗膝关节僵硬的临床研究

Application of modern rehabilitation techniques combined with external application of Traditional Chinese Medicine in the treatment of knee stiffness

目的评价现代康复手法配合中药外敷治疗膝关节僵硬患者的临床疗效。方法前瞻性队列研究。将符合入选标准的2019年1月-2021年12月本院80例膝关节僵硬患者,采用随机摸球法分为2组,每组40例。2组均给予常规理疗,对照组在此基础上结合中药外敷,观察组在对照组基础上结合现代康复手法。2组均治疗1个月。分别于治疗前后采用量角器测量膝关节屈曲度、伸展度,VAS量表评估膝关节疼痛程度,Fugl-Meyer运动功能评分评估下肢运动功能。结果治疗后,观察组膝关节屈曲度[(96.43±4.63)°比(89.58±4.67)°,t=6.59]高于对照组(P<0.01)、伸展度[(8.32±2.03)°比(11.69±2.37)°,t=6.83]低于对照组(P<0.01);VAS评分[(2.06±0.49)分比(3.65±0.76)分,t=11.12]低于对照组(P<0.01)、Fugl-Meyer运动功能评分[(28.97±3.76)分比(20.43±3.04)分,t=11.17]高于对照组(P<0.01)。结论现代康复手法结合中药外敷可较好地改善膝关节僵硬患者的膝关节活动度,降低疼痛程度,提高运动功能。

Objective To explore the clinical efficacy of modern rehabilitation techniques combined with Traditional Chinese Medicine(TCM)external application in the treatment of knee stiffness.Methods Prospective cohort study.A total of 80 patients with knee stiffness meeting the entry criteria admitted to the People's Hospital of Bozhou from January 2019 to December 2021 were selected and divided into the observation group(n=40)and the control group(n=40)according to the random ball touching method.Both groups were given routine physiotherapy.The control group was treated with TCM external application on the basis of the physiotherapy,and the observation was treated with modern rehabilitation techniques on the basis of the treatment of the control group.The goniometer was used to measure the knee flexion and extension before and after treatment,and the VAS scale was used to assess the knee pain.Fug l-Meyer motor function score was used to evaluate lower extremity motor function.Results After treatment,the knee flexion[(96.43±4.63)°vs.(89.58±4.67)°,t=6.59]in the observation group was higher than that of the control group(P<0.01),and the extension[(8.32±2.03)°vs.(11.69±2.37)°,t=6.83]in the control group was lower than that of the control group(P<0.01);VAS score(2.06±0.49 vs.3.65±0.76,t=11.12)was lower than that of the control group(P<0.01),and Fugl Meyer motor function score(28.97±3.76 vs.20.43±3.04,t=11.17)was higher than that of the control group(P<0.01).Conclusion The application of modern rehabilitation techniques combined with TCM external application in the treatment of knee stiffness can improve the range of motion of the knee joint,reduce the VAS score of pain,and improve the motor function.