步态分析评价体外冲击波治疗鹅足滑囊炎的疗效

目的 探讨体外冲击波治疗鹅足滑囊炎的疗效.方法 选取2021年6月至2022年7月本院收治的鹅足滑囊炎患者26例,均接受发散式体外冲击波治疗,治疗频率为5Hz,能量为1.4~2.3bar,冲击7,000频次/次,2次/周,4周为1个疗程.纳入患者均在治疗前及治疗结束后、治疗后1、3个月行视觉模拟评分(VAS),Lequesne评分,通过步态分析将步速、步长、步幅的改变.结果 经过发散式体外冲击波治疗,患者治疗结束后VAS评分、Lequesne评分分别为(2.26±0.26)分、(3.07±0.27)分均较治疗前明显改善(P<0.05);治疗后1个月VAS评分、Lequesne评分分别为(1.5±0.94)分、(1.65±0.22)分均较治疗前及治疗结束后明显改善(P<0.05);术后3个月VAS评分、Lequesne评分分别为(1.07±0.24)分、(1.46±0.35)分,较治疗前评分明显降低(P<0.05).患者治疗结束后、治疗后1个月、治疗后3个月步速分别为(0.495±0.147)m/s、(0.511±0.148)m/s、(0.517±0.149)m/s较治疗前明显提升(P<0.05);治疗后1个月时步长(0.237±0.065)m与术前比较差异有统计学意义(P<0.05),治疗后3个月步长(0.244±0.069)m与治疗后步长(0.213±0.062)m及治疗前步长(0.202±0.051)m比较明显变长(P<0.05).结论 发散式体外冲击波可以使鹅足滑囊炎患者膝关节疼痛有效缓解,功能明显改善,步态分析可以有效评估膝关节功能.

Objective To evaluate the efficacy of extracorporeal shockwave therapy on Anserina Bursitis.Methods From June 2021 to July 2022,26 patients with Anserina Bursitis admitted to the hospital were selected as the research subjects,and the patients were treated with radial extracorporeal shock wave therapy(rESWT),with a treatment frequency of5 Hz,an energy of 1.4~2.3 bar,each shock frequency of 7,000 times.They received 2 treatments per week,and 8 times for a course of treatment.All patients were evaluated with visual pain simulation score(VAS)and the Lequesne score before the treatment,after the whole course of the treatment,follow-up 1 month after the treatment,and follow-up in 3 months,and the changes in stride rate,step length and stride length of the patients were analyzed statistically by gait analysis.ResultsAfter rESWT,the VAS pain score and Lequesne score after the treatment were 2.26±0.26,3.07±0.27,respectively,which were significantly improved compared with before treatment(P<0.05).The VAS pain score and Lequesne score in 1 month after treatment were 1.5±0.94,1.65±0.22,respectively,which were significantly improved compared with the pain before and after treatment(P<0.05).The VAS pain score and Lequesne score in 3 months were 1.07±0.24,1.46±0.35,respectively,which were significantly lower than the pre-treatment score(P<0.05).After the end of the treatment,I month after the treatment,and 3 months after the treatment,the stride rate of the patient was(0.495±0.147 m/s),(0.511±0.148 m/s),(0.517±0.149 m/s)were significantly higher than before treatment(P<0.05).The significant differences were seen between the 1-month step length(0.237±0.065 m)and preoperative after treatment(P<0.05).3-month and the post-treatment step length(0.213±0.062)m compared the pre-treatment step length(0.202±0.051)m improved Significantly after treatment,with statistical significance(P<0.05).Conclusion rESWT can effectively alleviate knee pain in patients with Anserina Bursitis,significantly improve function.Gait analysis can effectively assess knee joint function.