Objective To investigate the influence of gender on osteoarthritic knee rehabilitation outcome of osteoarthritis patient undergoing total knee arthroplasty(TKA).Methods We prospectively studied thirty male and thirty ...Objective To investigate the influence of gender on osteoarthritic knee rehabilitation outcome of osteoarthritis patient undergoing total knee arthroplasty(TKA).Methods We prospectively studied thirty male and thirty female knee primary osteoarthritis patients receiving unilateral TKA with posterior stable-fixed plateau prosthesis at our hospital from March 2003 to March 2008.The age and body mass index of male and female patients were matched.The surgical and rehabilitation clinical factors were compared between two groups.Results There was no significant difference in postoperative hospitalization time,surgical tourniquet time,and wound drainage volume between two groups(P>0.05).The extension/flexion degrees of knee joint before operation,1-week,2-week and 1-year after operation for male patients were 6.0 ± 3.3 degrees/ 114.0 ± 10.0 degrees,2.0 ± 1.6 degrees/93.0 ± 7.4 degrees,0.6 ± 0.6 degrees/104.0 ± 9.9 degrees and 0.3 ± 0.5 degrees/125.0 ± 8.8 degrees,for female patients were 7.0 ± 3.4 degrees/112.0 ± 14.0 degrees,2.0 ± 1.3 degrees/89.0 ± 10.9 degrees,0.9 ± 0.8 degrees/101.0 ± 11.8 degrees,0.4 ± 0.5 degrees/124.0 ± 7.1 degrees.The range of motion before operation,1-week,2-week,and 1-year after operation for male patients was 108.0 ± 9.5 degrees,91.0 ± 7.1 degrees,103.0 ± 9.9 degrees,and 125.0 ± 8.9 degrees,for female patients was 105.0 ± 14.1 degrees,87.0 ± 11.4 degrees,100.0±11.9 degrees,and 124.0 ± 7.0 degrees.The preoperative and 1-year postoperative HSS scores were 55.8 ± 13.3 and 89.6 ± 6.7 for males and 54.5 ± 13.8 and 89.2 ± 4.1 for females.No significant statistical difference was observed between two gender groups in regards to degree of extension and flexion,range of motion and HSS score(P>0.05).Conclusions Gender does not influence postoperative knee function of osteoarthritis patients.TKA significantly improves knee joint function and relieve osteoarthritis-related pain.展开更多
Objective To compare the clinical efficacies among the combined therapy of warm needling and rehabilitation, simple warm needling and rehabilitation therapy for knee osteoarthritis （OA）. Methods Ninty cases of OA we...Objective To compare the clinical efficacies among the combined therapy of warm needling and rehabilitation, simple warm needling and rehabilitation therapy for knee osteoarthritis （OA）. Methods Ninty cases of OA were divided randomly into three groups, 30 cases in each one. In an acupuncture and rehabilitation group, warm needling was applied at the acupoints such as Xuehai （血海SP 10）, Neixiyan （内膝眼 EX-LE 4）, Dubi （犊鼻 ST 35） and Zusanli（足三里ST 36） etc.. Additionally, rehabilitation therapy was combined such as joint gymnastics, isometric exercise, stretching exercise and endurance training. In the warm needling group, warm needling was given simply. In the rehabilitation group, rehabilitation therapy was only adopted. The joint pain scale and severity index scale of knee OA were taken as the efficacy assessment indices among the groups. Results The clinical cured rate was 36.7% （11/30） in acupuncture and rehabilitation group, which was superior to 13.3% （4/30） in warm needling group and 13.3% （4/30） in rehabilitation group （both P〈0.01） separately. The results of the joint pain scale and severity index scale of knee joint OA in three groups after 1 session and 2 sessions of treatment were reduced obviously as compared with those before treatment （P〈0.01, P〈0.05）. After 2 sessions of treatment, every index in acupuncture and rehabilitation group was reduced much more obviously as compared with that in the other two groups （all P〈0,01）. Conclusion Warm needling in combination with rehabilitation therapy has good efficacy on knee OA and relieves remarkably the symptoms of it, which is superior to those in either simple warm needling or rehabilitation training therapy.展开更多
Objective To investigate the effect of acupressure therapy as an adjunctive therapy to pharmacological treatment on pain and health-related quality of life(QOL)among knee osteoarthritis(KOA)patients.Methods One hundre...Objective To investigate the effect of acupressure therapy as an adjunctive therapy to pharmacological treatment on pain and health-related quality of life(QOL)among knee osteoarthritis(KOA)patients.Methods One hundred KOA patients were recruited from the orthopedic out-patient clinic of the institute.The patients were allocated randomly(flipping-coin simple randomization method)into an intervention group(n=50)and a control group(n=50).Patients in the intervention group received acupressure therapy along with pharmacological treatment.Patients in the control group did not receive acupressure therapy but continued their pharmacological treatment.Changes in pain(visual analog scale,VAS)and QOL(short-form 36-item health survey,SF-36)scores at baseline(A0),during training session(A1),follow-up at the 3rd month after training(A2)and follow-up at the 6th month after training session(A3)were collected and examined.Multiple regression analysis was used to check the relationship between pain and SF-36 domains.Results The VAS score of participants in the intervention group decreased at A3(P=0.001).Scores of physical functioning(PF),role limitations due to emotional problems(RE)and mental health(MH)of SF-36 in the intervention group improved more as compared with the control group.Patients in the intervention group with improvement in VAS(pain)score showed greater changes in mean scores of all domains of SF-36 from baseline(all P<0.05).Except bodily pain(BP),the other domains of SF-36 were negatively correlated with pain score.Conclusion Acupressure therapy with pharmacological treatment can improve health-related QOL and pain among KOA patients.展开更多
文摘Objective To investigate the influence of gender on osteoarthritic knee rehabilitation outcome of osteoarthritis patient undergoing total knee arthroplasty(TKA).Methods We prospectively studied thirty male and thirty female knee primary osteoarthritis patients receiving unilateral TKA with posterior stable-fixed plateau prosthesis at our hospital from March 2003 to March 2008.The age and body mass index of male and female patients were matched.The surgical and rehabilitation clinical factors were compared between two groups.Results There was no significant difference in postoperative hospitalization time,surgical tourniquet time,and wound drainage volume between two groups(P>0.05).The extension/flexion degrees of knee joint before operation,1-week,2-week and 1-year after operation for male patients were 6.0 ± 3.3 degrees/ 114.0 ± 10.0 degrees,2.0 ± 1.6 degrees/93.0 ± 7.4 degrees,0.6 ± 0.6 degrees/104.0 ± 9.9 degrees and 0.3 ± 0.5 degrees/125.0 ± 8.8 degrees,for female patients were 7.0 ± 3.4 degrees/112.0 ± 14.0 degrees,2.0 ± 1.3 degrees/89.0 ± 10.9 degrees,0.9 ± 0.8 degrees/101.0 ± 11.8 degrees,0.4 ± 0.5 degrees/124.0 ± 7.1 degrees.The range of motion before operation,1-week,2-week,and 1-year after operation for male patients was 108.0 ± 9.5 degrees,91.0 ± 7.1 degrees,103.0 ± 9.9 degrees,and 125.0 ± 8.9 degrees,for female patients was 105.0 ± 14.1 degrees,87.0 ± 11.4 degrees,100.0±11.9 degrees,and 124.0 ± 7.0 degrees.The preoperative and 1-year postoperative HSS scores were 55.8 ± 13.3 and 89.6 ± 6.7 for males and 54.5 ± 13.8 and 89.2 ± 4.1 for females.No significant statistical difference was observed between two gender groups in regards to degree of extension and flexion,range of motion and HSS score(P>0.05).Conclusions Gender does not influence postoperative knee function of osteoarthritis patients.TKA significantly improves knee joint function and relieve osteoarthritis-related pain.
文摘Objective To compare the clinical efficacies among the combined therapy of warm needling and rehabilitation, simple warm needling and rehabilitation therapy for knee osteoarthritis （OA）. Methods Ninty cases of OA were divided randomly into three groups, 30 cases in each one. In an acupuncture and rehabilitation group, warm needling was applied at the acupoints such as Xuehai （血海SP 10）, Neixiyan （内膝眼 EX-LE 4）, Dubi （犊鼻 ST 35） and Zusanli（足三里ST 36） etc.. Additionally, rehabilitation therapy was combined such as joint gymnastics, isometric exercise, stretching exercise and endurance training. In the warm needling group, warm needling was given simply. In the rehabilitation group, rehabilitation therapy was only adopted. The joint pain scale and severity index scale of knee OA were taken as the efficacy assessment indices among the groups. Results The clinical cured rate was 36.7% （11/30） in acupuncture and rehabilitation group, which was superior to 13.3% （4/30） in warm needling group and 13.3% （4/30） in rehabilitation group （both P〈0.01） separately. The results of the joint pain scale and severity index scale of knee joint OA in three groups after 1 session and 2 sessions of treatment were reduced obviously as compared with those before treatment （P〈0.01, P〈0.05）. After 2 sessions of treatment, every index in acupuncture and rehabilitation group was reduced much more obviously as compared with that in the other two groups （all P〈0,01）. Conclusion Warm needling in combination with rehabilitation therapy has good efficacy on knee OA and relieves remarkably the symptoms of it, which is superior to those in either simple warm needling or rehabilitation training therapy.
文摘Objective To investigate the effect of acupressure therapy as an adjunctive therapy to pharmacological treatment on pain and health-related quality of life(QOL)among knee osteoarthritis(KOA)patients.Methods One hundred KOA patients were recruited from the orthopedic out-patient clinic of the institute.The patients were allocated randomly(flipping-coin simple randomization method)into an intervention group(n=50)and a control group(n=50).Patients in the intervention group received acupressure therapy along with pharmacological treatment.Patients in the control group did not receive acupressure therapy but continued their pharmacological treatment.Changes in pain(visual analog scale,VAS)and QOL(short-form 36-item health survey,SF-36)scores at baseline(A0),during training session(A1),follow-up at the 3rd month after training(A2)and follow-up at the 6th month after training session(A3)were collected and examined.Multiple regression analysis was used to check the relationship between pain and SF-36 domains.Results The VAS score of participants in the intervention group decreased at A3(P=0.001).Scores of physical functioning(PF),role limitations due to emotional problems(RE)and mental health(MH)of SF-36 in the intervention group improved more as compared with the control group.Patients in the intervention group with improvement in VAS(pain)score showed greater changes in mean scores of all domains of SF-36 from baseline(all P<0.05).Except bodily pain(BP),the other domains of SF-36 were negatively correlated with pain score.Conclusion Acupressure therapy with pharmacological treatment can improve health-related QOL and pain among KOA patients.
