[1]邓佳南,龚利,李建华,等.“以痛为输”手法对早中期膝骨关节炎患者等速肌力的影响[J].中国中医骨伤科杂志,2015,23(06):35-38.
　DENG Jianan,GONG Li,LI Jianhua,et al.Effect of Pain Point Manipulation on Isokinetic Myodynamia in Early and Mid-stage Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(06):35-38.
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“以痛为输”手法对早中期膝骨关节炎患者等速肌力的影响
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年06期
页码:
35-38
栏目:
临床研究
出版日期:
2015-06-15

文章信息/Info

Title:
Effect of Pain Point Manipulation on Isokinetic Myodynamia in Early and Mid-stage Knee Osteoarthritis
文章编号:
1005-0205(2015)06-0035-04
作者:
邓佳南1;  龚利1;  李建华1;  储宇舟1;  邵盛1;  程浩1;  李勇1;  孙利鹏1
1.上海中医药大学附属岳阳中西医结合医院(上海,200437)
Author(s):
DENG Jianan1;  GONG Li1;  LI Jianhua1;  CHU Yuzhou1;  SHAO Sheng1;  CHENG Hao1;  LI Yong1;  SUN Lipeng1
1.Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China
关键词:
膝关节骨性关节炎;  推拿;  等速肌力测试;  以痛为输;  法
Keywords:
knee osteoarthritis;  manipulation;  isokinetic muscle srength test
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察“以痛为输”手法与法治疗对早中期膝骨关节炎患膝关节功能的影响。方法:采用分层随机设计的研究方法,由SPSS 13.0软件产生随机数字表,将早期与中期膝骨关节炎(KOA)患者各60例随机分成“以痛为输”治疗组(A组)和法治疗组(B组),以治疗前、治疗4周后的膝关节屈伸肌峰力矩(PT)作为观察指标,观察法与“以痛为输”手法对膝骨关节炎早中期患者的膝关节屈伸肌力的影响。结果:60°/s角速度伸肌峰力矩(PT)主效应与手法(A、B两组)的交互作用、主效应与分期(早期、中期)的交互作用均有统计学意义(P<0.05),三者间的交互作用均无统计学意义(P>0.05),分期(早期、中期)对治疗后伸肌峰力矩的影响较大且有统计学意义(P<0.05); 60°/s角速度屈肌峰力矩(PT)主效应与手法(A、B两组)的交互作用、主效应与分期(早期、中期)的交互作用、三者间的交互作用均无统计学意义(P>0.05)。180°/s角速度伸肌峰力矩(PT)主效应与手法(A、B两组)的交互作用、主效应与分期(早期、中期)的交互作用、三者间的交互作用均无统计学意义(P>0.05); 180°/s角速度屈肌峰力矩(PT)主效应与手法(A、B两组)的交互作用有统计学意义(P<0.05),治疗时间的主效应、主效应与分期(早期、中期)的交互作用、三者间的交互作用均无统计学意义(P>0.05),分期(早期、中期)对治疗后屈伸肌峰力矩的影响较大且有统计学意义(P<0.05)。结论:“以痛为输”手法与法均能改善早中期KOA患者60°/s角速度伸肌峰力矩(PT)和180°/s角速度屈肌峰力矩(PT)。法更利于屈肌肌力的改善,“以痛为输”更利于伸肌肌力的改善。
Abstract:
Objective:To observe the knee joint function effects of pain point manipulation and rolling manipulation in treatment of the early and mid-stage knee osteoarthritis. Methods:60 cases of early and mid-stage KOA were randomly divided into the " pain point manipulation " treatment group(A)and the rolling manipulation treatment group(group B)by SPSS 13.0 software. Knee flexion and extension muscle peak torque(PT)before treatment and 4 weeks after treatment were used as observed indicators. Observing effects of pain point manipulation and rolling manipulation on knee flexion and extension muscle strength in early and mid-stage knee osteoarthritis patients. Results: Main effects of 60°/ s angular velocity extensor muscle peak torque(PT)and manipulation(A, B groups)interactions, the main effects and staging(early, middle)interactions were statistically significant(P<0.05).The interaction between the three showed no statistically significant(P>0.05).For both 60°/s and 180°/s angular velocity, the stage(early, middle)had greater impact on extensor muscle peak torque after treatment, and there were statistical significance(P<0.05).The main effects of angular velocity extensor muscle peak torque(PT)and manipulation(A, B groups)interactions, the main effects and staging(early, middle)interactions, the interaction between the three had no statistical significance(P>0.05).Main effects of 180°/s angular velocity extensor muscle peak torque(PT)has statistical significance(P<0.05). The main effects and staging(early, middle)interactions and the interaction between the three were not statistically significant(P>0.05).Conclusion: Both pain point manipulation and the rolling manipulation can improve 60°/s and 180°/s angular velocity extensor muscle peak torque(PT)in early and mid-stage KOA patients. The rolling manipulation was more conducive to the improvement of the flexor muscle strength and the pain point manipulation is more conducive to the extensor muscle strength.

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备注/Memo

备注/Memo:
收稿日期:2014-11-09
更新日期/Last Update: 2015-06-10