摘要
目的:探讨终末伸膝肌电生物反馈训练在半月板损伤非手术治疗中的应用价值。方法:将50例半月板损伤患者随机分为2组,每组各25例。基础组采用电针疗法、推拿、关节松动术和徒手运动疗法进行治疗;联合组在基础组治疗措施的基础上,增加仰卧位终末伸膝肌电生物反馈训练;2组患者均连续治疗3周。分别于治疗前和治疗3周后,评定患者的膝关节疼痛视觉模拟量表(visualanaloguescale,VAS)评分、膝关节活动度、股四头肌伸膝肌力、改良Lysholm膝关节评分及Barthel指数。结果:①膝关节疼痛VAS评分。治疗前,2组患者的膝关节疼痛VAS评分比较,差异无统计学意义(t=-0.822,P=0.415);治疗3周后,2组患者的膝关节疼痛VAS评分均较治疗前降低[(4.28±1.49)分,(2.04±1.40)分,t=8.041,P=0.000;(4.58±1.06)分,(2.28±1.28)分,t=7.667,P=0.000];治疗3周后,2组患者的膝关节疼痛VAS评分比较,差异无统计学意义(t=-0.634,P=0.529)。②膝关节活动度。治疗前,2组患者的膝关节最大屈曲角度、最大伸直角度、全关节活动度比较,组间差异均无统计学意义(t=0.218,P=0.828;t=-0.272,P=0.787;t=0.096,P=0.924);治疗3周后,2组患者的膝关节最大屈曲角度、最大伸直角度、全关节活动度均较治疗前增大(最大屈曲角度:120.40°±14.14°,125.00°±10.10°,t=-2.623,P=0.015;119.40°±18.05°,129.80°±7.43°,t=-3.390,P=0.002;最大伸直角度:-4.80°±6.37°,-1.40°±3.07°,t=-3.440,P=0.002;-4.32°±6.12°,-0.20°±1.00°,t=-3.536,P=0.002;全关节活动度:115.60°±17.58°,123.60°±10.26°,t=-3.289,P=0.003;115.08°±20.78°,129.60°±7.76°,t=-3.984,P=0.001);治疗3周后,2组患者的膝关节最大屈曲角度、最大伸直角度比较,组间差异均无统计学意义(t=-1.914,P=0.062;t=-1.859,P=0.069);联合组的膝关节全关节活动度大于基础组(t=-2.332,P=0.024)。③股四头肌伸膝肌力。2组患者治疗前及治疗3周后的股四头肌伸膝肌力比较,组间差异均无统�
Objective:To explore the applied values of terminal knee-extension electromyographic biofeedback(EMG-BF)training in nonsurgical treatment of meniscus injuries.Methods:Fifty patients with meniscus injuries were enrolled in the study and were randomly divided into basic treatment group and combination treatment group, 25 cases in each group.All patients in the 2 groups were treated with electroacupuncture,TUINA,joint mobilization and manual exercise therapy in turn. Moreover,the patients in combination treatment group were further treated with terminal knee-extension EMG-BF training in supine position. All patients in the 2 groups were treated for consecutive 3 weeks. The knee pain visual analogue scale( VAS) score,knee range of motion( ROM),knee extension strength of quadricep,modified Lysholm knee score( LKS) and Barthel index were evaluated before the treatment and after 3-week treatment respectively.Results:①There was no statistical difference in knee pain VAS score between the 2 groups before the treatment( t =-0. 822,P = 0. 415).The knee pain VAS scores decreased in the 2 groups after 3-week treatment compared to pre-treatment( 4. 28 ± 1. 49 vs 2. 04 ± 1. 40points,t = 8. 041,P = 0. 000;4. 58 ± 1. 06 vs 2. 28 ± 1. 28 points,t = 7. 667,P = 0. 000),and there was no statistical difference between the2 groups( t =-0. 634,P = 0. 529).②There was no statistical difference in maximum flexion angle,maximum extension angle and total ROM of knee between the 2 groups before the treatment( t = 0. 218,P = 0. 828;t =-0. 272,P = 0. 787;t = 0. 096,P = 0. 924). The knee maximum flexion angle,maximum extension angle and total ROM increased in the 2 groups after 3-week treatment compared to pre-treatment( maximum flexion angle: 120. 40 ± 14. 14 vs 125. 00 ± 10. 10 degrees,t =-2. 623,P = 0. 015;119. 40 ± 18. 05 vs 129. 80 ± 7. 43 degrees,t =-3. 390,P = 0. 002;maximum extension angle:-4. 80 ± 6. 37 vs-1. 40 ± 3. 07 degrees,t =-3. 440,P = 0. 002;-4. 32 ±6. 12 vs-0. 20 ± 1. 00 degrees,t =-3. 536,P = 0. 002;total ROM:
作者
刘辉
刘波
张鑫
赵卫侠
敬竹子
付婷婷
蔡文宇
LIU Hui;LIU Bo;ZHANG Xin;ZHAO Weixia;JING Zhuzi;FU Tingting;CAI Wenyu(Sichuan Province Orthopedic Hospital,Chengdu 610041,Sichuan,China)
出处
《中医正骨》
2022年第4期12-17,共6页
The Journal of Traditional Chinese Orthopedics and Traumatology
基金
四川省科技计划项目(2019YFS0541)
四川省医学科研课题(S18074)。
关键词
膝损伤
半月板
肌电生物反馈疗法
knee injuries
meniscus
electromyographic biofeedback therapy
