摘要
目的:观察推拿联合功能训练对半月板损伤患者临床症状及平衡功能的改善作用。方法:将93例Ⅰ-Ⅱ级半月板损伤患者随机分为功能训练组、推拿组和联合组,每组31例。推拿组接受推拿手法治疗;功能训练组在医师指导下进行功能训练;联合组在功能训练基础上接受推拿手法治疗。三组疗程均为8周。在干预前、干预4周和干预8周后观察患者临床症状,比较膝关节损伤和骨关节炎结局评分(KOOS)和Y平衡测试(YBT)变化情况。结果:治疗后三组总有效率无统计学差异(P>0.05)。三组KOOS总分及各分量表评分在干预4周和8周后均较本组治疗前显著提高(P<0.05)。干预4周及8周后联合组与功能训练组的KOOS总分有统计学差异(P<0.05);干预8周后,两组日常生活能力和运动娱乐功能评分有统计学差异(P<0.05)。三组患膝和非患膝YBT平衡系数在干预4周和8周后均有显著提高(P<0.05),组间无统计学差异(P>0.05)。结论:推拿、功能训练和推拿联合功能训练均可改善Ⅰ-Ⅱ级半月板损伤患者的临床症状和平衡功能。推拿联合功能训练对日常生活能力和运动娱乐功能的改善效果更显著。
Objective:To observe the effect of Tuina(Chinese therapeutic massage)combined with functional training in improving clinical symptoms and balance function in patients with meniscus injury.Methods:A total of 93 patients with gradeⅠ-Ⅱmeniscus injury were randomly divided into a functional training group,a Tuina group,and a combination group,with 31 cases in each group.The Tuina group received Tuina manipulation.The functional training group underwent functional training under the supervision of physicians.The combination group received Tuina manipulation in addition to the functional training.The treatment course of all three groups was 8 weeks.The clinical symptoms were observed before the intervention and after 4 and 8 weeks of interventions,and the changes in knee injury and osteoarthritis outcome score(KOOS)and Y-balance test(YBT)were compared.Results:There was no statistically significant difference in the total response rate among the three groups after treatment(P>0.05).The total and subscale KOOS in the three groups were significantly higher than those before treatment after 4 and 8 weeks of interventions(P<0.05).There was a statistically significant difference in the total KOOS between the combination group and the functional training group after 4 and 8 weeks of interventions(P<0.05);there was a statistically significant difference in the score of daily living ability and sports and recreation function between the two groups after 8 weeks of interventions(P<0.05).The YBT balance coefficients of the affected and non-affected knees of the three groups were significantly improved after 4 and 8 weeks of interventions(P<0.05),and there was no statistically significant difference among the groups(P>0.05).Conclusion:Tuina,functional training,and their combination can improve clinical symptoms and balance function in patients with gradeⅠ-Ⅱmeniscus injury.Tuina combined with functional training is significantly effective in improving daily living ability and sports and recreation function.
作者
苏小杰
邢华
竺潇骏
汪思宇
张广渊
李建华
龚利
孔谐和(译)
SU Xiaojie;XING Hua;ZHU Xiaojun;WANG Siyu;ZHANG Guangyuan;LI Jianhua;GONG Li;KONG Xiehe(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai TCM-Integrated Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200082,China;不详)
基金
上海市临床重点专科建设项目,No.Shslczdzk04001
促进市级医院临床技能与临床创新三年行动计划,No.SHDC2020CR6018-003,No.SHDC2020CR3096B
上海中医药大学预算内项目,No.2021LK091
沈国权上海市名老中医学术经验研究工作室,No.SHGZS-202225.
关键词
推拿
按摩
运动疗法
半月板损伤
平衡功能
Tuina
Massage
Exercise Therapy
Meniscus Injuries
Balance Function
