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基于“脊-盆-膝”整体诊疗模式的推拿手法对膝骨关节炎患者关节僵硬程度的影响 被引量:26
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作者 丁旭童 张喜林 +2 位作者 侯奕杰 叶雪雯 《上海中医药杂志》 2021年第8期54-57,共4页
目的观察基于"脊-盆-膝"整体诊疗模式的推拿手法对膝骨关节炎患者关节僵硬程度的影响。方法将80例膝骨关节炎患者随机分为治疗组和对照组,每组40例。对照组采用传统局部推拿手法治疗,治疗组采用基于"脊-盆-膝"整体... 目的观察基于"脊-盆-膝"整体诊疗模式的推拿手法对膝骨关节炎患者关节僵硬程度的影响。方法将80例膝骨关节炎患者随机分为治疗组和对照组,每组40例。对照组采用传统局部推拿手法治疗,治疗组采用基于"脊-盆-膝"整体诊疗模式的推拿手法治疗;两组均连续治疗1个疗程,比较西安大略和麦克马斯特大学骨关节炎指数(WOMAC)(僵硬部分)评分、关节活动度、疼痛视觉模拟评分(VAS)的变化情况,以及腰椎、骨盆症状发生率。结果(1)治疗前后组内比较,两组WOMAC(僵硬部分)评分、关节活动度、VAS评分差异均有统计学意义(P<0.05);组间治疗后比较,治疗组WOMAC(僵硬部分)评分低于对照组(P<0.05)。(2)治疗后,两组合并腰椎、骨盆症状患者占比均较治疗前降低(P<0.05),且治疗组较对照组降低更为明显(P<0.05)。结论基于"脊-盆-膝"整体诊疗模式的推拿手法治疗膝骨关节炎疗效满意,可改善下肢力线,减轻膝关节僵硬及疼痛程度,增加关节屈伸范围。 展开更多
关键词 膝骨关节炎 推拿 整体观念 下肢力线
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Clinical efficacy observation of spine subtle adjusting manipulation for postpartum low back pain 被引量:1
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作者 Li Zhen Zhang Xilin +6 位作者 Zhang Shufu Sun Wuquan Ye Xuewen Huang Wanqiao Wu Kexin Zhao Zhijun Chen Yuxia 《Journal of Acupuncture and Tuina Science》 CSCD 2022年第2期159-164,共6页
Objective To explore the clinical efficacy of spine subtle adjusting manipulation for postpartum low back pain(PLBP).Methods A total of 76 patients with PLBP were randomized into a control group and a treatment group,... Objective To explore the clinical efficacy of spine subtle adjusting manipulation for postpartum low back pain(PLBP).Methods A total of 76 patients with PLBP were randomized into a control group and a treatment group,with 38 cases in each group.The control group was treated with core muscle strengthening exercises,and the treatment group was treated with spine subtle adjusting manipulation.After 3 weeks of treatment,the clinical efficacy was observed,and the visual analog scale(VAS)score and Oswestry disability index(ODI),and the changes of lumbar Cobb angle and pelvic rotation were compared between the two groups.Results The total effective rate of the treatment group was 92.1%,and that of the control group was 78.9%.The difference between the two groups was statistically significant(P<0.05).After treatment,the VAS score and ODI in both groups decreased,and the intra-group differences were all statistically significant(P<0.05).There were no intra-group statistical differences in the lumbar Cobb angle or pelvic rotation in the two groups(P>0.05).After treatment,there were no statistical differences in the lumbar Cobb angle or pelvic rotation between the two groups(P>0.05);the VAS score and ODI in the treatment group were significantly lower than those in the control group(P<0.05).Conclusion Spine subtle adjusting manipulation can effectively relieve the pain for patients with PLBP,and improve their daily activity function. 展开更多
关键词 TUINA MASSAGE Manual Therapies CHIROPRACTIC Exercise Therapy Postpartum Period Low Back Pain Visual Analog Scale
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