Objective： To investigate the effect of Yi Jin Jing exercise on quadriceps femoris muscle strength of patients with knee osteoarthritis （KOA） and thus provide scientific basis for Yi Jin Jing intervention in KOA. M...Objective： To investigate the effect of Yi Jin Jing exercise on quadriceps femoris muscle strength of patients with knee osteoarthritis （KOA） and thus provide scientific basis for Yi Jin Jing intervention in KOA. Methods： A total of 90 cases with KOA were randomized into an observation group and a control group, 45 in each group. Those in the observation group conducted Yi Jin Jing exercise once a day; whereas those in the control group received no therapies at all. The therapeutic effects have been assessed after 8 weeks of observation. Results： After 8 weeks of observation, the isokinetic muscle strength of quadriceps femoris muscle in the treatment group was substantially improved, whereas there were no distinct changes of isokinetic muscle strength of quadriceps femoris muscle in the control group. Conclusion： Yi Jin Jing exercise can definitely improve the quadriceps femoris muscle strength of patients with KOA. It is therefore an effective intervention method for KOA.展开更多
目的探讨微创与传统入路对全膝关节置换术后早期股四头肌肌力及膝关节功能的影响。方法选择2010年9月至2012年9月68例重度骨关节炎患者为研究对象，随机分为传统入路组和微创入路组，分别行传统髌旁内侧入路和微创髌旁内侧入路全膝关节...目的探讨微创与传统入路对全膝关节置换术后早期股四头肌肌力及膝关节功能的影响。方法选择2010年9月至2012年9月68例重度骨关节炎患者为研究对象，随机分为传统入路组和微创入路组，分别行传统髌旁内侧入路和微创髌旁内侧入路全膝关节置换术。两组患者年龄、体重指数、股四头肌肌力、伸膝迟滞角度、美国膝关节协会评分（American Knee Society Score，KSS）、西安大略和麦克马斯特大学（Western Ontario and McMaster Universities，WOMAC）骨关节炎指数、疼痛视觉模拟评分（visual analogue scale，VAS）的差异均无统计学意义。结果术后1、2、3、6、12个月微创入路组股四头肌肌力分别为（0．59±0．12）、（0．74±0．18）、（0．86±0．16）、（1．02±0．17）、（1．05±0．04）N·m／kg，传统人路组分别为（0．46±0．56）、（0．56±0．12）、（0．70±0．16）、（0．94±0．19）、（1．04±0．03）N·m／kg，差异有统计学意义；微创人路组伸膝迟滞角度分别为13．11°±6．56°、8．53°±5．12°、4．79°±3．62°、1．53°±2．64°、1．62°±1．76°，传统入路组分别为22．47°±8．41°、16．23°±6．26°、10．58°±4．4°、2．58°±2．85°、1．62°±1．76°，差异有统计学意义。微创入路组术后1、2个月KSS临床评分及功能评分更高，术后1个月WOMAC指数更低，术后第3天、第7天疼痛VAS评分更低。微创入路组2例出现切口浅表感染，经清创后完全愈合。两组各有1例发生小腿肌间静脉丛血栓形成，治疗后症状消失。均未发现假体对线不良、深部感染等并发症。结论与传统入路全膝关节置换术相比，微创入路手术对伸膝装置破坏更小，术后股四头肌肌力恢复更快，早期膝关节功能恢复更好。展开更多
Objective： To observe the short-term efficacy of massaging quadriceps on knee osteoarthritis （KOA）. Methods： Totally 30 KOA patients were enrolled and treated mainly with massaging quadriceps, 20 min for each sess...Objective： To observe the short-term efficacy of massaging quadriceps on knee osteoarthritis （KOA）. Methods： Totally 30 KOA patients were enrolled and treated mainly with massaging quadriceps, 20 min for each session, once a day, 2 weeks as a treatment course, and for 2 courses in total. After treatment, the changes of visual analogue scale （VAS） and Western Ontario and McMaster Universities osteoarthritis index （WOMAC） were observed. Result： The VAS and WOMAC scores dropped after treatment, with a statistically significant difference （P〈0.01）. After a course of treatment, the recovery rate was 33.3% and the total effective rate was 86.7%; after 2 courses, the recovery rate was 60.0% and the total effect rate was 96.7%. Conclusion： Massaging quadriceps can alleviate pain, improve the function of knee joint, and produce a significant short-term efficacy in treating KOA.展开更多
文摘Objective： To investigate the effect of Yi Jin Jing exercise on quadriceps femoris muscle strength of patients with knee osteoarthritis （KOA） and thus provide scientific basis for Yi Jin Jing intervention in KOA. Methods： A total of 90 cases with KOA were randomized into an observation group and a control group, 45 in each group. Those in the observation group conducted Yi Jin Jing exercise once a day; whereas those in the control group received no therapies at all. The therapeutic effects have been assessed after 8 weeks of observation. Results： After 8 weeks of observation, the isokinetic muscle strength of quadriceps femoris muscle in the treatment group was substantially improved, whereas there were no distinct changes of isokinetic muscle strength of quadriceps femoris muscle in the control group. Conclusion： Yi Jin Jing exercise can definitely improve the quadriceps femoris muscle strength of patients with KOA. It is therefore an effective intervention method for KOA.
文摘目的探讨微创与传统入路对全膝关节置换术后早期股四头肌肌力及膝关节功能的影响。方法选择2010年9月至2012年9月68例重度骨关节炎患者为研究对象，随机分为传统入路组和微创入路组，分别行传统髌旁内侧入路和微创髌旁内侧入路全膝关节置换术。两组患者年龄、体重指数、股四头肌肌力、伸膝迟滞角度、美国膝关节协会评分（American Knee Society Score，KSS）、西安大略和麦克马斯特大学（Western Ontario and McMaster Universities，WOMAC）骨关节炎指数、疼痛视觉模拟评分（visual analogue scale，VAS）的差异均无统计学意义。结果术后1、2、3、6、12个月微创入路组股四头肌肌力分别为（0．59±0．12）、（0．74±0．18）、（0．86±0．16）、（1．02±0．17）、（1．05±0．04）N·m／kg，传统人路组分别为（0．46±0．56）、（0．56±0．12）、（0．70±0．16）、（0．94±0．19）、（1．04±0．03）N·m／kg，差异有统计学意义；微创人路组伸膝迟滞角度分别为13．11°±6．56°、8．53°±5．12°、4．79°±3．62°、1．53°±2．64°、1．62°±1．76°，传统入路组分别为22．47°±8．41°、16．23°±6．26°、10．58°±4．4°、2．58°±2．85°、1．62°±1．76°，差异有统计学意义。微创入路组术后1、2个月KSS临床评分及功能评分更高，术后1个月WOMAC指数更低，术后第3天、第7天疼痛VAS评分更低。微创入路组2例出现切口浅表感染，经清创后完全愈合。两组各有1例发生小腿肌间静脉丛血栓形成，治疗后症状消失。均未发现假体对线不良、深部感染等并发症。结论与传统入路全膝关节置换术相比，微创入路手术对伸膝装置破坏更小，术后股四头肌肌力恢复更快，早期膝关节功能恢复更好。
文摘Objective： To observe the short-term efficacy of massaging quadriceps on knee osteoarthritis （KOA）. Methods： Totally 30 KOA patients were enrolled and treated mainly with massaging quadriceps, 20 min for each session, once a day, 2 weeks as a treatment course, and for 2 courses in total. After treatment, the changes of visual analogue scale （VAS） and Western Ontario and McMaster Universities osteoarthritis index （WOMAC） were observed. Result： The VAS and WOMAC scores dropped after treatment, with a statistically significant difference （P〈0.01）. After a course of treatment, the recovery rate was 33.3% and the total effective rate was 86.7%; after 2 courses, the recovery rate was 60.0% and the total effect rate was 96.7%. Conclusion： Massaging quadriceps can alleviate pain, improve the function of knee joint, and produce a significant short-term efficacy in treating KOA.
文摘目的:观察手法对膝骨关节炎(knee osteoarthritis,KOA)患者足阳明经筋功能的影响,为"经筋理论"防治KOA提供依据。方法:75例KOA患者按照随机数字表法分为3组:单纯股四头肌功能锻炼组25例,口服消炎止痛药+功能锻炼组25例,手法治疗+功能锻炼组25例。采用Kellgren Lawrence(K-L)X线分级对3组KOA患者进行分级,治疗周期为2周。比较治疗前后西安大略和麦克马斯特大学骨关节炎指数(the western ontario and mcMaster universities osteoarthritis index,WOMAC)评分、Lequesne指数评分、步态分析及股四头肌肌张力。结果:治疗后,3组患者WOMAC评分、Lequesne指数评分、步态参数及股四头肌肌张力均显著改善,差异均有统计学意义(P<0.05)。其中口服消炎止痛药+功能锻炼组、手法治疗+功能锻炼组治疗后WOMAC评分、Lequesne指数评分、步态参数及股四头肌肌张力与单纯股四头肌功能锻炼组治疗后比较,差异有统计学意义(P<0.05)。手法治疗+功能锻炼组治疗后步态参数及股四头肌肌张力与口服消炎止痛药+功能锻炼组治疗后比较,差异有统计学意义(P<0.05)。结论:推拿手法治疗KOA患者疗效显著,可以㨰法为主,能显著改善KOA患者静息状态下股四头肌肌张力,缓解疼痛,提高关节功能。
文摘目的观察针刺联合康复训练治疗前交叉韧带(anterior cruciate ligament,ACL)重建术后股四头肌萎缩的临床疗效。方法将92例ACL重建术后股四头肌萎缩的患者随机分为治疗组和对照组,每组46例。对照组采用康复训练,治疗组在康复训练基础上联合针刺治疗。观察两组治疗后视觉模拟量表(visual analog scale,VAS)评分、Lysholm评分、膝关节活动度、大腿周径萎缩指数、股四头肌厚度及伸膝肌力的变化,并比较两组临床疗效及治疗安全性。结果治疗组总有效率为93.5%,对照组为76.1%,两组比较差异有统计学意义(P<0.05)。两组治疗后Lysholm评分、VAS评分、膝关节活动度、大腿周径萎缩指数、股四头肌厚度、伸膝肌力分级与治疗前比较,差异有统计学意义(P<0.05);治疗组治疗后上述指标与对照组比较,差异有统计学意义(P<0.05)。两组治疗期间均未出现与治疗有关的不良事件。结论针刺联合康复训练能够有效改善ACL重建术后股四头肌萎缩,提高股四头肌厚度和肌力,增强患者膝关节功能。
