BACKGROUND As a serious global problem,knee osteoarthritis(KOA)often leads to pain and disability.Manual therapy is widely used as a kind of physical treatment for KOA.AIM To explore further the efficacy of Maitland a...BACKGROUND As a serious global problem,knee osteoarthritis(KOA)often leads to pain and disability.Manual therapy is widely used as a kind of physical treatment for KOA.AIM To explore further the efficacy of Maitland and Mulligan mobilization methods for adults with KOA.METHODS We searched PubMed,the Cochrane Library,EMbase,Web of Science and Google Scholar from inception to September 20,2020 to collect studies comparing Maitland and Mulligan mobilization methods in adults with KOA.The quality of the studies was assessed using the Physiotherapy Evidence Database Scale for randomized controlled trials.Data analyses were performed using Review Manager 5.0 software.RESULTS A total of 341 articles were screened from five electronic databases(PubMed,the Cochrane Library,EMbase,Web of Science and Google Scholar)after excluding duplicates.Ultimately,eight trials involving 471 subjects were included in present systematic review and meta-analysis.The mean PEDro scale score was 6.6.Mulligan mobilization was more effective in alleviating pain[standardized mean difference(SMD)=0.60;95%confidence interval(CI):0.17 to 1.03,P=0.007;I2=60%,P=0.020]and improving Western Ontario and McMaster Universities function score(SMD=7.41;95%CI:2.36 to 12.47,P=0.004;I2=92%,P=0.000).There was no difference in the effect of the two kinds of mobilization on improving the range of motion(SMD=9.63;95%CI:-1.23 to 20.48,P=0.080;I2=97%,P=0.000).CONCLUSION Mulligan mobilization technique is a promising intervention in alleviating pain and improving function score in KOA patients.展开更多
目的:研究温针灸结合Maitland手法治疗膝关节骨性关节炎的临床疗效。方法:将60例膝骨性关节炎患者随机分为研究组和对照组,每组各30例。研究组行温针灸阳陵泉穴和Maitland手法治疗,对照组行Maitland手法治疗,两组患者均配合常规药物对...目的:研究温针灸结合Maitland手法治疗膝关节骨性关节炎的临床疗效。方法:将60例膝骨性关节炎患者随机分为研究组和对照组,每组各30例。研究组行温针灸阳陵泉穴和Maitland手法治疗,对照组行Maitland手法治疗,两组患者均配合常规药物对症治疗。分别在治疗前后对两组患者行视觉模拟评分(visual analog scale,VAS)、膝关节主动活动度(active range of motion,AROM)评分、Lysholm膝关节功能评分评定。结果:两组治疗后VAS评分均下降,研究组VAS评分下降与对照组比较,差异具有统计学意义(P<0.05);两组治疗后AROM评分均有明显提高,研究组提高优于对照组,差异具有统计学意义(P<0.05);两组治疗后Lysholm评分都有改善,研究组改善优于对照组,差异具有统计学意义(P<0.05)。结论:温针灸阳陵泉穴结合Maitland手法改善早中期膝骨性关节炎疼痛及功能方面疗效明显。展开更多
基金Supported by the National Key Research and Development Program of China,No.2018YFF0301104.
文摘BACKGROUND As a serious global problem,knee osteoarthritis(KOA)often leads to pain and disability.Manual therapy is widely used as a kind of physical treatment for KOA.AIM To explore further the efficacy of Maitland and Mulligan mobilization methods for adults with KOA.METHODS We searched PubMed,the Cochrane Library,EMbase,Web of Science and Google Scholar from inception to September 20,2020 to collect studies comparing Maitland and Mulligan mobilization methods in adults with KOA.The quality of the studies was assessed using the Physiotherapy Evidence Database Scale for randomized controlled trials.Data analyses were performed using Review Manager 5.0 software.RESULTS A total of 341 articles were screened from five electronic databases(PubMed,the Cochrane Library,EMbase,Web of Science and Google Scholar)after excluding duplicates.Ultimately,eight trials involving 471 subjects were included in present systematic review and meta-analysis.The mean PEDro scale score was 6.6.Mulligan mobilization was more effective in alleviating pain[standardized mean difference(SMD)=0.60;95%confidence interval(CI):0.17 to 1.03,P=0.007;I2=60%,P=0.020]and improving Western Ontario and McMaster Universities function score(SMD=7.41;95%CI:2.36 to 12.47,P=0.004;I2=92%,P=0.000).There was no difference in the effect of the two kinds of mobilization on improving the range of motion(SMD=9.63;95%CI:-1.23 to 20.48,P=0.080;I2=97%,P=0.000).CONCLUSION Mulligan mobilization technique is a promising intervention in alleviating pain and improving function score in KOA patients.
文摘目的:研究温针灸结合Maitland手法治疗膝关节骨性关节炎的临床疗效。方法:将60例膝骨性关节炎患者随机分为研究组和对照组,每组各30例。研究组行温针灸阳陵泉穴和Maitland手法治疗,对照组行Maitland手法治疗,两组患者均配合常规药物对症治疗。分别在治疗前后对两组患者行视觉模拟评分(visual analog scale,VAS)、膝关节主动活动度(active range of motion,AROM)评分、Lysholm膝关节功能评分评定。结果:两组治疗后VAS评分均下降,研究组VAS评分下降与对照组比较,差异具有统计学意义(P<0.05);两组治疗后AROM评分均有明显提高,研究组提高优于对照组,差异具有统计学意义(P<0.05);两组治疗后Lysholm评分都有改善,研究组改善优于对照组,差异具有统计学意义(P<0.05)。结论:温针灸阳陵泉穴结合Maitland手法改善早中期膝骨性关节炎疼痛及功能方面疗效明显。
