目的 探讨肌内效贴联合经筋疗法治疗髌骨软化症的临床效果。方法 选取2019-06至2021-12在武警福建总队医院就诊的髌骨软化症患者90例,随机分为肌贴组、经筋组和联合组,在治疗前,治疗后1 d、1周、2周和4周时对各组患者进行疗效评定。肌贴组按照髌股关节周围足阳明经筋、足少阳经筋、足太阴经筋、足厥阴经筋循行路线进行贴扎;经筋组采用对髌股关节周围足阳明经筋、足少阳经筋、足太阴经筋、足厥阴经筋循行路线上的穴位 “病灶”依次进行手法放松疏理治疗;联合组采用肌贴组和经筋组联合治疗。最终疗效采用疼痛程度视觉模拟评分法(VAS)、Kujala髌股关节评分(KPST)、Lysholm膝关节评分 (LKSS)的改善情况和Y平衡测试(YBT)进行评定。结果 治疗后1 d,联合组VAS评分和YBT较肌贴组和经筋组改善更显著(P<0.05)。治疗后1周,联合组VAS、LKSS评分和YBT较肌贴组和经筋组改善更显著(P<0.05)。治疗后2周和4周,联合组VAS、LKSS、KPST评分和YBT较肌贴组和经筋组改善更显著(P<0.05)。组内比较中,治疗后1 d VAS较治疗前有显著改善(P<0.05),治疗后1周、2周和4周VAS、LKSS、KPST和YBT评分均较治疗前有显著改善(P<0.05)。结论 肌贴联合经筋疗法技术对髌骨软化症患者的疼痛和膝关节功能的短期效果优于单独应用肌贴或经筋疗法技术。
Abstract
Objective To study the clinical effect of kinesio taping combined with muscle meridian therapy in patients with chondromalacia patellae. Methods A total of 90 patients with chondromalacia patellae treated in Fujian Provincial Corps Hospital of Chinese People’s Armed Police Force from June 2019 to December 2021 were randomly divided into kinesio taping group, muscle meridian group and combined group. The clinical effect of each group was evaluated before treatment, 1 day, 1 week, 2 weeks and 4 weeks after treatment. In the kinesio taping group, the kinesio taping was carried out according to the circulation route of Foot-Yangming muscle meridian, Foot-Shaoyang muscle meridian, Foot-Taiyin muscle meridian and Foot-Jueyin muscle meridian around patellofemoral joint. In the muscle meridian group, the acupoints “focus” on the track of Foot-Yangming muscle meridian, Foot-Shaoyang muscle meridian, Foot-Taiyin muscle meridian and Foot-Jueyin muscle meridian around the patellofemoral joint were treated by manipulation relaxation therapy in turn. The combined group was treated with kinesio taping and muscle meridian therapy. The treatment effectiveness was assessed by visual analogue scale (VAS), Lysholm knee score scale (LKSS), Kujala patellofemoral scoring test (KPST) and Y balance test (YBT). Results On day 1 of treatment, the combined group was significantly better than the other two groups in VAS and YBT (P<0.05). After 1 week of treatment, the combined group was significantly better than the other two groups in VAS, LKSS and YBT (P<0.05). After 2 weeks and 4 weeks of treatment, the combined group was significantly better than the other two groups in VAS, LKSS, KPST and YBT (P<0.05). There were significant differences in the same group after 1 day of treatment and before treatment in VAS (P<0.05), and there were also significant differences in the same group after 1 week, 2 weeks and 4 weeks of treatment and before treatment in VAS, LKSS, KPST and YBT (P<0.05). Conclusions The short-term effect of kinesio taping combined with muscle meridian therapy on pain and knee joint function in patients with chondromalacia patellae is better than kinesio taping or muscle meridian therapy alone.
关键词
髌骨软化症 /
肌内效贴扎 /
经筋疗法
Key words
chondromalacia patellae /
kinesio taping /
muscle meridian therapy
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基金
武警部队高原病防治课题;福建中医药大学校管课题资助项目(XB2021167)
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