基于表面肌电图的手法治疗对老年人膝骨关节炎效果的随机对照试验
Effect of manual therapy based on surface electromyography on knee osteoarthritis for older people:a random-ized controlled trial
摘要
Abstract
Objective To investigate the effect of manual therapy based on surface electromyography on knee osteoarthritis(KOA)in the older people. Methods A total of 106 outpatient with unilateral KOA were selected from Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,from August,2023 to June,2024,and were randomly divided into control group(n=53)and experimental group(n=53).The control group accepted routine manual therapy,and the experimental group accepted manual therapy based on the analysis of average electromyography(AEMG).They were assessed with Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Visual An-alogue Scale(VAS)for pain,Tinetti Balance and Gait Score,and 6-minute walk test(6-MWT)distances before and after treatment. Results One case dropped down in each group.Before treatment,AEMG decreased in the rectus femoris,medial femoris and medial head of gastrocnemius on the affected side in the experimental group(|Z|>8.647,P<0.001),and it increased in the lateral femoris,semitendinosus and biceps femoris(|Z|>4.808,P<0.001).The scores of WOMAC,VAS,Tinetti Balance and Gait Score,and distances of 6-MWT improved in both groups after treat-ment(|t|>3.987,P<0.001),and improved more in the experimental group than in the control group,except the VAS score(|t|>2.213,P<0.05). Conclusion Manual therapy focusing on activation of rectus femoris,medial femoris and medial head of gastrocnemius,inhibition of the lateral femoris,semitendinosus and biceps femoris,and releasing the tension of the medial and lateral collateral ligaments,according to the results of surface electromyography,can alleviate the pain of the KOA in the older people and improve the mobility of the knee.关键词
膝骨关节炎/老年/表面肌电图/手法治疗/随机对照试验Key words
knee osteoarthritis/aged/surface electromyography/manual therapy/randomized controlled trial分类
医药卫生引用本文复制引用
朱博文,赵素红,李苗秀,张帅攀,姚重界,朱清广,房敏..基于表面肌电图的手法治疗对老年人膝骨关节炎效果的随机对照试验[J].中国康复理论与实践,2024,30(9):1099-1106,8.基金项目
1.国家自然科学基金项目(No.82305424) （No.82305424）
2.老年筋骨病中医智能康复设备创新研发平台项目(No.SHDC2022CRT018) （No.SHDC2022CRT018）
3.上海市创新医疗器械应用示范项目(No.23SHS05400) （No.23SHS05400）
4.上海市科技启明星"扬帆专项"(No.22YF1449000) （No.22YF1449000）
5.中华中医药学会青年托举人才项目(No.CACM-2023-QNRC2-B13) （No.CACM-2023-QNRC2-B13）
6.上海市东方英才青年项目(卫生平台) （卫生平台）
7.上海市申康中心示范性研究型病房建设项目(No.SHDC2022CRW010) National Natural Science Foundation of China(No.82305424),Innovative R&D Platform of Intelligent Rehabilitation Equipment for Aged Fascia and Bone Diseases in Chinese Medicine(No.SHDC2022CRT018),Shanghai Innovative Medical Device Application Demonstration Project(No.23SHS05400),Shanghai Science and Technology Qiming Star"Yangfan Special Project"(No.22YF1449000),China Association of Traditional Chinese Medicine(No.CACM-2023-QNRC2-B13),Shanghai Oriental Talent Youth Project(Health Platform),and Shanghai Shenkang Centre Demonstration Research Ward(No.SHDC2022CRW010) （No.SHDC2022CRW010）
