李炯华 1刘学勇 2孙艾华 3崔文 3王小利 3韩文义4
作者信息
- 1. 山东中医药大学,山东 济南 250011||济南护理职业学院,山东 济南 250102||山东省体育医院,山东 济南 250102
- 2. 射洪市中医院,四川 遂宁 629000
- 3. 济南护理职业学院,山东 济南 250102
- 4. 山东省体育医院,山东 济南 250102||山东省运动康复研究中心,山东 济南 250102
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摘要
Abstract
Objective:To study the clinical efficacy of herbal fumigation combined with hip and knee strengthening training in the treatment of knee osteoarthritis(KOA)in the early-to-mid stage,in order to provide reference for the treatment of patients with early-to-mid stage knee osteoarthritis.Methods:A total of 64 patients who met the diagnostic criteria for early-to-mid stage KOA were ran-domly divided into the observation group(n=32)and the control group(n=32).The observation group received herbal fumigation combined with strengthening training for the hip and knee,while the control group received herbal fumigation treatment,with a total treatment and training period of 6 weeks.Corresponding indicators were collected before and after treatment,and visual analogue scale(VAS)was used to evaluate the degree of knee joint pain.The Western Ontario Mc-Master University Osteoarthritis Index(WOMAC)was used to evaluate knee joint pain,stiffness,and daily activities.Before and after treatment,the isokinetic muscle strength training test system(BTE PRIMUSRS,USA)was used to to obtain objective data such as the peak torque(PT),average power(AP).A 30-second sit-to-stand test was conducted on patients using a three-dimensional motion capture analysis system(D-WALL,Tecnobody s.r.l.Italy)to evaluate lower limb strength and endurance before and after treatment.Results:Before treatment,there was no significant difference between the two groups(P>0.05).After treatment,the VAS and WOMAC scores of the two groups were lower than those before treatment(P<0.05),and the observation group was lower than the control group(P<0.05).The clinical effective rate of the observation group was higher than that of the control group(P<0.05).The isokinetic muscle strength test was performed at three angular velocities of 30°/s,60°/s and 180°/s.After treatment,the PT,PT and AP of knee flexor,PT and AP of knee extensor,PT and AP of hip flexor,PT and AP of hip extensor,PT and AP of hip abduction,PT and AP of hip adduction in the two groups were better than those before treatment(P<0.05),and the improvement in the observation group was more obvious than that in the control group(P<0.05).The 30-second sit-to-stand conversion test scores of the two groups were better than those before treatment(P<0.05),and the observation group was higher than the control group(P<0.05).Conclusion:Herbal fumigation combined with hip and knee strengthening training can improve muscle strength,muscle endurance,relieve joint pain,reduce joint stiffness,improve daily activity ability and clinical efficacy,and has clinical promotion value.关键词
膝骨关节炎/中药熏洗/髋膝强化训练/等速肌力测试/生活质量Key words
knee osteoarthritis/herbal fumigation/isokinetic muscle strength testing/isokinetic test/quality of life分类
医药卫生
