深部揉压按摩法治疗老年膝关节骨性关节炎的短期疗效观察

关键词：膝关节骨性关节炎  深部揉压  按摩  手法  股四头肌训练

Keywords:knee osteoarthritis  deep kneading-pressing  massage  manipulation  quadriceps exercises

摘要：

      摘要 目的：观察深部揉压按摩手法治疗老年膝关节骨性关节炎的短期临床疗效。 方法：将118例老年膝关节骨性关节炎患者随机分为试验组（61例）和对照组（57例），分别予杨清山深部揉压按摩手法和电针疗法，并两组均同时进行股四头肌训练。以视觉模拟评分法（VAS）、起立-行走时间测试、膝关节活动度及西安大略和麦克马斯特大学骨关节炎指数（WOMAC）为观察指标对比两组的临床疗效。 结果：杨清山深部揉压按摩手法在减轻膝关节疼痛、改善膝关节僵硬程度和日常功能障碍、增加膝关节活动度、提高患者功能性步行能力方面均优于电针疗法（P＜0.05，P＜0.001）。 结论：杨清山深部揉压按摩手法具有向心性，操作面积大，点、线、面结合，刚柔并济的特点，适合老年患者，对膝关节骨性关节炎有显著疗效。

Abstract:

      Abstract Objective： To observe the short-term effect of Yang Qingshan's deep kneading- pressing manipulation on the elderly knee osteoarthritis. Method：A total of 118 patients were randomly divided into the treatment group(61) with Yang Qingshan's deep kneading- pressing manipulation and the control group (57)with electro-acupuncture therapy, and both groups take quadriceps training at the same time. We use the VAS score, timed‘up and go' test, range of knee motion and WOMAC scale to compare the clinical effect of the two groups. Result： Yang Qingshan's deep kneading- pressing manipulation can increase the knee joint mobility and physical mobility by means of relieving pain of the knee, improving the degree of knee joint stiffness and rectifying the daily dysfunction, which is superior to the electro-acupuncture therapy (P<0.05, P<0.001). Conclusion： Yang Qingshan's deep kneading- pressing manipulation has remarkable effect on knee osteoarthritis，especially has the characteristics of centrality, large operating area,integration of 'point-line-area', flexibility with hardness and softness which is suitable for elderly patients.