经筋疗法联合关节腔冲洗对膝骨性关节炎患者膝伸屈肌功能的影响

目的:探讨经筋疗法联合关节腔冲洗对膝关节骨性关节炎(KOA)患者伸膝、屈膝肌功能的影响。方法:用中心随机化方法将66例患者均分为A、B、C 3组,每组22例。A组给予经筋疗法,B组给予膝关节腔冲洗,C组予以经筋疗法联合关节腔冲洗。治疗前和治疗第20天,在20 min平卧式下肢功率自行车训练中,用Noraxon telemyo 2400表面肌电仪检测3组患者股四头肌和股二头肌表面肌电均方根值(RMS)和平均功率频率(MPF)并分析。结果:均方根值治疗前后对比,A、C两组有显著统计学差异(P<0.05),且Pca>0.05;B组无差异(P>0.05)。平均功率频率治疗前后对比,A组有显著统计学差异(P<0.05);C组有极显著统计学差异(P<0.01),且Pca<0.05;B组无差异(P>0.05)。结论:与单独疗法相比,经筋疗法联合关节腔冲洗治疗膝关节骨性关节炎,能更加有效地增强股四头肌和股二头肌的收缩力和对疲劳耐受力,提高膝关节的运动能力。

Effect of Knee Extensor and Flexor Function by Treating with Jingjin Therapy and Cavity Irrigation

Objective：To investigate the effect of the flexor and extensor function by treating with Jingjin therapy and cavity irrigation in patients with KOA. Methods ： This study took randomized method. We divided these 66 patients into A, B and C groups and each group had 22 cases. A group was treated by Jingjin therapy and B group was given the knee cavity irrigation. C group was treated by Jingjin therapy and cavity irrigation. Before and 20 days after treatment,in the 20 - minute horizontal limb power bicycle training condition,using Noraxon telemyo 2400 surface EMG, we tested 66 cases of knee osteoarthritis patients with musculi quadriceps femoris and biceps flexor cruris surface electromyography root mean square value （RMS） and mean power frequency （MPF）. Results ： In A, B, C three groups after treatment, root mean square （RMS） compared with that before treatment had significant difference （ A, C,P 〈 0.05 ） and Pca 〉 0.05. The root mean square value before and after treatment in group B （RMS） had no significant difl＇erence （ P 〉 0.05 ）. A, B, C groups＇ MPF compared with that before the treatment had significant difference （ P 〈 0.05 ）. There were very significant differences （ P 〈 0.01 ） in C group and Pca 〈 0.05. B group had no difference （ P 〉 0.05 ）. Conclusion：The Jingjin therapy in combination with articular cavity flushing in the treatment of knee osteoarthritis can strengthen the femoris muscle contraction force and endurance obviously and can more effectively improve muscle physiological function.