离心肌力训练结合热敏灸治疗前交叉韧带重建后膝痛的临床研究

目的观察离心性肌力训练结合热敏灸治疗前交叉韧带重建后膝关节疼痛的疗效。方法选取前交叉韧带重建中、后期,关节活动度改善而遗留膝关节疼痛的患者60例,按随机数字表分为试验组和对照组各30例,试验组采用股四头肌、腘绳肌离心性肌力训练结合热敏灸疗法治疗,对照组使用传统治疗方法(理疗、中药外敷等)治疗,共治疗4周,治疗前后采用疼痛视觉模拟评分(VAS)、Lysholm膝关节评分系统及特种外科医院膝关节评分(HSS)系统进行评定。结果传统治疗方法(理疗、中药外敷等)及离心肌力训练结合热敏灸均对前交叉韧带重建后膝关节疼痛VAS评分有改善,但离心肌力训练结合热敏灸优于传统治疗方法(P<0.01),治疗后治疗组Lysholm膝关节评分及HSS膝评分均明显优于对照组(P<0.01)。结论采用离心性下肢肌力训练结合热敏灸疗法,能明显提高前交叉韧带重建后膝关节稳定,并减轻膝关节疼痛。

Clinical research of eccentric muscle training and moxibustion treating knee pain after anterior cruciate ligament reconstruction

Objective To evaluate the efficacy of eccentric muscle training and moxibustion treating knee pain after anterior cruciate ligament reconstruction.Methods Sixty patients with the late reconstruction of the anterior cruciate ligament and improved joint activity suffering knee pain were randomly divided into experimental group and control group with 30 cases in each group,the test group using unit four quadriceps,hamstring eccentric muscle training combined with moxibustion,the control group using conventional treatment(physiotherapy external application of Chinese medicine treatment,etc.),a total of 4 weeks of treatment,before and after treatment by visual analogue scale(VAS),Lysholm knee score system and HSS knee scoring system were used for assessment.Results Traditional treatment methods(physical therapy,Chinese medicinal herbs) and eccentric muscle training combined with moxibustion on knee pain VAS scores were improved,but eccentric muscle training combined with moxibustion is better than the traditional therapy(P<0.01),after treatment,the Lysholm knee score and the HSS knee score was significantly better than the control group(P<0.01).Conclusion Using eccentric muscle training combined with moxibustion can significantly improve the reconstruction of anterior cruciate ligament of knee joint stability and relieve the pain of knee joint.