肌内效贴配合振动疗法对老年膝骨性关节炎患者疗效观察

目的 探讨肌内效贴配合振动疗法改善老年膝骨性关节炎患者下肢反应时及关节屈伸肌群峰力矩的临床疗效.方法 入选患者随机分为肌内效贴配合振动疗法＋常规局部理疗组（治疗组）及常规局部理疗组（对照组）各20例.在入选时及4w治疗结束时对两组患者的下肢反应时（choice stepping reaction time,CSRT）及下肢关节膝屈伸肌群等速向心峰力矩（peak torque,PT）,同时了解治疗的过敏性与安全性情况.结果 （1）患者的一般基线情况具有可比性,治疗前各项评分两组组间没有明显差异;（2）治疗前后组间比较患者向前、向后的CRST比较均有显著性差异（P＜0.01）;（3）治疗前后组间比较患者的屈、伸肌群PT有显著性差异（P＜0.05）;（4）治疗组组内前后CSRT及PT比较具有显著性差异（P＜0.01）,而对照组无明显差异（P＞0.05）.结论 肌内效贴配合振动疗法可改善老年膝骨性关节炎患者下肢反应时与下肢力量.

Clinical effects of Kinesio taping combined with vibration therapy on knee osteoarthritis in elderly patients

Objective This study was designed to assess the effect of Kinesio taping （KT） combined with vibration therapy （VT） on knee osteoarthritis.in elderly patients.Method 40 patients were randomly divided into KT combined with VT and conventional topical therapy group （treatment group,n =20） and conventional topical therapy group （control group,n =20）.Choice stepping reaction time （CSRT）,lower extremity flexion and extension muscle peak torque （PT） were assessed before and after intervention.The features of allergic and security situation were also evaluated.Result （1） There were no significant difference in general condition between the two groups; （2） There were no significant differences in the forward and backward CRST between the two groups （P ＜ 0.01）; （3） There were no significant differences in the flexor,extensor PT between the two groups; （4） There was a significant difference in CSRT and the PT before and after intervention in the treatment group （P＜0.01）.However,there was no significant difference in the control group （P＞ 0.05）.Conclusion KT combined with VT may improve CSRT and PT in elderly patients with knee osteoarthritis.