An Exploratory Analysis of the Therapeutic Effect of Kneading the Patella and Bending the Knee on High Patella in Knee Osteoarthritis
1. Department of Massage, Guang'anmen Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100053, China
2. Department of Imaging, Guang'anmen Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100053, China
| Abstract: | Objective To observe the therapeutic effect of kneading the patella and bending the knee on knee osteoarthritis. Methods The study subjects were from the Massage Department and the Orthopedic Clinic of Guang'an Hospital, Chinese Academy of Traditional Chinese Medicine. From March 2018 to October 2019, 76 patients were selected into the study group according to the inclusion criteria. They were randomly divided into the test group (38 cases) and the control group (38 cases). Before and after treatment, observe the changes of TL, TL/PL ratio in MRI images, the total score of WOMAC score for the number of high patella, the total score of pain degree in sub items, the total score of stiffness degree, and the total score of difficulty degree. Results After treatment, TL (t=-4.065, p=0.000), TL/PL ratio (t=-2.745, p=0.008), number of high patella (t=-2.066, p=0.042), total score of WOMAC score (t=-2.952, p=0.004), total score of 16 items of difficulty (t=-2.191, p=0.032), and total score of 5 items of pain degree (t=-2.965, p=0.004) were found. After statistical analysis, the difference was statistically significant (P<0.05). The efficacy of the test group was higher than that of the control group. However, there was no significant difference in the total score of stiffness of the two sub items (t=-1.451, p=0.151) (P>0.05). Conclusion: The length of TL in the test group was significantly shorter than that in the control group, and there was a certain effect in the treatment of patella elevation with manipulation. |
| Keywords: | Knee Osteoarthritis; Fat Pad; Patella; Acupoint; Ligament |
| DOI: | 10.57237/j.cmrd.2023.01.003 |
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Received: 27 January 2023
Accepted: 16 February 2023
Published Online: 2 March 2023
References
| [1] | 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南（2018年版）[J]. 中华骨科杂志, 2018, 38 (12): 705－715. |
| [2] | 赫崇安, 娄路馨, 过哲, 梁伟, 李晓松, 程晓光.髌骨与髌韧带长度比值的MR测量[J]. 放射学实践, 2008, (6). 670-672. |
| [3] | Wallace G, Cro S, Dore C, King L, Kluzek S, Price A, et al. Associations Between Clinical Evidence of Inflammation and Synovitis in Symptomatic Knee Osteoarthritis: A Cross-Sectional Substudy. Arthritis Care Res (Hoboken). 2017; 69 (9): 1340-8. |
| [4] | 王得志, 王立军, 丁全茂, 张磊, 刘欢.膝关节炎期拨筋治疗脂肪垫损伤探索性研究 [J]. 长春中医药大学学报, 2021, 37 (06): 1367-1370. |
| [5] | 黄旭东, 韩清民.经筋辨证外治法治疗足太阳经筋型膝骨关节炎的临床对照研究 [J]. 吉林中医药, 2016, 36 (10): 1024-1026. |
| [6] | 陈宇, 张明昭, 李正. 经筋辨证外治法治疗足太阳经筋型膝骨关节炎的临床对照研究 [J]. 中国医学创新, 2019, 16 (6): 77-80. |
| [7] | 王凯, 宋永嘉, 董万涛, 宋敏. 经筋推拿手法治疗早中期膝骨关节炎临床疗效观察 [J]. 陕西中医药大学学报, 2019, 42 (03): 77-81. |
| [8] | 彭红芬, 刘海滨, 李华玲, 张东友. 股四头肌肌腱及髌韧带损伤的MRI诊断 [J]. 中国医疗设备, 2011, (8). 156-157+160. |
| [9] | 肖园园, 景德龙, 李晔, 韩忠杰, 王光彬. MRI 诊断髌下脂肪垫损伤的价值 [J]. 医学影像学杂志, 2020, 30 (3): 467-450. |
| [10] | 林宇进, 高兴华, 黄保华, 侯之启.髌下脂肪垫血供特点及在TKA术中的意义 [J]. 中国临床解剖学杂志, 2011, 29 (1): 31-33. |
| [11] | 程露露, 陈朝晖, 吴庆港, 王波, 张文娣, 徐寒, 姚梦莉.理筋正骨手法联合运动疗法治疗膝骨关节炎30例临床观察[J]. 甘肃中医药大学学报, 2018, 35 (05): 54-58. |
| [12] | 胡艳平, 李文清, 高扬, 张赤, 柯美家, 王松. 经穴疏导痛点揉拨推拿手法治疗膝骨关节炎的临床研究 [J]. 湖北中医药大学学报, 2016, 12, 18 (6): 98-100. |
| [13] | 樊远志, 龚利, 严隽陶, 房敏, 孙武权, 吴耀持. 推拿治疗对膝骨关节炎患者股四头肌功能的影响 [J]. 上海中医药杂志, 2010, 44 (10): 57-60. |
| [14] | 李大军, 姜燕, 高谦.整骨理筋疗法治疗慢性膝关节痛症的效果评估 [J]. 中国临床康复, 2006 (39): 21-23. |
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