非手术关节牵张治疗重度膝关节骨关节炎的疗效

Effects of non-surgical joint distraction in the treatment of severe knee osteoarthritis.

作者信息

Khademi-Kalantari Khosro, Mahmoodi Aghdam Somayeh, Akbarzadeh Baghban Alireza, Rezayi Mehdi, Rahimi Abbas, Naimee Sedighesadat

机构信息

Department of Physiotherapy, Faculty of Rehabilitation, Shahid Beheshti University of Medical Sciences, Damavand Ave, Opposite to Bou Ali Hospital, Tehran, Iran.

出版信息

J Bodyw Mov Ther. 2014 Oct;18(4):533-9. doi: 10.1016/j.jbmt.2013.12.001. Epub 2013 Dec 11.

DOI:10.1016/j.jbmt.2013.12.001

PMID:25440203

Abstract

PURPOSE

The aim of this study was to evaluate the clinical results of non surgical knee distraction in patients with severe knee osteoarthritis.

METHOD

forty female patients with severe knee osteoarthritis were randomly divided in two groups. A standard physiotherapy treatment was applied to both groups and in one group it was accompanied with 20 min knee joint distraction. The patients were treated for 10 sessions. Clinical examination consisted of functional examination, completion of a quality of life questionnaire, pain scale, and assessment of joint mobility and joint edema.

RESULT

The standard physiotherapy treatment accompanied by knee distraction resulted in significantly higher improvement in pain (P = 0.004), functional ability (P = 0.02), quality of life (P = 0.002) and knee flexion range of motion (p = 0.02) compared to the standard physiotherapy treatment alone post treatment and after 1 month follow up.

CONCLUSION

Adding knee distraction to standard physiotherapy treatment can result in further improvement in pain relief, increased functional ability and better quality of life in patients with severe knee osteoarthritis.

摘要