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膝关节骨关节炎患者推拿治疗前后的步态分析

Gait analysis of patients with knee osteoarthritis before and after Chinese massage treatment.

作者信息

Qingguang Zhu, Min Fang, Li Gong, Shuyun Jiang, Wuquan Sun, Jianhua Li, Yong Li

出版信息

J Tradit Chin Med. 2015 Aug;35(4):411-6. doi: 10.1016/s0254-6272(15)30117-5.

Abstract

The objective of this study was to evaluate the effectiveness of Chinese massage therapy in patients with knee osteoarthritis (OA) by measuring lower-limb gait parameters. We recruited 20 women with knee OA, who then underwent Chinese massage therapy three times per week for 2 weeks. The patients underwent gait evaluation using a six-camera infrared motion analysis system. They completed Western Ontario and McMaster Universities Osteoarthritis Index questionnaires before and after treatment. We calculated the forward speed, step width, step length, total support time percentage, initial double support time percentage, and single support time percentage. We also measured the angles at the knee, hip, and ankle during the stance phase of walking. The results showed statistically significant mean differences in knee pain relief, alleviation of stiffness, and physical function enhancement after therapy (P < 0.05). The patients gained significantly faster gait speed, greater step width, and increased total support time percentage after the Chinese massage therapy (P < 0.05). There were no significant differences in the range of motion or initial contact angles of the knee, hip, or ankle during the stance phase of walking. We concluded that Chinese massage is a beneficial complementary treatment and an alternative therapy choice for patients with knee OA for short-term pain relief. Chinese massage may improve walking ability for these patients.

摘要

本研究的目的是通过测量下肢步态参数来评估中医按摩疗法对膝骨关节炎(OA)患者的疗效。我们招募了20名膝OA女性患者,然后让她们每周接受3次中医按摩治疗,为期2周。患者使用六摄像头红外运动分析系统进行步态评估。他们在治疗前后完成了西安大略和麦克马斯特大学骨关节炎指数问卷。我们计算了前进速度、步宽、步长、总支撑时间百分比、初始双支撑时间百分比和单支撑时间百分比。我们还测量了步行站立期膝关节、髋关节和踝关节的角度。结果显示,治疗后膝关节疼痛缓解、僵硬减轻和身体功能增强方面的平均差异具有统计学意义(P < 0.05)。中医按摩治疗后,患者的步态速度显著加快,步宽增大,总支撑时间百分比增加(P < 0.05)。步行站立期膝关节、髋关节或踝关节的活动范围或初始接触角度没有显著差异。我们得出结论,中医按摩是一种有益的辅助治疗方法,也是膝OA患者短期缓解疼痛的替代治疗选择。中医按摩可能会改善这些患者的行走能力。

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