Cox屈曲牵张减压术在膝关节的创新应用：一项回顾性病例系列研究
Innovative application of Cox Flexion Distraction Decompression to the knee: a retrospective case series.
作者信息
Albano Luigi
机构信息
Private practice, Windsor, ON.
出版信息
J Can Chiropr Assoc. 2017 Aug;61(2):153-161.
OBJECTIVE
The purpose of this study is to introduce the application of Cox flexion distraction decompression as an innovative approach to treating knee pain and osteoarthritis.
METHODS
Six months of clinical files from one chiropractic practice were retrospectively screened for patients who had been treated for knee pain. Twenty-five patients met the criteria for inclusion. The treatment provided was Cox flexion distraction decompression. Pre-treatment and post-treatment visual analog pain scales (VAS) were used to measure the results. In total, eight patients presented with acute knee pain (less than three months' duration) and 18 patients presented with chronic knee pain (greater than three months) including two patients with continued knee pain after prosthetic replacement surgery.
RESULTS
For all 25 patients, a change was observed in the mean VAS scores from 7.7 to 1.8. The mean number of treatments was 5.3 over an average of 3.0 weeks. Acute patient mean VAS scores dropped from 8.1 to 1.1 within 4.8 treatments over 2.4 weeks. Chronic patient mean VAS scores dropped from 7.5 to 2.2 within 5.4 treatments over 3.3 weeks. No adverse events were reported.
CONCLUSION
This study showed clinical improvement in patients with knee pain who were managed with Cox flexion distraction decompression applied to the knee.
目的
本研究旨在介绍考克斯屈曲牵引减压术作为治疗膝关节疼痛和骨关节炎的一种创新方法的应用。
方法
回顾性筛选一家整脊诊所六个月内治疗膝关节疼痛患者的临床档案。25名患者符合纳入标准。所提供的治疗方法为考克斯屈曲牵引减压术。采用治疗前和治疗后的视觉模拟疼痛量表（VAS）来衡量治疗结果。总共有8名患者表现为急性膝关节疼痛（病程少于三个月），18名患者表现为慢性膝关节疼痛（病程超过三个月），其中包括两名人工关节置换手术后仍持续膝关节疼痛的患者。
结果
所有25名患者的VAS平均得分从7.7降至1.8。平均治疗次数为5.3次，平均疗程为3.0周。急性患者的VAS平均得分在2.4周内经过4.8次治疗后从8.1降至1.1。慢性患者的VAS平均得分在3.3周内经过5.4次治疗后从7.5降至2.2。未报告不良事件。
结论
本研究表明，对膝关节应用考克斯屈曲牵引减压术治疗的膝关节疼痛患者临床症状有所改善。
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