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评估软组织疗法在膝关节疾病及术后状况治疗中的有效性——一项系统综述

Evaluating the Effectiveness of Soft Tissue Therapy in the Treatment of Disorders and Postoperative Conditions of the Knee Joint-A Systematic Review.

作者信息

Jurecka Alicja, Papież Maciej, Skucińska Paulina, Gądek Artur

机构信息

Department of Orthopedics and Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, 30-688 Krakow, Poland.

Department of Physiotherapy, Emirates Specialty Hospital, Dubai 505240, United Arab Emirates.

出版信息

J Clin Med. 2021 Dec 18;10(24):5944. doi: 10.3390/jcm10245944.

Abstract

The term "soft tissue therapy" (STT) refers to mechanical methods of treatment involving passive kneading, pressing and stretching of pathologically tense tissues in supporting the process of recovery after surgery or trauma to the musculoskeletal system. The objective of this study was to review current scientific reports evaluating the effectiveness of the use of STT in patients with diseases or after surgical procedures of the knee joint. A systematic search of the popular scientific databases PubMed, Scopus and Embase was performed from inception to 15 October 2021. Eight articles met eligibility criteria and were included in the review. Six papers were related to disorders of the knee joint, while the remaining two studies were related to dysfunctions associated with the conditions after surgical intervention. The findings presented confirmed the effectiveness of STT in orthopaedic patients who showed an increase in lower limb functional parameters. The research has shown that the use of various methods of STT has a significant impact on increasing muscle activity and flexibility as well as increasing the range of motion in the knee joint. The physiotherapeutic methods used had a significant impact on reducing pain and increasing physical function and quality of life. The techniques used reduced the time to descend stairs in patients with knee osteoarthritis. This review summarises the effectiveness of STT as an important form of treatment for orthopaedic patients with various knee joint dysfunctions.

摘要

“软组织疗法”(STT)一词指的是通过对病理性紧张的组织进行被动揉捏、按压和拉伸等机械治疗方法,以辅助肌肉骨骼系统手术后或创伤后的恢复进程。本研究的目的是回顾当前评估软组织疗法在膝关节疾病患者或膝关节手术后应用效果的科学报告。从数据库创建至2021年10月15日,我们对知名科学数据库PubMed、Scopus和Embase进行了系统检索。有8篇文章符合纳入标准并被纳入本综述。其中6篇论文与膝关节疾病相关,其余2项研究与手术干预后状况相关的功能障碍有关。研究结果证实了软组织疗法对下肢功能参数有所改善的骨科患者的有效性。研究表明,使用各种软组织疗法对增加肌肉活动和灵活性以及扩大膝关节活动范围有显著影响。所采用的物理治疗方法对减轻疼痛、提高身体功能和生活质量有显著影响。所使用的技术缩短了膝关节骨关节炎患者下楼梯的时间。本综述总结了软组织疗法作为治疗各种膝关节功能障碍骨科患者的一种重要治疗方式的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0866/8704673/cd5c5d6fbb2c/jcm-10-05944-g001.jpg

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