Fu Zhiwei, Xu Changming, Wang You, Qu Xinhua, Yang Chunxi
Department of Bone and Joint Surgery, Department of Orthopedics, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 145 Shandong Middle Road, Shanghai 200120, China.
Department of Rehabilitation, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 160 Pujian Road, Shanghai 200001, China.
Evid Based Complement Alternat Med. 2022 Mar 10;2022:1091174. doi: 10.1155/2022/1091174. eCollection 2022.
To reduce the pain of quadriceps during knee flexion after total knee arthroplasty and increase range motion of knee flexion.
Three-month prospective before/after quality improvement project. . Department of Bone and Joint Surgery. . A total of 80 patients who met the surgical indications were admitted to the outpatient department for surgery. They were randomly grouped by computer in advance, and the patients were divided into two groups according to the time of admission, each with 40 cases. . The intervention group performed routine rehabilitation exercises and received quadriceps acupoint massages for 20 minutes twice a day for two consecutive weeks. The control group performed routine rehabilitation exercises, such as gentle quadriceps massage for 20 minutes twice a day for two consecutive weeks. . PPT (pressure pain threshold) of quadriceps femoris/VAS (visual analog scale) of knee flexion and motion of knee flexion.
The VAS score, range of motion, and tenderness threshold during flexion were significantly better in the intervention group than in the control group at 1, 2, and 4 weeks after surgery. But the VAS score, range of motion, and tenderness threshold did not significantly differ between groups at 12 weeks after surgery.
Acupoint massage of the quadriceps femoris can relieve early flexion pain in patients after total knee arthroplasty. The trial was registered at clinical trials.gov.
减轻全膝关节置换术后膝关节屈曲时股四头肌的疼痛，并增加膝关节屈曲的活动范围。
为期三个月的前瞻性前后对照质量改进项目。骨关节外科。共有80例符合手术指征的患者入住门诊接受手术。预先通过计算机随机分组，根据入院时间将患者分为两组，每组40例。干预组进行常规康复锻炼，并连续两周每天两次接受股四头肌穴位按摩20分钟。对照组进行常规康复锻炼，如连续两周每天两次轻柔按摩股四头肌20分钟。股四头肌的PPT（压力痛阈）/膝关节屈曲的VAS（视觉模拟评分法）及膝关节屈曲活动度。
术后1、2和4周时，干预组的VAS评分、活动范围及屈曲时压痛阈值均显著优于对照组。但术后12周时，两组间的VAS评分、活动范围及压痛阈值无显著差异。
股四头肌穴位按摩可缓解全膝关节置换术后患者早期的屈曲疼痛。该试验已在临床试验.gov上注册。
