Department of Physiotherapy, School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, India.
Indian J Med Res. 2022 Jul;156(1):149-154. doi: 10.4103/ijmr.IJMR_2564_19.
BACKGROUND & OBJECTIVES: Osteoarthritis (OA) is the most common form of arthritis that increases with age affecting the population from the middle age to the elderly. The present study was undertaken to find whether neuromuscular stimulation of vastus medialis oblique (VMO) in combination with Maitland's mobilization and exercises was more effective as compared to Maitland's mobilization with exercises alone in patients with knee OA. METHODS: Sixty patients with knee OA were purposively selected and randomly distributed to two groups that received an intervention for eight weeks. Group A patients received Maitland's mobilization in combination with exercises and group B patients received the same intervention as group A in combination with neuromuscular stimulation of VMO muscle. After eight weeks, outcome measures, i.e. Numeric Pain Rating Scale (NPRS) and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) index, were reassessed. RESULTS: Both groups showed significant (P<0.05) within-group improvement in the knee pain levels and stiffness as reflected by NPRS and WOMAC index. INTERPRETATION & CONCLUSIONS: Patients of both the groups (A and B) were found to be improving significantly in pain and disability, group A patients receiving Maitland's mobilization in combination with exercises were found to get more relief in pain and disability.
背景与目的:骨关节炎(OA)是最常见的关节炎形式,随着年龄的增长而增加,影响从中年到老年的人群。本研究旨在探讨股直肌神经肌肉刺激(VMO)联合 Maitland 手法松动与运动疗法与单纯 Maitland 手法松动联合运动疗法相比,对膝骨关节炎患者是否更有效。
方法:60 例膝骨关节炎患者被有意选择并随机分为两组,接受 8 周的干预。组 A 患者接受 Maitland 手法松动联合运动疗法,组 B 患者在接受组 A 相同干预的基础上联合 VMO 肌肉神经肌肉刺激。8 周后,再次评估疗效指标,即数字疼痛评分量表(NPRS)和西部安大略省和麦克马斯特大学骨关节炎指数(WOMAC)。
结果:两组患者的 NPRS 和 WOMAC 指数均显示出膝关节疼痛水平和僵硬的显著(P<0.05)组内改善。
解释与结论:两组患者(A 组和 B 组)的疼痛和残疾均有明显改善,接受 Maitland 手法松动联合运动疗法的 A 组患者在疼痛和残疾方面的缓解更为明显。
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