腰椎整骨手法治疗可改善膝骨关节炎症状：短期疗效观察及机制分析。
Lumbar osteopathic manipulative treatment can improve KOA symptoms: short-term efficacy observation and mechanism analysis.
作者信息
Du Peiyu, Li Xi, Yin Shilin, Li Wenyi, Sun Xilong, Zhang Zekun, Zhao Jianyong, Shijun Gao, Du Shuangqing, Zhang Di
机构信息
Spine Surgery Department, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Orthopedics Department, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, China.
出版信息
Front Bioeng Biotechnol. 2024 Aug 22;12:1431527. doi: 10.3389/fbioe.2024.1431527. eCollection 2024.
BACKGROUND
Manipulative treatment can effectively improve knee pain and function, but no previous studies have shown that lumbar osteopathic manipulative treatment can improve knee symptoms. To explore the influence of lumbar manipulation on KOA and analyze its principlerelationship between coronal position of lumbar spine and KOA.
METHODS
Patients were divided into OMT group and DT group according to treatment. WOMAC scores were compared between the two groups, and X-ray examinations before and after treatment were performed in OMT group to analyze the imaging changes.
RESULTS
Both OMT group and DT group showed significant improvement in WOMAC score after treatment, and the improvement in OMT group was better than that in DT group. After OMT treatment, cTMI( = 0.034), mL-SOD ( < 0.001), mΔL-KOD ( = 0.001), LL ( = 0.036), and FTA( = 0.026) were significantly changed.
CONCLUSION
Compared with drug therapy, lumbar manipulation can better improve WOMAC scores in KOA patients. It relives symptoms by loosening muscles and correcting small joint disorders to improve local knee alignment.
背景
手法治疗可有效改善膝关节疼痛和功能，但既往尚无研究表明腰椎整骨手法治疗可改善膝关节症状。探讨腰椎手法治疗对膝骨关节炎（KOA）的影响，并分析腰椎冠状位与KOA之间的原理关系。
方法
根据治疗方法将患者分为整骨手法治疗（OMT）组和药物治疗（DT）组。比较两组的WOMAC评分，并对OMT组治疗前后进行X线检查以分析影像学变化。
结果
OMT组和DT组治疗后WOMAC评分均显著改善，且OMT组的改善情况优于DT组。OMT治疗后，cTMI（=0.034）、mL-SOD（<0.001）、mΔL-KOD（=0.001）、LL（=0.036）和FTA（=0.026）均有显著变化。
结论
与药物治疗相比，腰椎手法治疗能更好地改善KOA患者的WOMAC评分。它通过放松肌肉和纠正小关节紊乱来改善膝关节局部对线，从而缓解症状。
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