Volume 19 Issue 4
Apr.  2021
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(4): 653-655
LI Yue, LYU Cun-xian, YANG Sheng-wu. Effect of joint mobilisation combined with massage on knee osteoarthritis and functional recovery[J]. Chinese Journal of General Practice, 2021, 19(4): 653-655. doi: 10.16766/j.cnki.issn.1674-4152.001885
Citation: LI Yue, LYU Cun-xian, YANG Sheng-wu. Effect of joint mobilisation combined with massage on knee osteoarthritis and functional recovery[J]. Chinese Journal of General Practice, 2021, 19(4): 653-655. doi: 10.16766/j.cnki.issn.1674-4152.001885
shu

Effect of joint mobilisation combined with massage on knee osteoarthritis and functional recovery

doi: 10.16766/j.cnki.issn.1674-4152.001885
  • 1.

    Department of Orthopedics, Wenzhou Hospital of Traditional Chinese Medicine, Wenzhou, Zhejiang 325000, China

Funds:

 2020KY296

  • Received Date: 2020-11-11
    Available Online: 2022-02-16
    Abstract
  •   Objective  This study aimed to observe the effect and functional recovery of joint mobilisation combined with massage in the treatment of knee osteoarthritis and explore effective treatment to improve curative effect and prognosis.  Methods  A total of 94 patients who were diagnosed with knee osteoarthritis from October 2019 to October 2020 in the Department of Orthopedics of our hospital were selected and divided into group A (47 cases) and group B (47 cases) on the basis of different treatment schemes; group A was treated with joint mobilisation, and group B was treated with joint mobilisation combined with massage. The knee joint pain degree (VAS score), knee joint function (KSS score) and knee joint range of motion of the two groups were compared (active ROM and passive ROM) with the levels of inflammatory factors in synovial fluid (IL-6, TNF-α and C-reactive protein) and overall efficacy.  Results  The VAS score of group B (1.21±0.72) points was lower than that of group A (2.19±1.04) points, and the KSS score of group B (80.02±5.66) points was higher than that of group A (73.17±6.20) points. Active ROM and passive ROM of group B (121.68°±10.16° and 128.49°±12.35°, respectively) were higher than those of group A (102.34°±7.24° and 110.34°±7.83°, respectively). In addition, the levels of interleukin-6, tumour necrosis factor-α and C-reactive protein in group B [(17.93±3.01) ng/L, (11.02±1.76) ng/L and (20.25±5.31) mg/L, respectively] were lower than those in group A [(22.61±3.27) ng/L, (13.21±2.05) ng/L and (27.69±7.14) mg/L, respectively]. The total effective rate of group B (95.74%) was higher than that of group A (80.85%), all P < 0.05.  Conclusion  The effect of joint mobilisation combined with massage in the treatment of knee osteoarthritis is exact, which can significantly reduce the pain of knee joint, improve the function of knee joint, increase the range of motion of knee joint and reduce the inflammatory reaction of joint fluid.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    李立国, 余作, 许贝贝, 等. 推拿联合臭氧水关节腔冲洗对膝关节骨性关节炎者关节功能的影响80例[J]. 解放军预防医学杂志, 2019, 37(8): 152-154. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYX201908067.htm
    [2]
    周舒心. 特色中医手法配合温针灸对膝关节骨性关节炎患者关节功能、骨代谢的影响[J]. 中华全科医学, 2017, 15(8): 1419-1421, 1443. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201708044.htm
    [3]
    谢冲冲, 丰哲, 朱志华, 等. 独活寄生汤联合膝关节松动术治疗肾虚髓亏型膝关节骨性关节炎的临床效果[J]. 广西医学, 2019, 41(10): 1210-1213, 1218. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX201910002.htm
    [4]
    史梦龙, 吴林, 刘步云, 等. 运动疗法结合手法推拿对膝关节骨关节炎疗效及血液流变学的影响[J]. 中国医疗器械信息, 2017, 23(16): 16-17, 23. doi: 10.3969/j.issn.1006-6586.2017.16.007
    [5]
    胥少汀, 葛宝丰, 徐印坎. 实用骨科学[M]. 3版. 北京: 人民军医出版社, 2009: 1337.
    [6]
    国家中医药管理局. 中医病证诊断疗效标准[S]. 南京: 南京大学出版社, 1994: 197.
    [7]
    卢艳丽. 神经生物电疗法结合肌力训练对膝关节骨性关节炎疼痛和功能改善的影响[J]. 内蒙古医学杂志, 2016, 48(12): 1475-1477. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYZ201612025.htm
    [8]
    涂大华, 刘学东, 李逸群, 等. 补肾固筋方联合推拿治疗膝骨性关节炎的临床疗效及对关节功能恢复的影响[J]. 当代医学, 2020, 26(9): 175-176. doi: 10.3969/j.issn.1009-4393.2020.09.071
    [9]
    程凌, 胡思彦. 青藤碱(正清风)定点介入治疗配合关节松动术治疗膝关节炎的临床疗效观察[J]. 当代医学, 2019, 25(24): 154-155. doi: 10.3969/j.issn.1009-4393.2019.24.062
    [10]
    王玉. 舒筋强腰汤离子导入治疗膝关节骨性关节炎肾虚寒湿瘀阻证临床研究[J]. 中医学报, 2017, 32(7): 1285-1288. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK201707045.htm
    [11]
    邓家富. 中药熏蒸后关节松动术结合推拿治疗老年膝骨关节炎30例[J]. 福建中医药, 2019, 50(6): 68-69, 88. https://www.cnki.com.cn/Article/CJFDTOTAL-FJZY201906025.htm
    [12]
    郑筱萸. 中药新药临床研究指导原则(试行)[S]. 北京: 中国医药科技出版社, 2002: 349-353.
    [13]
    李丽. 关节松动术联合中医推拿手法治疗膝关节骨关节炎的价值探究[J]. 中国中医药现代远程教育, 2020, 18(8): 110-112. doi: 10.3969/j.issn.1672-2779.2020.08.046
    [14]
    王京良, 张后振. 关节松动术结合中医推拿手法治疗膝关节骨关节炎的效果分析[J]. 现代医学与健康研究电子杂志, 2018, 2(18): 172, 174. https://www.cnki.com.cn/Article/CJFDTOTAL-XYJD201818111.htm
    [15]
    赵莉莉. 中医推拿手法联合关节松动术对膝关节骨性关节炎患者疼痛程度及膝关节功能的影响[J]. 当代医学, 2020, 26(26): 65-66. doi: 10.3969/j.issn.1009-4393.2020.26.026
    [16]
    沈林兴, 王菊艳, 钱丰, 等. 温针灸结合推拿手法治疗寒湿型膝关节骨关节炎的疗效观察[J]. 中华全科医学, 2020, 18(2): 303-306. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202002037.htm
    [17]
    侯来永, 徐瑞泽, 唐学章, 等. 推拿结合等速肌力训练治疗膝关节骨性关节炎临床疗效研究[J]. 中国康复医学杂志, 2019, 34(5): 551-555, 572. doi: 10.3969/j.issn.1001-1242.2019.05.010
    [18]
    程岱松. 关节松动术结合中医推拿应用于膝关节骨关节炎患者治疗中的临床效果[J]. 临床医学研究与实践, 2017, 2(19): 113-114. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201719056.htm
    [19]
    孔颖, 王国栋, 孟纯阳. 膝关节骨性关节炎血清炎性因子与血管生成因子的关系[J]. 中国矫形外科杂志, 2019, 27(10): 916-920. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201910015.htm
    [20]
    李勇. 中医推拿与关节松动术临床联合应用探讨[J]. 临床医药文献电子杂志, 2020, 7(38): 51. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX202038045.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (350) PDF downloads(8) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return