关节镜下半月板切除术后针刺运动疗法同步等速肌力训练康复疗效观察

崔淑仪; 王俊辉; 赵嘉欣; 梁嘉妍; 刘广添; 严文

doi:10.13703/j.0255-2930.20221228-0002

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关节镜下半月板切除术后针刺运动疗法同步等速肌力训练康复疗效观察

临床研究 | 更新时间：2024-06-03

- 关节镜下半月板切除术后针刺运动疗法同步等速肌力训练康复疗效观察
- Effect of acupuncture exercise therapy synchronizing isokinetic muscle strength training for postoperative rehabilitation of meniscectomy under arthroscopy
- 中国针灸 2023年43卷第10期页码：1118-1122
- 作者机构：
  
  1.佛山市第五人民医院康复医学中心，广东佛山 528211
  2.南方医科大学珠江医院康复医学科
  3.中山大学附属第三医院康复医学科
  4.东莞市康复医院作业治疗科
  5.佛山市南海区狮山镇社区卫生服务中心
- 作者简介：
  
  严文，副主任医师。E-mail：fsyanw@qq.com
- 基金信息：
  
  广东省中医药局中医药科研项目(20222211);佛山市“十四五”中医重点专科建设项目(ZDZKJS18)
- DOI：10.13703/j.0255-2930.20221228-0002
  中图分类号： R 246.2
- 收稿：2022-12-28，
  
  网络首发：2023-08-14，
  
  纸质出版：2023-10-12
- 稿件说明：
移动端阅览
崔淑仪,王俊辉,赵嘉欣等.关节镜下半月板切除术后针刺运动疗法同步等速肌力训练康复疗效观察[J].中国针灸,2023,43(10):1118-1122.

CUI Shu-yi,WANG Jun-hui,ZHAO Jia-xin,et al.Effect of acupuncture exercise therapy synchronizing isokinetic muscle strength training for postoperative rehabilitation of meniscectomy under arthroscopy[J].Chinese Acupuncture & Moxibustion,2023,43(10):1118-1122.
崔淑仪,王俊辉,赵嘉欣等.关节镜下半月板切除术后针刺运动疗法同步等速肌力训练康复疗效观察[J].中国针灸,2023,43(10):1118-1122. DOI： 10.13703/j.0255-2930.20221228-0002.

CUI Shu-yi,WANG Jun-hui,ZHAO Jia-xin,et al.Effect of acupuncture exercise therapy synchronizing isokinetic muscle strength training for postoperative rehabilitation of meniscectomy under arthroscopy[J].Chinese Acupuncture & Moxibustion,2023,43(10):1118-1122. DOI： 10.13703/j.0255-2930.20221228-0002.

摘要

目的

观察针刺运动疗法同步等速肌力训练对关节镜下半月板切除术后患者膝关节运动功能、稳定性、本体感觉及焦虑情绪的影响。

方法

将70例关节镜下半月板切除术后患者随机分为观察组（35例，剔除2例、脱落2例）和对照组（35例，剔除2例、脱落1例）。两组均针刺患侧尺泽、内膝眼、犊鼻、阳陵泉等穴，30 min后膝部穴位起针，肘部穴位继续留针，观察组予针刺运动疗法同步等速肌力训练，对照组予常规针刺运动疗法。两组均每日1次，治疗7 d为一疗程，共治疗4个疗程。分别于治疗前后比较两组患者膝关节Lysholm评分、膝关节等速肌力屈/伸比值（H/Q）、关节位置感觉测定值（JPS）和汉密尔顿焦虑量表（HAMA）评分。

结果

治疗后，两组患者膝关节Lysholm评分和H/Q较治疗前升高（

0.001），且观察组高于对照组（

0.001）；两组患者JPS和HAMA评分较治疗前降低（

0.001），且观察组低于对照组（

0.05）。

结论

针刺运动疗法同步等速肌力训练可有效提高关节镜下半月板切除术后患者膝关节运动功能，改善患者膝关节稳定性、本体感觉及焦虑情绪。

Abstract

Objective

To observe the effect of acupuncture exercise therapy synchronizing isokinetic muscle strength training on the motor function

stability and proprioception of knee joint

as well as the anxiety emotion in patients after meniscectomy under arthroscopy.

Methods

A total of 70 patients after meniscectomy under arthroscopy were randomized into an observation group (35 cases

2 cases were eliminated， 2 cases dropped off) and a control group (35 cases

2 cases were eliminated

1 case dropped off). Acupuncture was applied at Chize (LU 5)

Neixiyan (EX-LE 4)

Dubi (ST 35)

Yanglingquan (GB 34)

etc. on the affective side in the two groups. After 30 min

the needles of the knee joint area were withdrew

while the needle at elbow was continuously retained

the observation group was given acupuncture exercise therapy synchronizing isokinetic muscle strength training

and the control group was given conventional acupuncture exercise therapy. The treatment was given once a day

7-day treatment was taken as one course

and totally 4 courses were required in the two groups. Before and after treatment

the knee joint Lysholm score

the knee joint isokinetic muscle strength flexion/extension ratio (H/Q)

joint position sense measurement (JPS) and Hamilton anxiety scale (HAMA) score were compared in the two groups.

Results

After treatment

the knee joint Lysholm scores and H/Q were increased compared with those before treatment in the two groups (

0.001)

and the knee joint Lysholm score and H/Q in the observation group were higher than those in the control group (

0.001); the JPS and HAMA scores were decreased compared with those before treatment in the two groups (

0.001)

the JPS and HAMA score in the observation group were lower than those in the control group (

0.05).

Conclusion

Acupuncture exercise therapy synchronizing isokinetic muscle strength training can effectively improve the motor function

stability and proprioception of knee joint

as well as the anxiety emotion in patients after meniscectomy under arthroscopy.

关键词

Keywords

references

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