| 方莉玉,孙奇,曹叶凡,田婧,王鹤玮.冲击波联合肌肉能量技术治疗退行性半月板损伤的临床疗效研究[J].中国康复,2025,40(8):474-479 |
| 冲击波联合肌肉能量技术治疗退行性半月板损伤的临床疗效研究 |
| Efficacy of shock wave therapy combined with muscle energy technique in treating degenerative meniscus lesions |
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| DOI：10.3870/zgkf.2025.08.005 |
| 中文关键词: 半月板损伤 冲击波 肌肉能量技术 表面肌电 |
| 英文关键词: degenerative meniscus lesions shock wave muscle energy technique surface electromyography |
| 基金项目:杭州市卫生科技计划（一般）项目（B20230820） |
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| 中文摘要: |
| 目的：观察冲击波联合肌肉能量技术治疗退行性半月板损伤（DMLs）的临床疗效。方法：招募93例DMLs患者，随机分配至对照组、肌肉能量组和联合组，每组31例，3组均接受常规康复治疗，包括物理因子治疗、关节松动术和常规运动疗法，对照组增加40min/d的肌力训练和功率车训练，肌肉能量组增加40min/d的肌肉能量训练，联合组增加40min/d肌肉能量训练联合每周1次的冲击波治疗。在治疗前和治疗6周后使用视觉模拟评分（VAS）、Lysholm评分和股四头肌表面肌电（sEMG）均方根值（RMS）评价膝关节功能改善情况。结果：治疗6周后，3组VAS评分较治疗前降低，Lysholm评分和RMS值相较于治疗前增加（P<0.01），联合组VAS评分的降低、Lysholm评分增加幅度高于对照组和肌肉能量组（P<0.05），联合组股外侧肌、股内侧肌的RMS值增加高于对照组和肌肉能量组(P<0.01)。结论：冲击波联合肌肉能量技术的治疗方案可以有效缓解DMLs患者的疼痛，并激活股四头肌，提高膝关节功能。 |
| 英文摘要: |
| Objective: To investigate the therapeutic effect of shock wave therapy combined with muscle energy technique in degenerative meniscus lesions. Methods：A total of 93 patients with degenerative meniscus injury were randomly assigned to the control group, the muscle energy group and the combined group, with 31 cases in each group. All three groups received conventional rehabilitation treatment including physical agent therapy, joint mobilization and conventional exercise therapy. The control group was additionally given 40 min of muscle strength training and power bike training per day as control, the muscle energy group was additionally subjected to 40 min of muscle energy training per day, and the combined group additionally received 40 min of muscle energy training per day combined with shock wave therapy once a week. The visual analogue scale (VAS), Lysholm Knee score and the root mean square (RMS) value of the surface electromyography of the quadriceps femoris were used to evaluate the improvement of knee joint function before and 6 weeks after treatment. Results：After 6 weeks of treatment, the VAS score of the three groups decreased, the Lysholm Knee Score score and RMS value increased as compared with those before treatment, and the changes were statistically significant (P<0.001). The decreased VAS score and increased Lysholm Knee score in the combined group was more significant than that in the control group and the muscle energy group (P<0.05), and the RMS value of the vastus lateralis and vastus medialis in the combined group was higher than that in the control group and the muscle energy group (P<0.001). Conclusion：The treatment plan of shock wave therapy combined with muscle energy technique can effectively relieve the pain of patients with degenerative meniscus injury, activate the quadriceps femoris and improve the function of the knee joint. |
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