Efficacy Of Massage Combined With Exercise To Therapy Chondromalacia Patellae

ObjectBy combining improved massage and quadriceps exercise therapy in patients with chondromalacia patellae. To analysis the experimental-group treatment effects in the treatment of traditional Chinese medicine and Western medicine rehabilitation guidance. Provides a simple and effective treatment for the treatment of clinical chondromalacia patellae.Grouping the study objectivesTO choose the period from January 2014 to March 2015.63 patients consistent with the diagnosis from the Third Affiliated Hospital of Guangzhou UCM and the First Affiliated Hospital of Guangzhou UCM. Take simple random method to divide the chondromalacia patella into two groups; 13 men(13 knees) and 20 females (20 knees) in the experimental-group, the average age is 31.48 ±5.552 years old, the average duration is 2.13±1.3 months; 11 men(11 knees) and 19 females (19 knees) in the control-group, the average age is 31.67± 5.108 years old, the average duration is 2.56±1.1 months; Respectively before and the end of treatment after treatment with the experimental-group and control-group patients with WOMAC scale, and then to compare the indicators and the efficacies.MethodTreatment-group:Treament combined improved massage with quadriceps exercise, especially base in the medial femoral muscle exercise. Control-group: to give traditional massage treatment, patients are asked to pay attention to rest during the treatment.Result1. The experimental-group and the control group get on effectiveness evaluation after two weeks of treatment. Total effective rate was 96.9% in the experimental-group while 86.6% in the control-group. Analyzed and compared by rank sum test, a significant difference between the two data sets, the experimental-group is better than in the control-group.2. Before and after the treatment, evaluate two groups in pain, stiffness, daily activity. by T-test, treatment-group is more effective than the control-group(P<0.05)in the efficacy of pain relief and daily activities; Stiff degree through the SPSS, P>0.05, tips two groups can relieve stiffness, but no significant difference.3. Recurrence rate:According to the results of follow-up results of the last six months.33 chondromalacia patella patients of the experimental-group, 1 person relapses.30 chondromalacia patella patients of the control-group, 4 person relapses. After Z test, results that there were significant differences among the cure rate, the total efficiency and the recurrence rate; Explain the experimental group is better than the control group in the short-term and long-term efficacy.ConclusionImproved massage combined quadriceps exercise can correct the mechanical balance disorders in the patellofemoral joint. Relieve pain and improve activity; Therefore, the method for chondromalacia patella patients has a significant effect. Easy to learn and with a good prospects for clinical application.