| Posttraumatic knee joint stiffness is around knee joint trauma or clinical common serious complication after the operation, easily lead to abnormal patients walk, squat difficulties, seriously affects patients’ daily life ability, and social life, although surgery is a relatively rapid and effective treatment method, but due to the release of knee surgery itself the surrounding tissue is also a kind of trauma, postoperative still has the possibility of adhesion, most caused by outside inside the knee joint, joint surrounding tissue adhesion of joint stiffness are comprehensive conservative treatment is adopted.Early prevention, early rehabilitation treatment is the effective measure to reduce post-traumatic knee joint stiffness, once the knee joint stiffness occurs, there is no a single effective treatments.This study observed routine rehabilitation therapy on the basis of warming needing moxibustionGB34 with isokinetic training the short-term clinical efficacy in patients with traumatic knee joint stiffness is superior to routine rehabilitation therapy and single combination therapy, and discuss the possible mechanism of treatment. Methods:This study is a retrospective study. 60 patients with traumatic knee joint stiffness, divided into uniform treatment group in accordance with the principle of randomized, controlled(Isokinetic training, IT), warming needing moxibustiongroup(Warming needing moxibustion, WNM) and comprehensive treatment group(Combined therapy, CBT), 20 cases in each group.Isokinetic treatment group(IKT) for routine rehabilitation therapy and constant training, wen acupuncture group(WNM) on the basis of routine rehabilitation therapy with warming needing moxibustionGB34, mixed treatment group given routine rehabilitation therapy(CBT) based on the given temperature is administered after acupuncture GB34 isokinetic training, continuous treatment of 4 weeks.In pain before and after treatment using visual analog scale(VAS), passive knee joint of motion(ROM) evaluation and Judet standard evaluation of joint flexion and extension, the isokinetic testing system, the Lysholm score, HSS score, before and after treatment in patients with traumatic knee joint stiffness degree of knee pain, knee joint motion and the change of the Angle of knee flexion, knee extensor and flexor muscles strength, muscular endurance and knee stability of single change, at the same time use the Lysholm and HSS general evaluation of knee joint function changes before and after therapy for system analysis. Results:After treatment of 4 weeks in a row, WNM, IKT, CBT group "in patients with traumatic knee joint stiffness" pain around the knee joint and joint pain and joint initiative, all have a certain degree of ease, passive mobility compared with before treatment were statistically significant;After treatment of 4 weeks in a row, VAS score shows WNM and CBT group and IKT group were statistically significant, and WNM no statistical difference between the groups with and CBT, showed that after acupuncture add more effectively reduce the pain of patients with knee joint stiffness;ROM the numerical display IKT and CBT and WNM three groups after treatment was statistically significant, CBT average improvement degree is IKT is high, but no statistical difference, prompts to join the isokinetic training can effectively improve the patients of motion;IKT, CBT, WNM three groups was effectively enhanced the patients with knee flexing and stretching Angle, three groups after treatment statistical differences IKT with CBT group WNM in enhancing joint stiffness in patients with knee flexion, stretching Angle has certain advantages;The isokinetic muscle testing results suggest three groups of patients after treatment, bends, muscle strength, muscular endurance, joint stability was improved, the but IKT group and CBT WNM group improved significantly, difference was statistically significant, prompts to join the isokinetic training can more effectively improve patients around the knee joint muscle strength, muscle endurance and stability of the knee joint;HSS score and Lysholm score is comprehensive evaluation of patients with knee joint pain, movement function, compared with before treatment in three groups were improved, the IKT and WNM group CBT group was obviously, through the analysis of individual results can be seen mainly as a result of WNM group of knee joint muscle strength and stability of the CBT group is poor, and IKT group mainly exist joint pain and swelling degrees of improvement the CBT group is poor.To see WNM group main traumatic knee stiffness of knee joint swelling and pain relief;And IKT can effectively enhance knee extensor and flexor muscles strength, muscular endurance and joint stability, no matter from the individual scores but from reaction state of knee joint function of HSS score and the Lysholm score showed that based on conventional rehabilitation down heating acupuncture GB34 alone or isokinetic training are flawed, two groups of combination can effectively improve in a short time of patients with knee joint Angle, joint swelling, pain and joint flexion and extension muscle strength, endurance and stability. Conclusion:Our study further shows that traumatic stiff knee patients not only the performance for the decline of the knee joint mobility;Both joints and joint activities after swelling, pain, GB34 warming needing moxibustioncan be used as an auxiliary means of intervention effectively reduce the swelling and pain relieve spasm and contracture;In patients with traumatic knee joint stiffness of motion fall at the same time have a joint extensor and flexor muscle group decreased muscle strength, muscle endurance also show the joint stability, through the isokinetic muscle testing and HSS score and the Lysholm scale can be revealed, and the isokinetic training in enhance the muscle strength, muscle endurance, effectively maintain the stability of the joints. So in the rehabilitation of patients with traumatic knee joint stiffness in the process of warming needing moxibustionGB34 with isokinetic training can from pain, swelling, alleviate muscle adhesion and enhance the muscle strength and endurance to enhance joint treatment of the role of multiple stability, effectively improve the symptoms of patients with traumatic knee joint stiffness. |
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