| Objective: The purpose of this study was to compare the different therapeutic effects of whole lower extremity acupoint selection and local knee acupoint selection in the treatment of patellofemoral pain syndrome(PFPS)with iliotibial band tension through different electroacupuncture acupoint selection methods.To explore the relationship between iliotibial band tension and relief of patellofemoral joint pain;According to different influencing factors,more appropriate acupuncture and moxibustion treatment methods are selected to provide better clinical efficacy and improve the living standard of patients.Methods:The formal experiment began with 100 healthy people,Ober's sign test and tiltmeter were used to measure the angle of hip adduction,Determine the inclusion criteria for the experiment.In addition,36 patients who meet the experimental criteria will be collected from the sports medicine clinic of the center of the Department of Orthopaedics Hospital of Sichuan Province,It was divided into two groups: the local acupoint extraction group(control group)and the whole acupoint extraction group(experimental group),The two groups were treated with different acupuncture points,Through electroacupuncture,20 min,each Three times a week,Treatment for 2 weeks.The systolic muscle strength of knee joint with isometric extension,Ober's(Ober's)and visual analogue scale(Visual Analogue Scale/Score,)were measured before and after the experiment VAS),Kujala patellofemoral functional score(Kujala Patellofemoral Score,);and KPS),To analyze the relief degree of pain symptoms between different groups and groups before and after treatment;Compare the effect of different acupoint selection.Results:1.The angle of bilateral hip joint adduction measured by Ober's sign test and tiltmeter showed that: left side :25.79±5.69;Right :25.70±5.64,t=0.112,P=0.911,P>0.05,There was no significant bilateral statistical difference,Mean value of 200 combined cases(X=25.75,standard deviation SX=5.65,Calculate the upper limit of the medical reference range =36.82,lower limit =14.67.2.There was no statistical significance in the comparison of basic data and pre-treatment indicators between 2 groups(P>0.05),indicating comparability.3.After 1 week of treatment,the VAS score between the two groups was P >0.05,which was not statistically significant.The experimental group and the control group were significantly different from those before treatment(P< 0.05),and the scores of the experimental group decreased more obviously.After 2 weeks of treatment,the comparison of VAS scores between the two groups was statistically significant(P < 0.01).Both the experimental group and the control group were statistically significant compared with those before treatment(P< 0.05).4.After 1 week of treatment,there was no significant difference between the two groups in Kujila score(P > 0.05).The difference between the experimental group and the control group was statistically significant(P < 0.05),and the score of the experimental group increased more significantly.After 2 weeks of treatment,Kujila scores were compared between the two groups,P < 0.01,the difference was statistically significant.The differences between the experimental group and the control group were statistically significant(P < 0.05).5.After 1 week of treatment,the comparison of hip joint adduction Angle between the two groups was statistically significant(P < 0.01).There were significant differences between the experimental group and the control group(P < 0.05).After 2weeks of treatment,the comparison of hip adduction Angle between the two groups was statistically significant(P < 0.01).The experimental group and the control group had significant statistical significance compared with before treatment(P < 0.05).6.After 1 week of treatment,the contractile muscle strength of isometric extensor knee between the two groups was P>0.05,and the difference was not statistically significant.The experimental group and the control group were significantly different from those before treatment(P < 0.05),and the muscle strength of the experimental group was improved significantly.After 2 weeks of treatment,there was no statistical significance in the comparison of the contractile muscle strength between the two groups(P > 0.05).Both the experimental group and the control group were statistically significant compared with those before treatment(P<0.05),and the muscle strength of the experimental group was significantly improved compared with the control group.Research Conclusions:1.The range of iliotibial band tension obtained from tests on healthy people can be used as a reference standard.2.Electroacupuncture on the whole lower extremity acupoint selection for PFPS has a more obvious therapeutic effect than local acupoint selection around the knee,and can more effectively relieve the symptoms of knee pain.3.In the treatment of PFPS,both the lower extremity overall acupoint selection group and the peri-knee local acupoint selection group showed enhanced isoelongation knee contractile muscle strength,and the improvement was more obvious in the lower extremity overall acupoint selection group.4.Compared with local acupoint selection around the knee,overall acupoint selection of the lower extremity can significantly change the tension of the iliotibial band. |
PDF Full Text Request