| Anterior Knee Pain(AKP)is one of the most common military training injuries in the military.Due to the limited treatment conditions in the grassroots units,patients cannot get better treatment,resulting in non-combat attrition and seriously affecting personal health.Appropriate treatments can improve this problem.Myofascial Trigger Points(MTr Ps)in skeletal muscle is one of the causes of AKP.Inactivation of MTr Ps by ischemic compression can effectively improve the symptoms of AKP.Therefore,patients can learn themselves by locating MTr Ps.Ischemic compression method to improve AKP symptoms by inactivating MTr PsObjective: To observe the effect of self-ischemic compression on military AKPMethod:Fifty patients who met the diagnostic criteria of AKP were enrolled in a unit of the Armed Police Force in Chongqing and were randomly divided into two groups: 25 patients in the experimental group used manual ischemic compression,25 patients in the control group used foam rollers for myofascial self-relaxation,two The patients in the group marked the position of MTr Ps with a medical waterproof marker after ultrasound positioning,and started treatment after completing the training and assessment.Each treatment was 15 minutes,5 times a week,for a total of 4 weeks of treatment.The Mc Gill pain questionnaire,Lysholm knee joint score,nimodipine assessment,MTr Ps area,and patient satisfaction indicators were used to evaluate before treatment,2 weeks of treatment,4 weeks of treatment and 3 months of followup.Result:In the Mc Gill scale scores: PRI score,VAS score,PPI score and total score,there was no statistical significance between the experimental group and the control group(P>0.05).There were significant differences in the scores of the patients at the follow-up after one week and 3 months(P<0.001).The results showed significant differences(P<0.001),and the self-ischemic compression and foam roller self-relaxation groups could effectively relieve pain in AKP patients at four time points.In the Lysholm knee score,there was no statistical difference between the experimental group and the control group(P>0.05),but there were significant differences in the intra-group comparison of the experimental group before treatment,after treatment and after 3 months of follow-up(P<0.05).0.001)There were significant differences in the follow-up results of the control group before treatment,after treatment and 3 months later(P<0.05),indicating that the self-ischemic compression and foam roller self-relaxation groups can effectively improve at three time points.AKP function of patients;in the comparison of curative effects,the results between the experimental group and the control group were statistically significant before treatment and after 3-month follow-up(P<0.05).The overall curative effect of self-ischemic compression was better than foam roller selfrelaxation Group.In the area of MTr Ps,there was no statistical difference in the area of MTr Ps between the experimental group and the control group before and after treatment(P>0.05).Within the group,there was a significant difference in the area of??MTr Ps in the experimental group before and after treatment(P<0.05).There is a statistical difference in the area of MTr Ps.Both the self-ischemic compression and foam roller self-relaxation groups can reduce the area of MTr Ps;in the satisfaction comparison,the results of the experimental group and the control group are significantly different(P<0.05).Satisfaction with bloody compressions was higher than foam roller self-relaxation.Conclusion:The use of MTr Ps therapy is an effective,feasible and safe method for the treatment of AKP in military personnel.Both self-ischemic compression and myofascial self-relaxation can improve the symptoms of AKP in patients.These two methods provide patients with more choices in treatment.Patients can treat according to their own preferences,and improve their AKP symptoms through self-ischemic compression and foam roller self-fascial relaxation,which are not only easy to learn but also Regardless of time and location,self-treatment of MTr Ps is recommended as a complementary treatment option for military AKP. |
