推挤点按手法对排球运动员髌骨软化症的临床研究OA

Objective:Investigate the therapeutic effects of lower limb pushing and pressing maneuvers on volleyball players with chondromalacia patella,and to analyze how these effects change under different treatment cycles.Methods:Forty subjects of volleyball players with chondromalacia patella who met the inclusion and exclusion criteria were recruited from the Volleyball Sports Management Center of Shandong Province in this study.Data were collected from May 2020 to October 2020.A random grouping method was used to divide the subjects into a control group(n=20)and an experimental group(n=20).The control group received traditional Tuina manipulation combined with lower limb functional exercise treatment,and the experimental group received pushing-and-pressing-point manipulation combined with lower limb functional exercise treatment.The D-Wall three-dimensional capture analysis system,BTE Primus RS analog simulation test evaluation training system,visual analog scoring scale(VAS)and Lysholm knee scoring scale were used to evaluate the efficacy of the patients before the treatment,after 2 months of treatment and after 4 months of treatment,respectively,to compare the effects of the two treatment modalities.Results:After 4 months of treatment,the experimental group showed a significant 24.54%reduction in closed-chain trajectory area significantly better than the control group by 12.30%,The peak moment value was to 36.67%vs 21.03%of the healthy side(P<0.05).The improvement in the VAS score amounted to 2.45±0.43 vs 2.10±0.24(P<0.05).The Lysholm scores for interlocking sensation,swelling,going up and down stairs,and squatting posture also showed better improvement in the experimental group(P<0.05).Conclusion:The combination of pushing and pressing maneuvers with functional exercises can significantly improve the stability and athletic ability of volleyball players'knee joints,relieve pain in the short term,improve muscle weakness and dyskinesia in the long term,and especially excel in controlling the swelling of the knee.