运动联合手法治疗对髌股关节疼痛综合征的临床疗效研究OA

Objective:To observe and compare the clinical efficacy of exercise therapy combined with Ashi point manual massage versus manual massage alone in the treatment of patellofemoral pain syndrome(PFPS).Methods:Forty patients diagnosed with PFPS from January to December 2024 were randomly assigned to a control group(n=20)and a treatment group(n=20).The control group received Ashi point manual massage therapy.The treatment group received additional exercise therapy,including hip abduction and external rotation muscle strengthening exercises,as well as stretching exercises for the gluteus medius,piriformis,and quadriceps muscles.The intervention lasted for 12 consecutive weeks for both groups.Outcomes were assessed before treatment,at 4 weeks,and at 12 weeks.The primary measures included the Visual Analogue Scale(VAS)for pain,Lysholm score and Kujala score for knee function,and peak torque(PT)of knee extensor and flexor muscle groups measured by an isokinetic dynamometer to evaluate muscle strength.Results:After 4 and 12 weeks of treatment,both groups showed significant improvements in VAS,Lysholm,and Kujala scores,as well as in knee extension and flexion PT values compared to baseline(all P<0.05).Inter-group comparisons revealed that the treatment group had significantly lower VAS scores at both 4 and 12 weeks(both P<0.05),and significantly higher Lysholm and Kujala scores at both time points(both P<0.05)compared to the control group.Regarding muscle strength,the treatment group demonstrated significantly higher knee extension PT values than the control group at 12 weeks(P<0.05),and significantly higher knee flexion PT values at both 4 and 12 weeks(both P<0.05).Conclusion:The combination of exercise therapy and Ashi point manual massage is superior to manual massage alone in alleviating pain,improving knee joint function(both general and PFPS-specific),and enhancing the strength of peri-articular muscles in patients with PFPS.This integrated approach represents an effective treatment strategy.