Efficacy of patellar loosening with quadriceps femoris pain point release for patients with knee osteoarthritis in community
10.3760/cma.j.cn114798-20240419-00398
- VernacularTitle:髌骨松动术同时行股四头肌激痛点松解对缓解社区膝骨关节炎患者疼痛的效果分析
- Author:
Qian DING
1
;
Xuemei CHEN
;
Yan GAO
;
Rui GU
;
Xinfei SHANG
;
Hongwei MIN
;
Kemin LIU
Author Information
1. 首都医科大学康复医学院，北京 100068
- Keywords:
Community health services;
Knee osteoarthritis;
Joint mobilization;
Pain point therapy;
Therapy effect
- From:
Chinese Journal of General Practitioners
2024;23(10):1075-1079
- CountryChina
- Language:Chinese
-
Abstract:
The non-randomized controlled study design was adopted. A total of 90 patients with knee osteoarthritis treated in Beijing Yuetan Community Health Service Center from September 2021 to August 2022 were enrolled in the study, including 45 patients received patellar loosening and then the quadriceps femoris pain point release (successive group) and remaining 45 patients received two manipulations simultaneously (simultaneous group). Patients were treated 3 times in a week, and each time received 5 groups of manipulation. The Visual Analogue Scale (VAS) and Lysholm scores were measured before treatment, immediately after treatment and 3 months after treatment. There was no exfoliation and no adverse events in both groups. There were no significant differences in VAS and Lysholm scores between the two groups before treatment ( P>0.05). Immediately after treatment, the VAS pain score in the simultaneous group was lower than that in the successive group ((3.36±1.12) vs.(2.24±0.93), P<0.01), while the Lysholm score in the simultaneous group was higher than that in the successive group ((89.76±6.61) vs.(74.07±16.80), P<0.01); the proportion of VAS score as“painless/mild pain”(88.9% (40/45) vs.64.4% (29/45), P<0.01) and Lysholm score as “excellent/good”(91.1% (41/45) vs. 44.4% (20/45), P<0.01) in the simultaneous group was significantly higher than that in the successive groups. At 3 months after treatment, there were still significant differences in VAS and Lysholm scores between the two groups. The simultaneous manipulations of patellar loosening and quadriceps femoris pain point release can better relieve the pain of patients with knee osteoarthritis.
