本文選題：膝骨性關(guān)節(jié)炎 + 肌筋膜鏈　； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:利用疼痛目測(cè)類(lèi)比評(píng)分法(VAS評(píng)分)、骨性關(guān)節(jié)炎指數(shù)評(píng)價(jià)體系(WOMAC評(píng)分)、諾丁漢健康調(diào)查等主觀評(píng)價(jià)體系結(jié)合紅外熱圖像系統(tǒng),探討經(jīng)筋與肌筋膜鏈的相關(guān)性,豐富經(jīng)筋理論的現(xiàn)代解釋、理療部位以及推拿手法等,同時(shí)完善該方法的最佳治療思路。材料與方法:本試驗(yàn)共選取150名KOA患者,其中男性75名、女性75名。在這150名受試者中,年齡最小為40歲,年齡最大為71歲。對(duì)這150名受試者詳細(xì)介紹本次試驗(yàn)的內(nèi)容(試驗(yàn)的方法、試驗(yàn)的周期、試驗(yàn)的過(guò)程等)。150名受試者了解本次試驗(yàn)的意義后,讓他們?cè)谕鈺?shū)上簽名。隨后將這150名受試者隨機(jī)劃分為肌筋膜鏈組和經(jīng)筋組。肌筋膜鏈組在西方肌筋膜鏈理論的指導(dǎo)下,參照其循行與膝關(guān)節(jié)相關(guān)的表線,采用手法治療循行表線上與膝關(guān)節(jié)相關(guān)的肌肉、韌帶,觀察患者膝關(guān)節(jié)治療前后紅外熱成像上溫度的分布情況。經(jīng)筋組以經(jīng)筋理論為指導(dǎo),比較經(jīng)筋的循行與膝關(guān)節(jié)之間的關(guān)系,采用經(jīng)筋手法治療相對(duì)應(yīng)經(jīng)筋上的筋結(jié)點(diǎn),觀察患者膝關(guān)節(jié)治療前后紅外熱成像上溫度分布的情況。通過(guò)紅外熱成像圖定量地比較肌筋膜鏈組和經(jīng)筋組下肢、膝關(guān)節(jié)的體表觀察點(diǎn)溫度的變化。結(jié)果:1.治療前后兩組患者自身體表觀察點(diǎn)溫度比較發(fā)現(xiàn),治療后兩組患者膝關(guān)節(jié)周?chē)慕?jīng)筋病灶點(diǎn)溫度有所降低(P0.05)。2.治療前后兩組患者VAS評(píng)分、WOMAC評(píng)分比較發(fā)現(xiàn),治療后兩組患者的功能活動(dòng)有所改善(P0.05)。3.治療后兩組患者體表觀察點(diǎn)溫度比較發(fā)現(xiàn),經(jīng)筋組的療效要優(yōu)于肌筋膜鏈組(P0.05)。4.經(jīng)筋與肌筋膜鏈在循行方向、解剖結(jié)構(gòu)、以及功能方面都有一定的聯(lián)系。結(jié)論:1.膝骨性關(guān)節(jié)炎患者膝關(guān)節(jié)周?chē)梢?jiàn)紅外高溫異常點(diǎn)。2.經(jīng)筋推拿手法和肌筋膜鏈推拿手法對(duì)治療膝骨性關(guān)節(jié)炎都有較好的療效。3.經(jīng)筋推拿手法較肌筋膜鏈推拿手法在治療膝骨性關(guān)節(jié)炎上療效更加顯著。4.膝骨性關(guān)節(jié)炎患者在治療后只是體表溫度局部降低以及活動(dòng)功能有所改善、疼痛程度降低。
[Abstract]:Objective: to explore the correlation between meridian and myofascial chain by using visual analogue pain score (VAS), osteoarthritis index evaluation system (WOMAC), Nottingham health survey and infrared thermal image system. It enriches the modern explanation of meridian theory, physiotherapy position and massage manipulation, and consummates the best treatment thought of this method. Materials and methods: 150 KOA patients were selected, including 75 males and 75 females. Of the 150 subjects, the youngest was 40 and the oldest 71. The 150 subjects were given a detailed introduction to the contents of the experiment (the method of the experiment, the period of the experiment, the course of the experiment, etc.) after the 150 subjects understood the significance of the experiment, they were asked to sign the consent letter. The 150 subjects were then randomly divided into myofascial chain group and meridian tendon group. Under the guidance of the western theory of myofascial chain, the muscle and ligaments associated with the knee joint were treated by manipulation according to the surface line associated with knee joint. To observe the distribution of temperature on infrared thermal imaging before and after treatment of knee joint. Under the guidance of the theory of meridian tendon, the relationship between meridian movement and knee joint was compared, and the temperature distribution on infrared thermal imaging before and after treatment was observed. Infrared thermal imaging was used to quantitatively compare the changes of body surface temperature between the myofascial chain group and the meridian group. The result is 1: 1. It was found that after treatment, the temperature of meridian tendons around the knee joint of the two groups decreased to a certain extent (P0.05. 2). The VAS scores and WOMAC scores of the two groups were compared before and after treatment. It was found that the functional activities of the two groups were improved after treatment (P0.05. 3). The comparison of body surface observation point temperature between the two groups showed that the curative effect of meridian tendon group was better than that of muscle fascia chain group (P0.05. 4). The meridian and myofascial chain are related in the direction, anatomical structure and function of the muscle fascia. Conclusion 1. Infrared hyperthermia anomaly. 2. 2 can be seen around knee joint in patients with knee osteoarthritis. Meridian massage manipulation and muscle fascia chain massage manipulation have good therapeutic effect on knee osteoarthritis. Meridian massage manipulation is more effective than muscle fascia chain massage in the treatment of knee osteoarthritis. 4. 4. After treatment, the knee osteoarthritis patients only decreased local surface temperature and improved their motor function, and reduced the degree of pain.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R244.1

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