基于经筋与肌筋膜链理论推拿治疗KOA的红外热成像特征研究

发布时间：2018-06-13 16:04

本文选题：膝骨性关节炎 + 肌筋膜链　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:利用疼痛目测类比评分法(VAS评分)、骨性关节炎指数评价体系(WOMAC评分)、诺丁汉健康调查等主观评价体系结合红外热图像系统,探讨经筋与肌筋膜链的相关性,丰富经筋理论的现代解释、理疗部位以及推拿手法等,同时完善该方法的最佳治疗思路。材料与方法:本试验共选取150名KOA患者,其中男性75名、女性75名。在这150名受试者中,年龄最小为40岁,年龄最大为71岁。对这150名受试者详细介绍本次试验的内容(试验的方法、试验的周期、试验的过程等)。150名受试者了解本次试验的意义后,让他们在同意书上签名。随后将这150名受试者随机划分为肌筋膜链组和经筋组。肌筋膜链组在西方肌筋膜链理论的指导下,参照其循行与膝关节相关的表线,采用手法治疗循行表线上与膝关节相关的肌肉、韧带,观察患者膝关节治疗前后红外热成像上温度的分布情况。经筋组以经筋理论为指导,比较经筋的循行与膝关节之间的关系,采用经筋手法治疗相对应经筋上的筋结点,观察患者膝关节治疗前后红外热成像上温度分布的情况。通过红外热成像图定量地比较肌筋膜链组和经筋组下肢、膝关节的体表观察点温度的变化。结果:1.治疗前后两组患者自身体表观察点温度比较发现,治疗后两组患者膝关节周围的经筋病灶点温度有所降低(P0.05)。2.治疗前后两组患者VAS评分、WOMAC评分比较发现,治疗后两组患者的功能活动有所改善(P0.05)。3.治疗后两组患者体表观察点温度比较发现,经筋组的疗效要优于肌筋膜链组(P0.05)。4.经筋与肌筋膜链在循行方向、解剖结构、以及功能方面都有一定的联系。结论:1.膝骨性关节炎患者膝关节周围可见红外高温异常点。2.经筋推拿手法和肌筋膜链推拿手法对治疗膝骨性关节炎都有较好的疗效。3.经筋推拿手法较肌筋膜链推拿手法在治疗膝骨性关节炎上疗效更加显著。4.膝骨性关节炎患者在治疗后只是体表温度局部降低以及活动功能有所改善、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.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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