Effect of Extracorporeal Shock Wave combined with Rehabilitation Training on Patients with Chondromalacia Patellae
Objective:To observe the clinical effect of extracorporeal shock wave combined with rehabilitation training on patients with chondromalacia patellae (CP).Methods:Sixty patients with CP were treated in Weihaiwei People's Hospital were randomly divided into the control group (<italic>n</...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Editorial Office of Rehabilitation Medicine
2020-08-01
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| Series: | 康复学报 |
| Subjects: | |
| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2020.04012 |
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| Summary: | Objective:To observe the clinical effect of extracorporeal shock wave combined with rehabilitation training on patients with chondromalacia patellae (CP).Methods:Sixty patients with CP were treated in Weihaiwei People's Hospital were randomly divided into the control group (<italic>n</italic>=20), the shock wave group (<italic>n</italic>=20) and the combined group (<italic>n</italic>=20). The control group were given routine rehabilitation training, five times a week, continuous treatment for eight weeks. The shock wave group was treated with extracorporeal shock wave therapy. The D20 was probed to pulse the quadriceps femoris, iliotibial band, tibialis anterior muscle, hamstring muscle and triceps muscle of the leg with the frequency of 14 Hz and the intensity of 1.8-2.5 Bar. Each muscle was pulsed 800-1000 times to relax the muscles. According to the frequency of 15 Hz and the intensity of 1.5-2.5 Bar, the D15 was used to move the patella along the edge of the patella or the condyle of the femur. During the pulse, the patella was pushed to the opposite side, so that the shock wave could reach the cartilage surface of the patella as far as possible. The pulse at each point was 300 times, one time a week, continuous treatment for eight weeks. The combined group was given rehabilitation training and divergent extracorporeal shock wave therapy, and the specific treatment method and course of treatment were the same as those in the control group and shock wave group. Visual analogue score (VAS) was used to evaluate the pain improvement, Lysholm scale was used to evaluate knee joint function; Magnetic resonance imaging (MRI) was used to evaluate the staging of patellar osteomalacia according to Recht criteria; The curative effect was evaluated according to the curative effect evaluation standard of chondromalacia patellae.Results:Compared with before treatment, the VAS score decreased significantly and the Lysholm knee joint function score increased significantly in the three groups after treatment for eight weeks, and the difference was statistically significant (<italic>P</italic><0.05). Compared with the control group after treatment for eight weeks, the VAS score in the combined group was significantly lower, and clinical effective rate in the combined group was significantly higher, Compared with the control group after treatment for eight weeks and follow up after discharge for three months, the Lysholm knee joint function score in the combined group were significantly higher, and the difference was statistically significant (<italic>P</italic><0.05). Compared with the shock wave group, the VAS score in the combined group after follow up discharge for three months was significantly lower, and the Lysholm knee joint function score and clinical effective rate were significantly higher, and the difference was statistically significant (<italic>P</italic><0.05).Conclusion:Extracorporeal shock wave combined with rehabilitation training for CP can effectively reduce the pain degree of patients and improve the function of knee joint. It is worthy of clinical application with the quick and long-term clinical effect. |
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| ISSN: | 2096-0328 |