基于动态足底压力及肌骨超声探究理筋正骨手法治疗梨状肌综合征的临床疗效

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[关键词]梨状肌综合征；理筋正骨手法；动态足底压力；肌骨超声；经筋理论 [中图分类号]R244.1 [文献标志码]B [文章编号]doi：10.3969/j.issn.1674-070X.2025.12.026

Clinical efficacy of sinew-regulating and bone-aligning manipulation in treating piriformis syndrome based on dynamic plantar pressure and musculoskeletal ultrasound

HU Xiaoyun'， JIANG Yu'， ZHANG Wendi²， CHENG Lulu’， QIAN Qunqun²， LI Dongjing²， CHEN Zhaohui2* 1.TheFirst Clinical MedicalColege，Anhui Universityof Chinese Medicine，Hefei，Anhui 23ooo，China;2.Schoolof

AcupunctureandTuina，AnhuiUniversityofhineseMedicine，Hefei，Anhui3oo，hina;3.DepartmentofAcupuncturend RehabilitationtheFirstAfiliated HospitalofAnhui UniversityofChineseMedicine，Hefei，Anhui23oooChina

[Abstract]Objective Toinvestigatetheclinicaleficacyof sinew-regulatingandbone-aligning manipulationintreating pirformissyndrome（SanditsameliorativefectsogaitfunconMethodsAtotalf64PSpaentswhoattndedthTendoInjuis ClinicoftheFirstAfiliatedHospitalofAnhuiUniversityofChineseMedicinefromApril224toJune2O25wereenrollednd randomlydividedintoexperimental groupandcontrolgroup.Twopatientswereexcludedduetoreceivingothertreatments， resultingin62patientsincludedinthefinalanalysis，with31patientsineachgroup.Thecontrolgroupreceivedneural moblizationcombiedwithexercisetherapy，whiletheexperimentalgroupreceivedsinew-regulatingandbonealigningmanipulation combinedwithexercisetherapy.Both groupsunderwenttreatmenttwiceweeklyforfourconsecutiveweeks.The Visual Analogue Scale（VAS）scoreandJapaneseOrthopaedicAssociation HipEvaluation Questionnaire （JHEQ）score wereasessedbeforeandafter treatmentDamicplaarpruepaees（ediditsedvegeprssureialfotlodndafodwee assessedusingtheSensor Medicaplantar pressreanalysissystem.Piriformismusclethicknesswas measuredusing the SonoSite ultrasouddevice.Theclinicalefectiveratewascomparedafertreatment.ResultsComparedwithpre-treatmentlevels，posttreatment VAS scores and piriformis muscle thickness decreased in both groups P

[Keywords]piriformissyndrome;sinew-regulatingandbone-aligning manipulation;dynamicplantarpressure;musculoskeletal ultrasound;meridian-sinew theory

梨状肌综合征（piriformissyndrome，PS）是由于梨状肌肥厚、痉挛或纤维化等因素导致坐骨神经在梨状肌区受到非椎间盘源性压迫或刺激而引起的临床综合征，主要表现为臀部疼痛并向大腿后侧或小腿放射，可伴有感觉障碍和坐骨神经痛样症状I。（剩余12973字）