骨性膝關節炎為退行性病變，現行治療以症狀改善為主，長期服用 西藥，可能引起副作用。以傷科手法治療骨性膝關節炎，對本病所引起 之疼痛和功能障礙，也能取得療效，但可避免藥物的副作用。
本研究以門診患者為對象，進行每週二次，為期六週之傷科手法治 療；與每日服用 COX-2 抑制劑及葡萄糖胺之對照組相比，兩組治療後均 有改善。但 VAS 方面，兩組無顯著差異。LFI 量表評估結果，在減輕關 節疼痛，緩解關節僵緊，和改善膝關節活動功能等方面，傷科手法組改 善更顯著，尤以 X 光 K/L 第二級患者為然，且療效與治療時間呈正相關。
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附錄
附件二
骨 性 膝 關 節 炎 療 效 評 估 量 表 日期： 年 月 日 姓名：
病歷號碼：
1.您這星期膝關節活動時疼痛、不適的程度如何？
(請您在下面線上，畫下您感覺疼痛、不適的程度)
完全不痛 無法忍受的痛
2. 您這星期膝關節僵緊的程度如何？
(請您在下面線上，畫下您感覺僵緊的程度)
沒有僵緊 僵緊得受不了
3. 您這星期膝關節活動困難程度如何？
(請您在下面線上，畫下您感覺膝關節活動困難的程度)
活動沒問題 無法活動
附件三
Abstract
Osteoarthritis（OA） is characterized by defects in articular cartilage and related changes in subchondral bone, joint margins, synovium, and para-articular structures. OA is one of the most common forms of arthritis and a major cause of pain and disability particularly among the elderly.
The goals of management for OA are to decrease pain and to improve function. Clinically, choices of drug for OA are salicylates, nonsteroid anti-inflammatory drugs and selective COX-2 inhibitors. However, the related side effects are associated with prolonged use.
In the previous observation, traditional Chinese traumatologic manipulation may rapidly relieve pain and restore function. In this study, the effects on OA of the knee was measured with the visual analogue scale
（VAS）and the Lequesne’s fuctional index（LFI）.
Fifty-four patients with OA of the knee were enrolled in the study group from the out-patient-department in Chang Gung Memorial Hospital.
They received manipulative therapy twice a week and treatment continued for six weeks. Another 44 patients entered the control group via out-patient-department in Changhua Christian Hospital, they were given Mobic and Viartril-S orally for six weeks. The difference between groups was measured with VAS and LFI.
For the VAS, there was no significant difference between groups
（p=0.18）. For the LFI, there was significant difference in favor of traumatologic manipulation（p＜0.0001）. The K/L grade 2 patients were significantly improved by traumatologic manipulation with prolonged treatment.