| 蔡民,王强.以屈膝肌群训练为主的康复训练对膝骨性关节炎的疗效[J].中国康复,2014,29(3):197-199 |
| 以屈膝肌群训练为主的康复训练对膝骨性关节炎的疗效 |
| Clinical effectiveness of knee flexor muscles training-based rehabilitation treatment on knee osteoarthritis |
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| DOI： |
| 中文关键词: 膝关节 骨性关节炎 屈肌群 肌力训练 中频电疗 |
| 英文关键词: knee joint osteoarthritis flexor group strength training medium frequency electrotherapy |
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| 中文摘要: |
| 目的：探讨针对膝关节屈肌群训练为主的综合康复治疗对膝骨性关节炎（KOA）的临床效果。方法：KOA患者97例，分为屈膝组33例、伸膝组33例和药物组31例。屈膝组、伸膝组均给予肌力训练、针刺、中频等综合康复治疗，屈膝组治疗以屈膝肌群部位为主，伸膝组治疗以伸膝肌群部位为主；药物组给予双氯酚钠缓释片口服及双氯酚酸二乙胺乳胶剂外用。结果：治疗1个疗程后，3组患者西部安大略湖与麦克马斯特骨性关节炎指数（WOMAC）中3项评分、体征检查及综合评价评分均较治疗前明显下降（P＜0.01），且屈膝组与伸膝组评分均更低于药物组（P＜0.01，0.05），屈膝组WOMAC中的疼痛、身体功能评分较伸膝组降低更显著（P＜0.05）。屈膝组、伸膝组总有效率均高于药物组（P＜0.05），复发率低于药物组（P＜0.05），屈膝组与伸膝组比较差异无统计学意义。结论：膝关节屈肌群在膝关节功能中有重要作用，在治疗时可给予一定程度重视，加强膝关节功能的整体性治疗。 |
| 英文摘要: |
| Objective: To investigate the clinical effectiveness of the knee flexor muscles training-based comprehensive rehabilitation treatment on knee osteoarthritis (KOA). Methods: All 97 patients with KOA were randomly divided into knee flexor group (n=33), knee extensor group (n=33), and drug group (n=31). Both knee flexor group and knee extensor group were subjected to the comprehensive rehabilitation treatments including strength training, acupuncture, and the medium frequency electrotherapy. Knee flexor group was treated mainly on knee flexor muscles, and knee extensor group on knee extensor muscles. The drug group was given oral administration diclofenac sodium sustained release tablets, and diclofenac diethylamine emulsion for external use. Results: After one course of treatment, the WOMAC evaluation, physical examination evaluation and comprehensive evaluation scores in three groups were significantly decreased as compared with before treatment (P<0.01), and those in knee flexor group and knee extension group were greater than those in drug group (P<0.01, or 0.05). Pain and physical function scores in knee flexor group was decreased more significantly than in knee extensor group (P<0.05). The total effective rate was higher (P<0.05), and the recurrent rate was lower in knee extensor group and knee flexor group than in drug group (P<0.05). There were no significant differences between the knee flexor group and knee extensor group. Conclusion: Knee flexors in knee joint function play an important role. We can give a certain degree of attention in the treatment, and strengthen the overall treatment of knee joint function. |
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