文章摘要
郑广昊,李海晴,王颖鹏,李瑛琦,王丛笑.本体感觉训练治疗膝骨性关节炎的疗效观察[J].中国康复,2023,38(1):26-29
本体感觉训练治疗膝骨性关节炎的疗效观察
Effectiveness of proprioceptive training in the treatment of osteoarthritis of the knee
  
DOI:
中文关键词: 膝骨关节炎  本体感觉  功能  康复
英文关键词: Knee osteoarthritis  Proprioception  Function  Rehabilitation
基金项目:首都医科大学附属北京康复医院博士科研基金(2021-006)
作者单位
郑广昊 首都医科大学附属北京康复医院康复诊疗中心北京 100144 
李海晴 首都医科大学附属北京康复医院康复诊疗中心北京 100144 
王颖鹏 首都医科大学附属北京康复医院康复诊疗中心北京 100144 
李瑛琦 首都医科大学附属北京康复医院康复诊疗中心北京 100144 
王丛笑 首都医科大学附属北京康复医院康复诊疗中心北京 100144 
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中文摘要:
  目的:观察本体感觉训练对膝骨性关节炎(KOA)的临床疗效。方法:选取KOA患者102例,随机分为观察组与对照组,每组51例。2组患者均给予常规运动疗法及经皮神经肌肉电刺激治疗,观察组在此基础上进行本体感觉训练。于治疗前、治疗4周后,分别采用角度尺评定关节活动度(ROM);视觉模拟评分法(VAS)进行疼痛评分;BioDex平衡测试系统测量静态跌倒风险指数(SFI)、动态跌倒风险指数(DFI)及姿势稳定极限性(LOS);“起立-行走”计时测试(TUGT)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评价膝关节功能,并于出院3个月后进行满意度评分对远期疗效进行观察。结果:治疗4周后,2组膝关节的主动活动度(AROM)和被动活动度(PROM)、VAS、平衡功能各项评分、TUGT时间、WOMAC评分均显著优于训练前(均P<0.05),且观察组均优于对照组(P<0.05);患者出院3个月后满意度观察组为92.16%,明显高于对照组80.39%(P<0.01)。结论:在常规康复干预基础上联用本体感觉训练能进一步缓解KOA患者疼痛,改善膝关节功能、屈膝角度及平衡能力,提高患者生活质量。
英文摘要:
  Objective: To observe the clinical effectiveness of proprioception training for knee osteoarthritis (KOA). Methods: A total of 102 patients with KOA were randomly divided into observation group and control group, with 51 patients in each group. The patients in both groups were treated with routine exercise therapy and transcutaneous neuromuscular electrical stimulation. The observation group received proprioception training additionally. Before and 4 weeks after treatment, the joint range of motion (ROM) was evaluated with an angle ruler. Visual analogue scale (VAS) was used to evaluate the pain. BioDex balance test system was used to measure static fall index (SFI), dynamic fall index (DFI) and limit of stability (LOS). The function of the knee joint was evaluated by the time “up and go” test (TUGT) and the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC). The long-term effect was observed by the satisfaction score 3 months after discharge. Results: The scores of active range of motion (AROM), passive range of motion (PROM), VAS, balance function, TUGT and WOMAC of the knee joint in both groups were significantly better than those before training (P<0.05), and those in the observation group were better than in the control group after 4 weeks of treatment (P<0.05). The patients’ satisfaction in the observation group was 92.16%, which was significantly higher than that in the control group (80.39%) after three months (P<0.05). Conclusion: On the basis of routine rehabilitation intervention, proprioception training can further alleviate the pain of KOA patients, improve the knee joint function, knee flexion angle and balance ability, and improve the quality of life of patients.
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