摘要
目的探讨超声波治疗联合等速肌力训练在老年膝骨关节炎患者中的应用效果。方法选取南方医科大学第三附属医院2021年3月—2023年3月收治的86例老年膝骨关节炎患者为研究对象,应用随机数字表法将其分为对照组与观察组,各43例。对照组采取超声波治疗,观察组采取超声波治疗联合等速肌力训练。对比两组肌肉力量、膝关节功能、疼痛程度和生活质量。结果治疗8周后,两组屈肌锋力矩、屈肌平均功率、伸肌峰力矩、伸肌平均功率均较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗8周后,两组膝关节评估评分均较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗8周后,两组疼痛视觉模拟评分均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗8周后,两组健康调查简表评分均较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论超声波治疗联合等速肌力训练可提升老年膝骨关节炎患者肌肉力量,提高膝关节功能,缓解疼痛程度,提升其生活质量。
Objective To explore the effect of ultrasound therapy combined with isokinetic muscle strength training in elderly patients with knee osteoarthritis.Methods 86 elderly patients with knee osteoarthritis admitted to the Third Affiliated Hospital of Southern Medical University from March 2021 to March 2023 were selected as the research objects.They were divided into a control group and an observation group by random number table method,with 43 cases in each group.The control group was treated with ultrasound,and the observation group was treated with ultrasound combined with isokinetic muscle strength training.Muscle strength,knee function,pain degree and quality of life were compared between the two groups.Results After 8 weeks of treatment,the peak torque of flexor muscle,average power of flexor muscle,peak torque of extensor muscle and average power of extensor muscle in the two groups were higher than those before treatment,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 8 weeks of treatment,the Hospital for Special Surgery scores of the two groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).After 8 weeks of treatment,the pain Visual Analogue Scale scores of the two groups were lower than those before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).After 8 weeks of treatment,the scores of Short Form 36-item Health Survey in the two groups were higher than those before treatment,and the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Ultrasound therapy combined with isokinetic muscle strength training can improve muscle strength,knee joint function,relieve pain and improve quality of life in elderly patients with knee osteoarthritis.
作者
郭敬文
黄桢
GUO Jingwen;HUANG Zhen(Department of Rehabilitation Medicine,Dongguan People's Hospital,Dongguan Guangdong,523000,China;Department of Rehabilitation Medicine,The Third Affiliated Hospital of Southern Medical University,Guangzhou Guangdong,510630,China)
出处
《反射疗法与康复医学》
2023年第19期54-57,共4页
Reflexology And Rehabilitation Medicine
关键词
膝骨关节炎
超声波
等速肌力训练
肌肉力量
疼痛程度
膝关节功能
生活质量
Knee osteoarthritis
Ultrasound
Isokinetic muscle strength training
Muscle strength
Degree of pain
Knee joint function
Quality of Life
