摘要
目的探讨膝屈伸肌群等速肌力训练改善膝骨性关节炎(KOA)患者步态的效果。方法采用前瞻性研究方法,为保证研究的安全性和科学性,选择2013年2月~2015年10月在我院诊治的KOA患者98例,根据入院顺序分为观察组与对照组各49例,两组都给予玻璃酸钠关节腔内注射和关节松动治疗,对照组给予积极康复训练,观察组给予膝屈伸肌群等速肌力训练,治疗观察时间都为4周。结果观察组与对照组的疗效优良率分别为93.9%和75.5%,观察组明显高于对照组(<0.05)。治疗后观察组与对照组的Lysholm膝关节功能评分分别为(86.33±11.31)分和(75.84±10.71)分,都明显高于治疗前的(56.24±12.55)分和(56.24±11.12)分,组内与组间对比差异都有统计学意义(<0.05)。观察组治疗后的屈肌PT与AOPT值分别为(21.87±3.67)N·m和(99.23±11.48)°,而对照组分别为(18.34±4.11)N·m和(89.02±10.45)°,都明显高于治疗前(<0.05),且组间对比差异有统计学意义(<0.05)。两组在治疗期间都无严重并发症,但观察组的恶心、呕吐、腹痛、腹胀等并发症发生率明显少于对照组(<0.05)。结论膝屈伸肌群等速肌力训练在KOA患者中的应用能显著缓解疼痛、增强膝关节功能,具有很好的安全性,从而促进步态改善,具有重要的推广价值。
Objective To investigate the effects of knee flexors extensors isokinetic exercise in improving the gait in knee osteoarthritis （KOA） patients. Methods Used the prospective study methods, in order to ensure the safety and scientific research. From Feb 2013 to Oct 2015, 98 cases of knee osteoarthritis patients in our hospital were selected and were equally divided into observation group and control group with 49 cases in each group accorded to the order of admission, two groups were given intra-articular injection of sodium hyaluronate and joints loosening treatments. The control group were given the aggressive rehabilitation training, the observation group were given the knee flexor extensor isokinetic training, Treatment times in the was observed for 4 weeks. Results The excellents rate of the observation group and the control group were 93.9% and 75.5% respectively, the observation group was significantly higher than that of the control group （P〈0.05）. After treatment, the Lysholm score of knee joint function in the observation group and the control group were （86.33±11.31） points and （75.84±10.71） points, were significantly higher than before treatment of （56.24±12.55） points and （56.24± 11.12） points, compared within group and between group differences were also statistical significance （P〈0.0）. The flexor PT and AOPT values in the observation group after treatment were （21.87±3.67） N · m and （99.23 ± 11.48） o, while the control group were （18.34±4.11） N · m and （89.02± 10.45） o that were significantly higher than before treatment （P〈0.05）, and compared the differences between the two groups were statistical significance （P〈0.05）. There were no serious complications in the two groups during the treatment, but the incidences of nausea, vomiting, abdominal pain and abdominal distension in the observation group were significantly less than that in the control group （P〈0.05）. Conclusion The knee flexors extensors isokinetic exercise in improving the gait in knee osteoarthritis patients can significantly relieve pain and enhance the function of knee joint, it has good safety, so as to promote improvement in gait that has important application values.
作者
吴春利
陈晓青
Wu Chunli Chen Xiaoqing.(Rehabilitation Medical Department, Miyun District Hospital Beijing, 101500, China)
出处
《生物骨科材料与临床研究》
CAS
2017年第1期39-42,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
等速肌力训练
膝屈伸肌群
膝骨性关节炎
步态
膝关节功能
Isokinetic exercise
Knee flexors extensors
Knee osteoarthritis
Gait
Knee joint function
