本文已被:浏览 683次 下载 396次
Received:March 17, 2020 Published Online:December 20, 2020
Received:March 17, 2020 Published Online:December 20, 2020
中文摘要: 目的 探讨老年膝骨性关节炎(EKO)临床康复期间实施肌肉能量技术(MET)联合常规康复训练(RRT)的应用价值。方法 选取2019年1月至2019年12月骨伤科收治的60例EKO患者作为研究对象,按干预方法分成A组31例和B组29例,A组单纯予以常规治疗,B组常规治疗基础上增加实施MET联合RRT干预,膝关节功能分别采用骨关节炎指数(WOMAC)、视觉模拟量表(VAS)及膝关节评定量表(LKSS)评估,膝关节静态平衡能力采用平衡反馈训练仪评估,比较MET联合RRT干预的康复价值。结果 干预后,两组的WOMAC、VAS、LKSS评分均较干预前显著改善,B组WOMAC、VAS评分均低于A组,LKSS评分高于A组,差异有统计学意义(P<0.01)。干预前,A组、B组患侧的前后轴、左右轴、A2~A6轴、A4~A8轴及圆周轴的稳定指数均高于健侧(P<0.05);干预后,A组、B组患侧的上述不同轴的稳定指数均低于干预前,且B组低于A组(P<0.05)。结论 在EKO患者的康复期间针对性的实施MET联合RRT能有效的改善膝关节功能,可提升患者静态平衡能力。
Abstract:Objective To investigate the application value of muscle energy technology (MET) combined with routine rehabilitation training (RRT) in elderly patients with knee osteoarthritis (EKO). Methods A total of 60 EKO patients who received treatment in Orthopedics Department from January 2019 to December 2019 were selected as the research objects.According to the intervention methods, they were divided into group A (31 cases) and group B (29 cases).Group A was treated with routine therapy, while group B was treated with MET combined with RRT on the basis of routine therapy.The knee joint function was evaluated by the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC), visual analogue scale (VAS) and Lysholm Knee Score Scale (LKSS) respectively.The static balance ability of knee joint was evaluated by balance feedback training instrument.The rehabilitation value of met combined with RRT intervention was compared. Results After the intervention, WOMAC, VAS and LKSS scores of the two groups were significantly improved, WOMAC and VAS scores of group B were lower than those of group A, and LKSS score was higher than that of group A (P<0.01).Before intervention, the stability index of anterior and posterior axis, left and right axis, A2-A6 axis, A4-A8 axis and circumferential axis of the affected side in group A and group B were higher than those in the healthy side (P<0.05).After intervention, the stability index of the affected side of group A and group B was lower than that before intervention, and that of group B was lower than that of group A (P<0.05). Conclusion During the rehabilitation of EKO patients, targeted implementation of met combined with RRT could improve the knee joint function and enhance the static balance ability of patients effectively.
keywords: Muscle energy technology Routine rehabilitation training Senile knee osteoarthritis Knee joint function Knee joint static balance ability
文章编号: 中图分类号:R684.3 文献标志码:A
基金项目:福建省医疗“创双高”建设省级临床重点专科建设项目[(2018)145]
Author Name | Affiliation |
SU Chan-juan, CHEN Shu-rong, CHEN Xin, LIANG Jie | Department of Rehabilitation, Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou, Fujian 350007, China |
Author Name | Affiliation |
SU Chan-juan, CHEN Shu-rong, CHEN Xin, LIANG Jie | Department of Rehabilitation, Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou, Fujian 350007, China |
引用文本: