《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (12): 1158-1161.

• 论文 • 上一篇    下一篇

综合疗法对老年膝骨关节炎患者本体感觉的影响

李晓瑛，郭燕梅，陈蔚，焦伟国，瓮长水   

  1. 解放军总医院南楼临床部康复医学科，北京市 100853。
  • 收稿日期:2011-04-07 修回日期:2011-06-02 出版日期:2011-12-25 发布日期:2011-12-25
  • 通讯作者: 郭燕梅

Effect of Multidisciplinary Treatments on Proprioception in Knee Osteoarthritis

LI Xiao-ying, GUO Yan-mei, CHEN Wei, et al.   

  1. Department of Rehabilitation Medicine, South Building, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2011-04-07 Revised:2011-06-02 Published:2011-12-25 Online:2011-12-25

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摘要： 目的探讨超声波导入、推拿手法和肌力训练对膝骨关节炎(KOA)患者本体感觉的影响。方法30例老年KOA患者在给予健康教育指导的基础上，2周内对患膝进行10次双氯芬酸二乙胺乳胶剂经脉冲超声波导入、6次推拿手法治疗和每日1～2次的股四头肌肌力增强训练，并于治疗前后给予西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、下肢等长肌力测试和本体位置觉测试。结果受试者治疗前后的WOMAC得分、患膝的最大肌力与平均肌力、患膝关节的复位误差平均值之间均存在显著性差异(P<0.05)。结论超声波导入、推拿手法和肌力训练可明显促进KOA患者本体感觉的恢复。

关键词: 膝骨性关节炎, 治疗, 本体感觉

Abstract: Objective To explore if the treatments with the diclofenac diethylamine emulge import by pulsed ultrasound, massage therapy and quadriceps muscle strengthen training can promote the recovery of prorpioception in patients with knee osteoarthritis. Methods On the basis of health education, 30 elderly patients aged 60 or over with knee osteoarthritis were accepted treatments with 10 times of diclofenac diethylamine emulge import by pulsed ultrasound, 6 times of massage therapy in 2 weeks, and quadriceps muscle strengthen training once or twice a day. Results There were significant differences in the scores of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the maximum isometric extension strength of involved knees, the average isometric extension strength of involved knees and the reposition accuracy error mean of involved knees before and after the treatments (P<0.05). Conclusion The treatments with the diclofenac diethylamine emulge import by pulsed ultrasound, massage therapy and quadriceps muscle strengthen training can not only play a therapeutic effect and shorten the duration of treatment, but also promote the recovery of proprioception in subjects with knee osteoarthritis significantly.

Key words: knee osteoarthritis, treatments, proprioception