《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (11): 1064-1068.

• 论文 • 上一篇    下一篇

膝骨关节炎患者下肢动静态位置觉与功能状况和平衡的相关性分析

郭燕梅，瓮长水，陈蔚，焦伟国
   

  1. 解放军总医院南楼康复医学科，北京市100853。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-11-25 发布日期:2013-11-25

Correlation among Static or Dynamic Position Sense, Function of Lower Extremity and Balance in Patients with Knee Osteoarthritis

GUO Yan-mei, WENG Chang-shui, CHEN Wei, et al.
  

  1. Department of Rehabilitation Medicine of Nan Lou, The Chinese PLA General Hospital, Beijing 100853, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-11-25 Online:2013-11-25

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摘要： 目的了解膝骨关节炎患者下肢动静态位置觉与下肢功能水平和动静态平衡之间的关系。方法对32 例膝骨关节炎患者完成Lequesne 患者指数评分、下肢动静态位置觉测试和动静态跌倒风险测试。进行Pearson 相关性分析。结果患者双下肢中高频段姿势摆动系数和与Lequesne 患者指数总分(r=0.36, P<0.05)、静态平衡跌倒风险指数(r=0.85, P<0.001)正相关，与动态平衡跌倒风险指数无显著相关(r=0.30, P>0.05)；健侧或较轻侧和患侧或较重患侧复位误差平均值与Lequesne 患者指数总分(r=0.33~0.39,P<0.05)、动态平衡跌倒风险指数(r=0.65~0.70, P<0.05)、静态平衡跌倒风险指数(r=0.38~0.45, P<0.05)正相关。结论膝骨关节炎患者下肢功能水平的下降会对维持机体平衡的本体感觉传入能力产生不良影响，从而导致其平衡能力的下降。

关键词: 膝关节骨关节炎, 本体感觉, 平衡

Abstract: Objective To study the relationship among static and dynamic position sense of lower extremity, physical function, and static and dynamic balance in patients with knee osteoarthritis. Methods 32 patients with knee osteoarthritis were tested with Lequesne Index, static and dynamic position sense of lower extremity, and fall risk of static and dynamic balance, and analyzed with Pearson correlation coefficient. Results The medium-to-high-frequency in postural sway correlated with Lequesne Index (r=0.36, P<0.05) and fall risk index of static balance (r=0.85, P<0.001), but not with the fall risk index of dynamic balance (r=0.30, P>0.05). The reposition accuracy error of the unaffected/ mild-affected lower extremity and affected/severe-affected lower extremity correlated with Lequesne Index (r=0.33~0.39, P<0.05), the fall risk index of static (r=0.38~0.45, P<0.05) and dynamic balance (r=0.65~0.70, P<0.05). Conclusion Lower extremity dysfunction post knee osteoarthritis would result in poor proprioception that maintains balance.

Key words: knee osteoarthritis, proprioception, balance