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等速肌力训练对膝关节骨性关节炎患者膝关节功能及疼痛程度的影响 被引量:1

Effect of Isometric Muscle Training on Knee Function and Pain Level in Patients with Knee Osteoarthritis
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摘要 目的分析等速肌力训练对膝关节骨性关节炎患者膝关节功能及疼痛程度的影响.方法选取本院2021年1月—2022年1月收治的100例膝关节骨性关节炎患者为研究对象,根据入院顺序分为两组.对照组(n=50)进行常规康复训练,观察组(n=50)在此基础上进行等速肌力训练.比较两组患者的膝关节功能、肢体疼痛程度及肢体运动功能.结果干预1、2个月后,观察组的Lysholm膝关节评分分别为(71.39±4.57)分、(82.57±3.34)分,均高于对照组的(69.35±5.27)分、(80.89±4.45)分,组间差异有统计学意义(P<0.05).干预1、2个月后,观察组的疼痛数字评价量表评分分别为(3.46±1.53)分、(2.33±1.23)分,均低于对照组的(4.18±1.72)分、(3.02±1.14)分,组间差异有统计学意义(P<0.05).干预1、2个月后,观察组的下肢Fugl-Meyer运动功能评定量表评分分别为(20.76±2.86)分、(27.81±1.47)分,均高于对照组的(19.20±2.75)分、(27.12±1.08)分,组间差异有统计学意义(P<0.05).结论膝关节骨性关节炎患者采用等速肌力训练的临床效果显著,能够显著改善膝关节功能,有效缓解肢体疼痛,促进其肢体运动功能恢复. Objective To analyze the effect of isokinetic muscle strength training on knee function and pain level in patients with knee osteoarthritis.Methods 100 patients with knee osteoarthritis admitted to our hospital from January 2021 to January 2022 were selected as the research objects and were divided into two groups according to the order of admission.The control group(n=50)received routine rehabilitation training,and the observation group(n=50)received isokinetic strength training on this basis.The knee function,limb pain degree and limb motor function were compared between the two groups.Results After 1 and 2 months of intervention,the Lysholm knee scores in the observation group were(71.39±4.57)points and(82.57±3.34)points,respectively,which were higher than(69.35±5.27)points and(80.89±4.45)points in the control group,and the differences between the groups were statistically significant(P<0.05).After 1 and 2 months of intervention,the pain numerical rating scale scores of the observation group were(3.46±1.53)points and(2.33±1.23)points,respectively,which were lower than(4.18±1.72)points and(3.02±1.14)points of the control group,and the differences between the groups were statistically significant(P<0.05).After 1 and 2 months of intervention,the Fugl-Meyer assessment scores of lower limb of the observation group were(20.76±2.86)points and(27.81±1.47)points,respectively,which were higher than(19.20±2.75)points and(27.12±1.08)points of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Isokinetic strength training has significant clinical effects in patients with knee osteoarthritis,which can significantly improve knee function,effectively relieve limb pain,and promote the recovery of limb motor function.
作者 李文萍 蔡静 LI Wenping;CAI Jing(Department of Rehabilitation,Zibo Hospital of Occupational Disease Prevention,Zibo Shandong,255000,China)
出处 《反射疗法与康复医学》 2023年第7期64-66,71,共4页 Reflexology And Rehabilitation Medicine
关键词 膝关节骨性关节炎 等速肌力训练 膝关节功能 疼痛 运动功能 Keen osteoarthritis Isometric muscle training Knee function Pain Motor function
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