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体外冲击波治疗对膝关节骨性关节炎三维步态时空参数的影响 被引量:5

Effects of Extracorporeal Shock Wave Treatment on Three-Dimensional Spatiotemporal Gait Parameters in Patients with Knee Osteoarthritis
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摘要 目的观察体外冲击波治疗对膝关节骨性关节炎三维步态时空的影响。方法将61例膝关节骨性关节炎患者随机分为常规治疗组(A组,n=30)和体外冲击波治疗组(B组,n=31),分别采用常规方法治疗和体外冲击波治疗,比较2组治疗前后三维步态时空参数、Lysholm膝关节评分和疼痛视觉模拟评分(VAS)。结果 2组患者治疗后的三维步态时空参数的支撑相、步频、步速,Lysholm膝关节评分和VAS评分与治疗前相比,均有不同程度改善(P<0.05或P<0.01)。治疗后B组的步态周期和步幅与治疗前比较差异具有统计学意义(P<0.05);与治疗后的A组比较,治疗后B组三维步态时空参数中的支撑相、步态周期、步频、步幅、步速,Lysholm膝关节评分和VAS评分,均有不同程度改善(P<0.05或P<0.01)。结论体外冲击波治疗膝关节骨性关节炎疗效确切。 Objective To observe the effects of extracorporeal shock wave treatment on threedimensional spatiotemporal gait parameters in patients with knee osteoarthritis.Methods Sixtyone patients with knee osteoarthritis were randomly assigned to receive either conventional therapy(group A,n=30)or extracorporeal shock wave treatment(group B,n=31).Three-dimensional spatiotemporal gait parameters,Lysholm knee rating score and visual analogue scale(VAS)score were measured before and after the treatment.Results The support phase,cadence,walking velocity,Lysholm knee rating score and VAS score were significantly improved after treatment in both groups(P〈0.05 or P〈0.01).Furthermore,the gait cycle and stride length were obviously improved after extracorporeal shock wave treatment(P〈0.05).Compared with group A,the support phase,gait cycle,cadence,stride length,walking velocity,Lysholm knee rating score and VAS score were significantly improved in group B after treatment(P〈0.05 or P〈0.01).Conclusion Extracorporeal shock wave treatment is effective for knee osteoarthritis.
出处 《实用临床医学(江西)》 CAS 2016年第2期4-7,共4页 Practical Clinical Medicine
基金 贵州省中医药管理局科研课题(QZYY2013-13)
关键词 体外冲击波治疗 膝关节骨性关节炎 三维步态时空 Lysholm膝关节评分 VAS评分 extracorporeal shock wave knee osteoarthritis three-dimensional spatiotemporal gait Lysholm knee rating score VAS score
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