摘要
目的探讨强化股四头肌早期康复训练对肥胖半月板损伤患者姿态稳定性及下肢功能的影响。方法选取2022年1月—2023年10月收治于聊城市中医医院颈肩腰腿痛科肥胖半月板损伤患者38例,以双盲抽签法随机分为对照组与研究组,各19例。对照组实施常规康复护理,研究组在对照组基础上实施强化股四头肌早期康复训练。2组护理干预时间均为2个月。观察2组姿态稳定性、下肢功能、膝关节活动度测试结果、股四头肌萎缩程度。结果干预2个月后,研究组平均轨迹误差为(21.64±3.35)%、平均负重力量差(0.82±0.20)kg,小于对照组的(24.35±3.25)%、(1.02±0.26)kg,差异有统计学意义(P<0.05)。干预2个月后,研究组HSS评分(90.58±5.27)分、IKDC评分(89.65±5.33)分高于对照组(79.80±5.90)分、(76.24±5.38)分,差异有统计学意义(P<0.05)。干预2个月后,研究组膝关节活动度为(139.25±6.90)°,大于对照组(131.25±6.19)°,差异有统计学意义(P<0.05)。干预2个月后,研究组股四头肌萎缩程度为(0.75±0.28)%,小于对照组(1.20±0.30)%,差异有统计学意义(P<0.05)。结论强化股四头肌早期康复训练对肥胖半月板损伤患者姿态稳定性、下肢功能、膝关节活动度、股四头肌萎缩程度均有良好的改善效果,值得临床进一步研究。
Objective To explore the effect of early rehabilitation training of quadriceps femoris on posture stability and lower limb function in obese patients with meniscus injury.Methods A total of 38 obese patients with meniscus injury who were admitted to the department of neck,shoulder,lumbar and leg pain,Liaocheng Traditional Chinese Medicine Hospital from January 2022 to October 2023 were selected and randomly divided into a control group and a study group by double-blind lottery,with 19 cases in each group.The control group received routine rehabilitation nursing,while the study group received early rehabilitation training of quadriceps femoris on the basis of the control group.The nursing intervention time of the two groups was 2 months.The results of posture stability test,lower limb function assessment,knee joint range of motion test,and quadriceps atrophy test were observed in the two groups.Results After 2 months of intervention,the mean trajectory error(21.64±3.35)%,and the mean load-bearing force difference(0.82±0.20)kg in the study group were lower than those in the control group(24.35±3.25)%,(1.02±0.26)kg,the differences were statistically significant(P<0.05).After 2 months of intervention,the HSS score(90.58±5.27)and IKDC score(89.65±5.33)in the study group were higher than those in the control group(79.80±5.90)and(76.24±5.38),the differences were statistically significant(P<0.05).After 2 months of intervention,the knee range of motion(139.25±6.90)°in the study group was higher than that in the control group(131.25±6.19)°,the differences were statistically significant(P<0.05).After 2 months of intervention,the degree of quadriceps atrophy in the study group(0.75±0.28)%was lower than that in the control group(1.20±0.30)%,and the difference was statistically significant(P<0.05).Conclusion Strengthening early rehabilitation training of quadriceps has a good effect on improving posture stability,lower limb function,knee joint range of motion,and quadriceps atrophy in obese patients with meniscus
作者
王翠娟
么传为
WANG Cuijuan;YAO Chuanwei(Department of Neck,Shoulder,Lumbar and Leg Pain,Liaocheng Traditional Chinese Medicine Hospital,Liaocheng Shandong 252000,China)
出处
《中国卫生标准管理》
2024年第15期195-198,共4页
China Health Standard Management
基金
山东省中医药科技项目(M-2023086)。
关键词
肥胖
半月板损伤
股四头肌
早期康复训练
姿态稳定性
下肢功能
obesity
meniscus injury
quadriceps
early rehabilitation training
postural stability
lower limb function
