等长性肌肉收缩股四头肌功能练习治疗膝关节骨性关节炎  

The effects of quadriceps isometric contraction exercise on the treatment of knee osteoarthritis

作　　者：黄岚峰[1] 赵劲松[1] 张延哲[1] 杨腾[1] 殷增光[1] 唐成林[1] 

机构地区：[1]吉林大学白求恩第二医院骨科,长春130041

出　　处：《中华临床医师杂志（电子版）》2012年第17期5030-5033,共4页Chinese Journal of Clinicians(Electronic Edition)

基　　金：吉林省科技发展计划项目(200705242;20080738)

摘　　要：目的探讨采用等长性肌肉收缩股四头肌功能练习的方法治疗膝关节骨性关节炎的效果。方法 2007年1月至2011年1月门诊确诊为膝关节骨性关节炎(OA)患者250例,平均年龄67.8岁(45.0～75.0岁),男女比例为1∶4。X线分级:Ⅰ级28例,Ⅱ级66例,Ⅲ级90例,Ⅳ级66例。随机选入运动疗法治疗组(试验组)128例,传统治疗组(对照组)122例;试验组采用股四头肌等长性肌肉收缩功能练习方法,对照组采用局部理疗以及口服非甾体抗炎药(NSAIDs)。在治疗前,治疗后1、3个月分别进行视觉模拟评分(VAS)和WOMAC问卷调查评估膝关节功能。结果 WOMAC评分与VAS评分结果类似,结果均显示试验组1个月后关节功能明显好转(P<0.05),治疗3个月后与1个月时相比关节功能进一步改善(P<0.01),对照组在治疗后1个月时同样明显好转(P<0.05),但继续治疗2个月后无进一步改善(P>0.05)。治疗后3个月时试验组评分明显优于对照组,两组之间存在统计学差异(P<0.05)。结论系统进行等长性股四头肌功能练习可以有效地缓解关节疼痛,改善膝关节功能。Objective To explore the treatment effects of quadriceps isometric contraction exercise on osteoarthritis of the knee joint.Methods 250 cases were chose in this study who were the patients diagnosed as knee osteoarthritis(OA)in outpatient of our hospital from January 2007 to January 2011,with an average age of 67.8 years old(45.0-75.0),and the ratio of men/women was 1∶4;the X ray classification of level Ⅰ was 28,level Ⅱ was 66,level Ⅲ was 90,and level Ⅳ was 66 cases.The patients were chose randomly into the exercise treatment group(128 cases)as test group or traditional treatment group(122 cases)as control group.The isometric contraction exercise of quadriceps were used in the test group and the treatment of local physiotherapy and oral non-steroidal anti-inflammatory drugs(NSAIDs)were used in control group.The knee joint function was evaluated with Western Ontario and McMaster(WOMAC)Osteoarthritis Index and visual analog score(VAS)before treatment and 1,3 months after treatment.Results By the parallel results of WOMAC index and VAS score,1 month after treatment the joint function improved significantly in the test group(P<0.05),further improved at 3 months compare with 1 month after treatment(P<0.01),whereas the control group in 1 month after treatment though clearly got better(P<0.05),but no further improvement in the next 2 months(P>0.05).The function of knee joints of the test group was better than control group with significant difference at 3 months after treatment(P<0.01).Conclusions The knee joint pain can be relieved effectively and the function also can be improved by the systematic quadriceps isometric contraction exercise.

关 键 词：膝关节 骨关节炎 膝 等长收缩 功能练习 

分 类 号：R684[医药卫生—骨科学]