理筋手法结合功能训练治疗膝骨关节炎的步态特征研究  

The character of gait in patients with knee osteoarthritis after traditional Chinese manipulation combined with functional training therapy

作　　者：姜淑云[1] 褚立希[2] 查建林[2] 朱高峰[1] 张宏[1] 杨松滨[2] 殷磊[2] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,200437 [2]上海中医药大学康复医学院

出　　处：《中国康复医学杂志》2011年第11期1056-1059,共4页Chinese Journal of Rehabilitation Medicine

基　　金：上海市卫生局课题(2008L043A,2008L057A);上海高校选拔培养优秀青年教师科研专项基金(szy07011)

摘　　要：目的:对膝骨关节炎患者下肢步行能力进行步态分析评定,探讨理筋手法及功能训练的康复效果。方法:应用三维红外步态分析设备,分析了81例(男36例,女45例)膝骨关节炎患者在理筋手法和功能训练干预前后平衡能力和步行效率的变化情况。结果:理筋手法+功能训练组患者的步长、步速、双支撑相等指标疗后明显改善,与单纯理筋手法组的差异有显著性意义。理筋手法+功能训练组与理筋组患者相比增加了肌肉的功能,在步长指标上得到明显改善。结论:被动与主动相结合的康复手段可以明显改善膝骨关节炎患者的下肢运动功能和膝关节的稳定性,进一步改善膝骨关节炎患者的步行能力,提高了患者的生存质量。Objective： To assess the character of gait of patients with knee osteoarthritis, and the effect of traditional Chinese manipulation and functional training therapy. Method： Eighty-one patients （36 males and 45 females） with knee osteoarthritis, were treated with traditional Chinese manipulation and functional training therapy. A three dimensional infrared gait analysis equipment was used to assess the gait parameters before and after treatment. Result： After treatment manipulation＋functional training group improved in step length,speed,double support phase, significantly, compared with manipulation group. Compared with patients in manipulation group in manipulation＋ functional training group patients＇ muscle function enhanced, step length improved significantly. Conclusion： A combination of passive and active means of rehabilitation for patients with knee osteoarthritis could improve lower extremity motor function and knee stability significantly, and improve walking ability, and patient＇s quality of life.

关 键 词：理筋手法 功能训练 膝骨关节炎 步态 

分 类 号：R684.3[医药卫生—骨科学] R493[医药卫生—外科学]