不同运动疗法对膝骨性关节炎的治疗作用  

The effect of different exercise therapy for knee osteoarthritis

作　　者：吴玉玲[1] 吴敏魁[1] 沈良册[1] 叶宏[1] 林建强[1] 

机构地区：[1]南京军区杭州疗养院全军创伤康复中心,浙江杭州310007

出　　处：《颈腰痛杂志》2013年第4期335-338,共4页The Journal of Cervicodynia and Lumbodynia

基　　金：南京军区医药卫生基金课题(11MA120)

摘　　要：目的探讨不同运动疗法对膝骨性关节炎的治疗效果。方法 100例膝骨性关节炎患者随机分为治疗组(n=50例)和对照组(n=50例),两组均采用超短波电疗、关节活动度训练、有氧运动、ADL指导;治疗组在此基础上加等速训练,对照组在此基础上加徒手等长、等张肌力训练。结果两组患者治疗4周后,视觉模拟评分、Lysholm膝关节评分、膝关节伸直位最大负荷量均比治疗前明显改善(P<0.01);治疗组的疗效明显优于对照组(P<0.01和P<0.05)。结论等速训练在膝关节骨性关节炎的康复中有明显的治疗作用。Objective To study the effect of different exercise therapy for knee osteoarthritis.Methods 100 patients with knee osteoarthritis were randomly divided into treatment group（n=50 cases） and control group（n=50 cases）.Both of the two groups were treated with ultrashort wave,joint activity training,aerobic exercise And ADL guidance.The treatment group was given isokinetic training on this basis.The control group was given quadriceps for isometric,isotonic strength training on this basis.Results After treatment for 4 weeks,the visual analogue score,Lysholm knee score,knee extension at maximum load of the two groups were significantly improved than those before treatmen（t P＆lt;0.01）.The effect of treatment group was obviously better than that of the control group（P＆lt;0.01 and P＆lt;0.05）.Conclusion Isokinetic training has obviously therapeutic effects on the knee rehabilitation of osteoarthritis.

关 键 词：超短波 等速训练 等长 等张训练 膝骨性关节炎 

分 类 号：R681.55[医药卫生—骨科学]