等速肌力训练结合手法治疗膝骨性关节炎的疗效  

Effect of isokinetic muscle strength training combined with massage in patients with knee osteoarthritis

作　　者：侯立皓[1] 葛伟[1] 张桂林[1] 

机构地区：[1]江苏省老年医院康复医学科,江苏省南京市210024

出　　处：《实用老年医学》2015年第11期917-918,922,共3页Practical Geriatrics

摘　　要：目的研究手法治疗结合等速肌力训练对膝骨性关节炎患者的疗效。方法 65例膝骨性关节炎患者随机分为2组,观察组34例进行手法治疗结合等速肌力训练;对照组31例进行手法治疗结合普通肌力训练。10次为1个疗程,观察并比较2组治疗效果。结果治疗后,观察组显效24例,有效8例,无效2例,总有效率为94.12%;对照组显效14例,有效9例,无效8例,总有效率为74.19%,2组疗效比较,差异有统计学意义(P<0.05)。治疗后2组患者肌力均有增加,且关节功能改善,但观察组优于对照组,2组比较,差异有统计学意义(P<0.05)。结论手法治疗结合等速肌力训练可以显著增加膝骨性关节炎患者的肌力,并改善膝关节功能。Objective To study the effect of isokinetic muscle strength training combined with massage in patients with knee osteoarthritis（ OA）. Methods Sixty-five patients were randomly divided into two groups,the observation group（ n = 34） receiving isokinetic muscle strength training combined with massage,and the control group（ n = 31）receiving massage therapy combined with routine muscle strength training. The effect of the two groups was observed.Results After therapy,the curative effect of the observation group was evident in 24 patients,effective in 8 patients,noneffective in 2 patients. Total effective rate was 94. 12%; While the curative effect of the control group was evident in 14 patients,effective in 9 patients,non-effective in 8 patients. Total effective rate was 74. 19%. There was significamtly difference between the two groups in curative effect（ P〈0. 05）. The muscle strength in two groups increased,but the muscle strength and function improvement of knee OA in observation group increased more significantly than those in control group（ P〈0. 05）. Conclusions Isokinetic muscle strength training combined with massage can significantly improve the muscle strength and knee function in the patients with OA.

关 键 词：手法 等速 肌力训练 骨性关节炎 

分 类 号：R684.3[医药卫生—骨科学]