超声波疗法在创伤后膝关节僵硬康复治疗中的应用  

Application of ultrasonic therapy to rehabilitation of posttraumatic knee joint stiffness

作　　者：李克军[1] 蒋拥军[1] 白梦迪 何梦凡 袁海花[1] LI Kejun;JIANG Yongjun;BAI Mengdi;HE Mengfan;YUAN Haihua(Shenzhen Pingle Orthopedic Hospital,Shenzhen 518010,Guangdong,China)

机构地区：[1]深圳平乐骨伤科医院,广东深圳518010

出　　处：《中医正骨》2019年第2期14-16,21,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察超声波疗法在创伤后膝关节僵硬康复治疗中的应用价值。方法:将符合要求的80例创伤后膝关节僵硬患者随机分为2组,每组40例。常规组按顺序进行低频脉冲电治疗、蜡疗、平乐正骨治筋手法治疗、牵引治疗及弹力带抗阻训练,超声波组在常规治疗基础上进行超声波治疗,每日1次,共治疗8周。分别于治疗前及治疗结束后,测量患膝屈曲活动度,采用美国特种外科医院(Hospital for Special Surgery,HSS)膝关节功能评分标准评定膝关节功能。结果:治疗前,2组患者患膝屈曲活动度及HSS膝关节功能评分比较,组间差异均无统计学意义(t=0. 575,P=0. 568; t=0. 881,P=0. 384);治疗结束后,2组患者患膝屈曲活动度均较治疗前增加(113. 40°±8. 35°,58. 60°±15. 09°,t=18. 752,P=0. 000; 95. 40°±9. 92°,60. 43°±13. 94°,t=12. 258,P=0. 000),HSS膝关节功能评分均较治疗前增高[(76. 60±4. 14)分,(35. 53±3. 28)分,t=57. 838,P=0. 000;(55. 08±7. 24)分,(34. 83±3. 32)分,t=17. 267,P=0. 000],超声波组患者的患膝屈曲活动度大于常规组(t=8. 688,P=0. 000)、HSS膝关节功能评分高于常规组(t=15. 091,P=0. 000)。结论:对于创伤后膝关节僵硬患者,在常规康复治疗的基础上进行超声波治疗,可以有效改善膝关节活动度,提高膝关节功能。Objective:To explore the applied values of ultrasonic therapy in the rehabilitation of posttraumatic knee joint stiffness.Methods:Eighty patients with posttraumatic knee joint stiffness were enrolled in the study and were randomly divided into conventional therapy group and ultrasonic therapy group,40 cases in each group.All patients in the 2 groups were treated with the conventional therapies including low-frequency pulse electrotherapy,wax therapy,Pingle Zhenggu(平乐正骨)therapeutic manipulation for infured soft tissure,traction therapy and elastic band resistance training in sequence,moreover,the patients in ultrasonic therapy group were treated with ultrasonic wave once a day for 8 weeks.The knee flexion-extension range was measured and the knee functions were evaluated by using Hospital for Special Surgery(HSS)knee function scoring standard before the treatment and after the end of the treatment respectively.Results:There was no statistical difference in knee flexion-extension range and HSS knee function scores between the 2 groups before the treatment(t=0.575,P=0.568;t=0.881,P=0.384).The knee flexion-extension range and HSS knee function scores increased in both of the 2 groups after the end of the treatment compared to pretreatment(113.40+/-8.35 vs 58.60+/-15.09 degrees,t=18.752,P=0.000;95.40+/-9.92 vs 60.43+/-13.94 degrees,t=12.258,P=0.000;76.60+/-4.14 vs 35.53+/-3.28 points,t=57.838,P=0.000;55.08+/-7.24 vs 34.83+/-3.32 points,t=17.267,P=0.000),and the knee flexion-extension range was greater and the HSS knee function scores were higher in ultrasonic therapy group compared to conventional therapy group(t=8.688,P=0.000;t=15.091,P=0.000).Conclusion:For patients with posttraumatic knee joint stiffness,the combination therapy of ultrasonic wave and conventional rehabilitation can effectively improve the range of motion and the function of knee.

关 键 词：膝关节 关节僵硬 创伤和损伤 超声疗法 康复 

分 类 号：R684[医药卫生—骨科学] R493[医药卫生—外科学]