本体感觉训练治疗膝关节骨性关节炎的疗效及对患者步态特征和平衡能力的影响  

Effect of proprioception training on the treatment of knee osteoarthritis and its effect on gait characteristics and balance ability of patients

作　　者：彭文洁 罗肖[1] 张东[1] 陈英豪 陈敬忠[1] PENG Wen-jie;LUO Xiao;ZHANG Dong(Department of Orthopedics,The Second People's Hospital of Neijiang,Neijiang Sichuan 641000,China)

机构地区：[1]内江市第二人民医院骨科,四川内江641000 [2]北京德尔康尼骨科医院康复科,北京100143

出　　处：《临床和实验医学杂志》2020年第1期102-105,共4页Journal of Clinical and Experimental Medicine

基　　金：四川省卫生厅课题(编号:150077)

摘　　要：目的探讨本体感觉训练治疗膝关节骨性关节炎的临床疗效及其对患者步态特征、平衡能力的影响。方法采用前瞻性研究方法,选取2017年7月至2019年6月内江市第二人民医院收治的80例膝关节骨性关节炎患者作为研究对象,采用随机平行分组法将患者分为观察组与对照组,每组各40例。对照组患者给予消炎、镇痛等常规保守治疗方案,观察组患者在对照组的基础上加用本体感觉训练,每日1次,每次练习25 min,每周训练6 d。两组患者的疗程均为4周。比较两组患者的步态特征、平衡能力指标以及临床疗效。结果治疗前,两组患者各项膝关节平衡指数比较,差异无统计学意义(P>0.05);治疗后,对照组各项指标与治疗前比较无明显改善(P>0.05),观察组各项指标与治疗前、同期对照组比较,差异均具有统计学意义(P<0.05)。治疗前,两组患者各项步态参数比较(49.68±4.55 cm vs.48.26±3.65 cm、86.12±8.26 cm/s vs.85.57±9.12 cm/s、11.36%±4.62%vs.11.45%±5.14%、12.46±5.21 cm vs.12.62±4.65 cm),差异无统计学意义(P>0.05);治疗后,两组患者步长(57.28±5.12 cm vs.54.31±4.48 cm)、步速(105.31±10.24 cm/s vs.104.28±9.28 cm/s)及双支撑相(8.24%±3.59%vs.8.37%±3.62%)均较治疗前明显改善,且观察组步长改善程度明显优于对照组,差异均具有统计学意义(P<0.05)。观察组愈显率为40.0%,对照组愈显率为27.5%,组间比较,观察组明显高于对照组,差异具有统计学意义(P<0.05)。结论本体感觉训练可有效提高膝关节骨性关节炎的临床疗效、改善患者步态和平衡能力,值得临床推广应用。Objective To explore the clinical efficacy of proprioceptive training in the treatment of knee osteoarthritis and its impact on gait characteristics and balance ability.Methods A prospective study was conducted to select 80 patients with knee osteoarthritis admitted to The Second People’s Hospital of Neijiang from July 2017 to June 2019.The patients were divided into observation group and control group by random parallel grouping method,and 40 patients in each group.Patients in the control group were given conventional conservative treatments such as anti-inflammatory and analgesic.The patients in the observation group were given proprioceptive training on the basis of the control group,once a day,25 minutes each time,and 6 days per week.The course of treatment for both groups was 4 weeks.The gait characteristics,balance ability index and clinical efficacy of the two groups were compared.Results Before treatment,there was no significant difference in knee joint balance index between the two groups(P>0.05).After treatment,the indexes of the control group were not significantly improved compared with those before treatment(P>0.05).The differences of indicators in control group between before and after the treatment were statistically significant(P<0.05).Before treatment,the gait parameters of the two groups were compared(49.68±4.55 cm vs.48.26±3.65 cm,86.12±8.26 cm/s vs.85.57±9.12 cm/s,11.36%±4.62%vs.11.45%±5.14%,12.46±5.21 cm vs.12.62±4.65 cm).The difference was not statistically significant(P>0.05).After treatment,the patient’s step size(57.28±5.12 cm vs.54.31±4.48 cm),pace(105.31±10.24 cm/s vs.104.28±9.28 cm/s)and double support phase(8.24%±3.59%vs 8.37%±3.62%)were significantly improved compared with the treatment,and the improvement of the step size of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).The cure rate was 40.0%in the observation group and 27.5%in the control group.Compared with the control group

关 键 词：膝关节骨性关节炎 本体感觉训练 步态特征 平衡能力 

分 类 号：R684.3[医药卫生—骨科学]