膝骨关节炎患者应用等速肌力训练结合关节松动手法的临床疗效分析  

An analysis of treating knee osteoarthritis by isokinetic muscle strength training with joint loosening manual reduction

作　　者：陈丹[1] Chen Dan

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350001

出　　处：《中医临床研究》2020年第29期83-85,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:对老年膝骨关节炎患者在不同的治疗时期采用等速肌力训练联合关节松动法,观察其疼痛和患膝活动功能。方法:将老年膝骨性关节炎患者分成两组,观察组和对照组各40例。观察组以等速肌力训练结合手法综合治疗,对照组仅以关节松动法治疗。评价在治疗4周后和8周后患膝关节生活活动能力。结果:观察组治疗4周后和8周后,观察组患者临床治疗效果与对照组比较,差异有统计学意义(P<0.05)。对照组在治疗4周后与治疗前的差异无统计学意义(P>0.05)。但对照组治疗8周后,与治疗4周后、治疗前的差异有统计学意义(P<005)。结论:在不同阶段持续给予等速肌力训练结合关节松动法,对缓解膝骨性关节炎(Knee Osteoarthritis,KOA)患者患膝疼痛感、提高肌力和关节活动度、改善生活质量(生理和心理)等有良好的疗效。Objective:To research the effects of isokinetic muscle strength training with joint loosening manual reduction on knee osteoarthritis in different treatment periods,and observe the influence on pain symptom and affected knee function.Methods:All elderly patients with knee osteoarthritis were divided into the observation group and control group,40 cases in each.The observation group was treated by isokinetic muscle strength training plus joint loosening manual reduction,while the control group was treated by joint loosening manual reduction only.Result:After 4 weeks and 8 weeks of treatment,clinical effects in the groups showed statistically significant difference(P<0.05).There was statistical difference in clinical effects after 8 weeks in the control group compared with 4 weeks of treatment and before treatment(P<0.05).Conclusion:Treating knee osteoarthritis by isokinetic muscle strength training with joint loosening joint loosening manual reduction in different stages,can relieve knee pain,improve muscle strength and joint range of motion,and improve life quality.

关 键 词：疼痛 功能障碍 膝骨关节炎 关节松动法 等速肌力训练 

分 类 号：R274.29[医药卫生—中医骨伤科学]