强化髋关节运动控制训练对膝关节损伤后步行功能恢复的影响  

Influence of intensive hip joint motion control training on recovery of walking function after knee joint injury

作　　者：刘娜 翟宏伟[1,2] 陈伟 王明宇[1] 姜效韦 孟晴[2] 毕迎立 葛书萍 秦存宇 LIU Na;ZHAI Hongwei;CHEN Wei(Department of Rehabilitation Medicine,Xuzhou Central Hospital,Xuzhou 221000,CHINA)

机构地区：[1]徐州市中心医院康复医学科,江苏221000 [2]徐州市康复医院脊髓损伤康复科

出　　处：《江苏医药》2022年第6期578-581,共4页Jiangsu Medical Journal

基　　金：徐州市推动科技创新项目(KC21228);江苏医药职业学院临床教学基地科研发展项目(20219128)。

摘　　要：目的观察强化髋关节运动控制训练对膝关节损伤后步行功能恢复的疗效。方法选取膝关节损伤患者128例,随机分为两组。对照组68例,采用常规综合康复治疗;观察组60例,在常规综合康复治疗基础上增加强化髋关节运动控制训练内容,共6周。治疗前后分别对两组患者进行平衡功能参数测定(运动长度、运动椭圆面积)、Berg平衡量表(BBS)评分及“起立-行走”计时测试评定。结果治疗前,两组运动长度、运动椭圆面积、BBS评分和“起立-行走”计时比较无统计学差异(P>0.05)。与治疗前比较,治疗后两组运动长度、运动椭圆面积及“起立-行走”计时均降低,而BBS评分升高(P<0.05)。治疗后,观察组运动长度、运动椭圆面积和“起立-行走”计时低于对照组,BBS评分高于对照组(P<0.05)。结论在常规膝关节损伤康复治疗的基础上辅以强化髋关节运动控制训练,可明显促进膝关节损伤后步行功能的恢复。Objective To observe the effect of intensive hip joint motion control training on the recovery of walking function after knee joint injury.Methods A total of 128 patients with knee joint injury were randomly divided into two groups of A(treated with conventional comprehensive rehabilitation therapy for 6 weeks,68 cases)and B(treated with intensive hip joint motion control training on the basis of conventional comprehensive rehabilitation therapy for 6 weeks,60 cases).The balance function parameters including motion length and motion elliptical area,Berg Balance Scale(BBS)score and"standing-walking"timing were measured of two groups before and after treatment.Results Before treatment,there were no significant differences in the motion length,motion elliptical area,BBS score,and"standing-walking"timing between the two groups(P>0.05).Compared with before treatment,the motion length,motion ellipse area and"standing-walking"timing of two groups were decreased,while the BBS score was increased after treatment(P<0.05).After treatment,the motion length,motion ellipse area and"standing-walking"timing were lower and the BBS score was higher in group B than those in group A(P<0.05).Conclusion On the basis of conventional comprehensive rehabilitation therapy,the intensive hip joint motion control training can significantly improve the recovery of walking function after knee joint injury.

关 键 词：髋关节运动控制训练 膝关节损伤 步行功能 

分 类 号：R684[医药卫生—骨科学]