髋关节外展肌联合股四头肌功能锻炼在早期膝关节骨性关节炎治疗中应用效果观察  

Application effects of hip abductor muscle exercise combined with quadriceps muscle exercise in treatment of early knee osteoarthritis

作　　者：何兵[1] 张永辉[1] 石建伟[1] 左慧芳 王齐超[1] HE Bing;ZHANG Yong-hui;SHI Jian-wei;ZUO Hui-fang;WANG Qi-chao(Department of Orthopedics,Luohe Central Hospital,Luohe,Henan 462003,China)

机构地区：[1]漯河市中心医院骨科,河南462003

出　　处：《中国骨与关节损伤杂志》2022年第12期1253-1256,共4页Chinese Journal of Bone and Joint Injury

摘　　要：目的观察髋关节外展肌功能锻炼联合股四头肌功能锻炼在早期膝关节骨性关节炎治疗中应用的效果。方法纳入2020-09—2021-07诊治的100例早期膝关节骨性关节炎,患者同意参加研究后采用不透明的密闭信封随机分为试验组与对照组,试验组进行髋关节外展肌联合股四头肌功能锻炼,对照组进行股四头肌功能锻炼。比较两组治疗2周、4周、6周、8周、10周、12周后的膝关节KOOS评分。结果最终71例完成研究,试验组38例,对照组33例。在疼痛评分与症状评分方面,治疗后2周、4周试验组与对照组差异无统计学意义(P>0.05);试验组治疗后6周、8周、10周、12周时均优于对照组,差异有统计学意义(P<0.05)。在日常生活能力评分方面,治疗后2周、4周、6周、8周、10周试验组与对照组差异无统计学意义(P>0.05);试验组治疗后12周优于对照组,差异有统计学意义(P<0.05)。在运动娱乐能力评分与膝关节相关生活质量评分方面,治疗后2周、4周、6周、10周、12周试验组与对照组差异无统计学意义(P>0.05);而试验组治疗后8周优于对照组,差异有统计学意义(P<0.05)。结论髋关节外展肌联合股四头肌功能锻炼对早期膝关节骨性关节炎患者的疼痛症状具有明显的改善作用,在一定程度上改善了患者日常生活能力以及生活质量,可以作为早期膝关节骨性关节炎运动疗法的重要组成部分。Objective To observe the effect of hip abductor muscle exercise combined with quadriceps muscle exercise in the treatment of early knee osteoarthritis.Methods A total of 100 patients with early knee osteoarthritis were included from September 2020 to July 2021.After agreeing to participate in the study,the patients were randomly divided into the experimental group and the control group using an opaque closed envelope.The experimental group received hip abductor combined with quadriceps femoris functional exercise,while the control group received quadriceps femoris functional exercise.Knee KOOS were compared between the two groups after 2,4,6,8,10 and 12 weeks of treatment.Results Seventy-one cases completed the study,38 cases in the experimental group and 33 cases in the control group.In the pain score and symptom score,there was no significant difference between the experimental group and the control group at 2 and 4 weeks after treatment(P>0.05).The experimental group was better than the control group at 6,8,10 and 12 weeks after treatment,and the difference was statistically significant(P<0.05).In the ability of daily living score,there was no significant difference between the experimental group and the control group at 2,4,6,8 and 10 weeks after treatment(P>0.05).The experimental group was better than the control group 12 weeks after treatment,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of exercise and recreation ability and knee related quality of life between the experimental group and the control group at 2,4,6,10 and 12 weeks after treatment(P>0.05).The experimental group was better than the control group 8 weeks after treatment,and the difference was statistically significant(P<0.05).Conclusion Hip abductor combined with quadriceps femoris functional exercise can significantly improve the pain symptoms of patients with early knee osteoarthritis,improve the ability of daily living and quality of life of patients to a certain extent,and can be

关 键 词：早期膝关节骨性关节炎 运动疗法 髋关节外展肌功能锻炼 膝关节KOOS评分 意向性分析 

分 类 号：R684.3[医药卫生—骨科学]