下肢肌肉链训练和股四头肌训练在膝关节骨性关节炎康复治疗中的临床价值  

Clinical Value of Lower Limb Muscle Chain Training and Quadriceps Muscle Training in Rehabilitation of Knee Osteoarthritis

作　　者：章夏蕾 邱兴平 李耀庭 ZHANG Xialei;QIU Xingping;LI Yaoting(Department of Rehabilitation,Nanping Second Hospital,Nanping,Fujian Province,354200 China;Department of Acupuncture,Nanping Second Hospital,Nanping,Fujian Province,354200 China)

机构地区：[1]南平市第二医院康复科,福建南平354200 [2]南平市第二医院针灸科,福建南平354200

出　　处：《中外医疗》2022年第36期46-50,共5页China & Foreign Medical Treatment

摘　　要：目的 分析下肢肌肉链训练和股四头肌训练在膝关节骨性关节炎康复治疗中的临床价值。方法 方便选取2019年4月—2021年4月南平市第二医院康复科收治的78例膝关节骨性关节炎患者为研究对象,以数表法随机分为参照组(39例)与研究组(39例),参照组给予股四头肌训练进行康复治疗,研究组给予下肢肌肉链训练进行康复治疗。对比两组患者治疗前、治疗1个月后、治疗2个月后的膝关节评分量表(Lysholm)评分、骨关节炎指数(WOMAC)评分、膝关节屈伸肌群等速测试峰力矩值(PT)、总做功(TW)。结果 治疗前,两组患者各项指标比较,差异无统计学意义(P>0.05)。治疗2个月后,研究组Lysholm评分为(61.63±4.33)分,高于参照组的(58.85±2.15)分,差异有统计意义(t=3.591,P<0.05);研究组WOMAC评分为(112.24±9.82)分,低于参照组的(124.15±5.59)分,差异有统计意义(t=6.582,P<0.05);研究组PT值、TW值高于参照组,差异有统计学意义(P<0.05)。结论 采用下肢肌肉链训练康复治疗显著改善膝关节骨性关节炎患者的病情,促进膝关节功能、膝关节屈伸肌群峰力矩、总做功恢复。Objective To analyze the clinical value of lower limb muscle chain training and quadriceps muscle training in rehabilitation of knee osteoarthritis.Methods 78 patients with knee osteoarthritis admitted to the Rehabilitation Department of Nanping Second Hospital from April 2019 to April 2021 were conveniently selected as the research objects,and were randomly divided into the control group(39 cases)and the study group(39 cases)according to the numerical table method.The control group received quadriceps muscle training for rehabilitation treatment,and the study group received lower limb muscle chain training for rehabilitation treatment.The knee joint score scale(Lysholm)score,osteoarthritis index(WOMAC)score,peak moment value(PT)and total work done(TW)of knee joint flexor extensor group were compared between the two groups before treatment,1 month after treatment and 2 months after treatment.Results Before treatment,there were no statistically significant differences in various indexes between the two groups(P>0.05).After 2 months of treatment,the Lysholm score of the study group was(61.63±4.33)points,which was higher than that in the reference group(58.85±2.15)points,and the difference was statistically significant(t=3.591,P<0.05);the WOMAC score of the study group was(112.24±9.82)points,which was lower than that of reference group(124.15±5.59)points,and the difference was statistically significant(t=6.582,P<0.05);the PT and TW values of the study group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The condition of knee osteoarthritis patients was significantly improved by lower limb muscle chain training,and the recovery of knee joint function,peak moment of knee flexor extensor muscle group and total work was promoted.

关 键 词：膝关节骨性关节炎 下肢肌肉链训练 康复治疗 股四头肌训练 

分 类 号：R246[医药卫生—针灸推拿学]