易筋经康复训练联合干扰电疗法对膝骨关节炎患者的影响  

Therapeutic Effect of Yijinjing Rehabilitation Training Combined with Interference Current Therapy on Patients with Knee Osteoarthritis

作　　者：许明[1] 李亚 秦爽[1] 卢小叶 艾坤[1] 张泓[1] XU Ming;LI Ya;QIN Shuang;LU Xiaoye;AI Kun;ZHANG Hong(Acupuncture and Moxibustion and Rehabilitation College,Hunan University of Traditional Chinese Medicine,Changsha,Hunan 410208,China;Changsha Central Hospital,Changsha,Hunan 410004,China)

机构地区：[1]湖南中医药大学针灸推拿与康复学院,湖南长沙410208 [2]长沙市中心医院,湖南长沙410004

出　　处：《康复学报》2023年第6期535-541,共7页Rehabilitation Medicine

基　　金：湖南省体育局立项课题(2020XH013);湖南省残疾人康复科研资助项目(2019XK028);湖南中医药大学科研基金项目(2020XJJJ006)。

摘　　要：目的:观察易筋经康复训练联合干扰电疗法(ICT)对膝骨关节炎(KOA)患者运动功能及平衡功能的影响。方法:选取2022年4月—2023年1月长沙市中心医院康复医学科收治的KOA患者68例,采用随机数字表法分为对照组和观察组,每组34例。治疗过程中,共有4例中止或脱落,其中对照组2例、观察组2例,最终纳入64例,每组32例。2组均接受常规康复治疗,对照组在常规康复治疗基础上接受干扰电治疗,频率4000 Hz,差频频率90~100 Hz,以患者可耐受为度,1次/d,20 min/次,6次/周,连续治疗4周。观察组在对照组基础上接受易筋经康复训练,确保患者能完成50%及以上康复训练,以患者无痛或轻微疼痛为度,1次/d,20 min/次,6次/周,连续治疗4周。分别于治疗前后采用疼痛视觉模拟法(VAS)评分评价患者疼痛程度;采用通用量角器测量患者屈膝、伸膝时的主动关节活动度(AROM);采用“站立-行走”计时(TUGT)测试评价患者功能性步行能力;采用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分评价患者膝关节功能;采用Berg平衡量表(BBS)评分和平衡功能检测系统评价患者平衡功能(睁眼/闭眼状态下左右摆幅指数、重心轨迹长度、轨迹矩形面积、轨迹外周面积和单位面积轨迹长度)。结果:与治疗前比较,2组治疗后TUGT,WOMAC疼痛、僵硬、功能障碍评分和总分,睁眼/闭眼状态下左右摆幅指数、重心轨迹长度、轨迹矩形面积、轨迹外周面积均明显降低,VAS评分低分段(0~2分)占比、最大AROM、BBS评分和睁眼/闭眼状态下单位面积轨迹长度均明显升高,差异具有统计学意义(P<0.05)。与对照组比较,观察组治疗后TUGT,WOMAC疼痛、僵硬、功能障碍评分和总分,睁眼/闭眼状态下左右摆幅指数、重心轨迹长度、轨迹矩形面积、轨迹外周面积均明显更低,VAS评分低分段(0~2分)占比、最大AROM、BBS评分和睁眼/闭眼状态下单位面积轨迹长度均�Objective:To observe the effect of Yijinjing rehabilitation training combined with interference current therapy(ICT)on motor function and balance function of patients with knee osteoarthritis(KOA).Methods:A total of 68 patients with KOA in the Rehabilitation Medicine Department of Changsha Central Hospital from April 2022 to January 2023 were randomly divided into control group and observation group,with 34 cases in each group.During the intervention,two cases discontinued the trial or dropped out respectively in the control group and observation group,and a total of 64 cases were finally included,32 cases in each group.Both groups received routine rehabilitation treatment.The control group received ICT on treatment additionally,with the carrier frequency of 4000 Hz and the beat frequency of 90-100 Hz based on the tolerance of patients,once a day,20 minutes a time,six times a week,lasting for four weeks.The observation group received additional Yijinjing rehabilitation training on the basis of the control group to ensure that the patients could complete 50%or more rehabilitation training,without pain or with slight pain,once a day,20 minutes a time,six times a week,lasting for four weeks.Before and after treatment,visual analogue score(VAS)was used to evaluate the severity of pain;universal goniometer was used to measure the active range of motion(AROM);timed"up and go"test(TUGT)was used to evaluate the functional walking ability;Western Ontario and McMaster University Arthritis Index(WOMAC)score was used to evaluate knee function;and Berg balance scale(BBS)and balance function test system were used to evaluate balance function(left and right swing index,center of gravity track length,track rectangular area,track peripheral area,and track length per unit area with eyes open or closed).Results:Compared with that before treatment,TUGT,pain,stiffness and physical function scores and total score of WOMAC,left and right swing index,center of gravity track length,track rectangular area and track peripheral area with ey

关 键 词：膝骨关节炎 干扰电疗法 易筋经 康复训练 运动功能 平衡功能 

分 类 号：R684.3[医药卫生—骨科学]