认知运动疗法位置觉训练对膝骨性关节炎术后患者本体感觉的临床疗效观察  

Clinical observation of the effect of position sense training of cognitive therapeutic exercise on proprioception in patients with knee osteoarthritis after operation

作　　者：樊志娇 靳岚琦 朱健豪 王艺伟 郄淑燕 马玉宝 Fan Zhijiao;Jin Lanqi;Zhu Jianhao;Wang Yiwei;Qie Shuyan;Ma Yu-bao(Department of Rehabilitation Treatment Center,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China)

机构地区：[1]首都医科大学附属北京康复医院康复诊疗中心,100144 [2]沈阳体育学院研究生工作部 [3]首都医科大学附属北京康复医院肌骨康复中心

出　　处：《北京医学》2023年第12期1053-1057,共5页Beijing Medical Journal

基　　金：首都卫生发展科研专项(2020-2-2251);首都医科大学附属北京康复医院科技发展专项-博士科研基金专项(2020-066)。

摘　　要：目的 探讨认知运动疗法(cognitive therapeutic exercise, CTE)位置觉训练在膝骨性关节炎(knee osteoarthritis, KOA)术后本体感觉恢复中的治疗效果。方法 选取2019年3月至2022年9月首都医科大学附属北京康复医院康复诊疗中心KOA术后患者43例,随机分为CTE组(21例)和NCTE组(22例)。NCTE组给予传统的康复治疗,CTE组给予传统的康复治疗+CTE,为期4周,分析两组康复治疗前、治疗2周与治疗4周时实际运动角度与目标角度的绝对差值。结果 43例患者中男14例,女29例,年龄60~75岁,平均(67.7±3.4)岁。治疗2周后,CTE组30°位实际运动角度与目标角度的位置觉差值小于NCTE组;治疗4周后,CTE组的30°位与60°位实际运动角度与目标角度的位置觉差值均小于NCTE组,差异均有统计学意义(P<0.05)。结论 KOA术后早期患者经过CTE康复训练本体感觉有较大改善,可以进一步推广。Objective To explore the therapeutic effect of position sense training of cognitive therapeutic exercise(CTE)on proprioceptive recovery after knee osteoarthritis(KOA)surgery.Methods A total of 43 patients with KOA after operation in Rehabilitation Treatment Center of Beijing Rehabilitation Hospital,Capital Medical University from March 2019 to September 2022 were selected,and were randomly divided into CTE group(21 cases)and NCTE group(22 cases).The NCTE group was given traditional rehabilitation treatment,and the CTE group was given traditional rehabilitation plus CTE for four weeks.The absolute difference between the actual movement angle and the target angle before rehabilitation,two weeks after treatment and four weeks after treatment was analyzed.Results Among 43 patients,there were 14 males and 29 females,aged from 60 to 75 years old,with an average age of(67.7±3.4)years.After the two weeks of treatment,the position perception difference at 30°in CTE group was smaller than that in NCTE group;after the four weeks of treatment,the difference of position perception between 30°position and 60°position in CTE group were smaller than those in NCTE group,and the difference was statistically significant(P<0.05).Conclusions The proprioception of patients undergoing CTE rehabilitation training in the early stage of KOA surgery has been greatly improved,which can be further promoted.

关 键 词：位置觉 认知运动疗法 膝骨性关节炎 术后 临床疗效 

分 类 号：R687.4[医药卫生—骨科学]