等速肌力训练联合核心稳定性训练在膝骨性关节炎保守治疗患者中的应用效果  

Application of Isokinetic Muscle Strength Training Combined with Core stability Training in Conservative Treatment of Knee Osteoarthritis

作　　者：类兴民 韩修福 魏骐 LEI Xingmin;HAN Xiufu;WEI Qi(Department of Orthopedics,Xinwen Central Hospital of Shandong Health Group,Tai'an 271200,China;Department of Osteoarthrosis,Shanxian Central Hospital,Heze 274399,China)

机构地区：[1]山东健康集团新汶中心医院骨科,山东泰安271200 [2]单县中心医院骨关节科,山东菏泽274399

出　　处：《反射疗法与康复医学》2024年第17期75-77,89,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨等速肌力训练联合核心稳定性训练在膝骨性关节炎保守治疗患者中的应用效果。方法选取2021年1月—2023年12月山东健康集团新汶中心医院收治的80例膝骨性关节炎保守治疗患者为研究对象,按随机数字表法将其分为对照组与观察组,各40例。对照组采用核心稳定性训练,观察组采用等速肌力训练联合核心稳定性训练。比较两组的膝关节肌力、膝关节功能、疼痛程度及生活自理能力。结果治疗6周后,观察组屈肌PT、伸肌PT均高于对照组,组间差异有统计学意义(P<0.05)。观察组膝关节功能障碍评分、Berg平衡量表评分分别为(72.35±3.40)分、(44.08±3.51)分,均高于对照组的(65.17±3.42)分、(37.37±3.35)分,组间差异有统计学意义(P<0.05)。观察组疼痛视觉模拟评分低于对照组,日常生活能力量表评分高于对照组,组间差异有统计学意义(P<0.05)。结论等速肌力训练联合核心稳定性训练可减轻膝骨性关节炎患者疼痛,提高膝关节肌力,促进膝关节功能恢复,提高生活自理能力。Objective To explore the application effect of isokinetic muscle strength training combined with core stability training in conservative treatment of knee osteoarthritis.Methods Eighty patients with knee osteoarthritis treated conservatively in Xinwen Central Hospital of Shandong Health Group from January 2021 to December 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group received core stability training,and the observation group received isokinetic muscle strength training combined with core stability training.Knee muscle strength,knee function,pain degree and self-care ability were compared between the two groups.Results After 6 weeks of treatment,flexor PT and extensor PT in observation group were higher than those in control group,and the differences between groups were statistically significant(P<0.05).The Hospital for Special Surgery score and Berg Balance Scale score of the observation group were(72.35±3.40)points and(44.08±3.51)points,respectively,which were higher than(65.17±3.42)points and(37.37±3.35)points of the control group,and the differences between groups were statistically significant(P<0.05).The pain Visual Analogue Scale score of observation group was lower than that of control group,the Activity of Daily Living Scale score of the observation group was higher than that of the control group,the differences between groups were statistically significant(P<0.05).Conclusion Isokinetic muscle strength training combined with core stability training can reduce pain in knee osteoarthritis patients,improve knee muscle strength,promote knee function recovery,and improve self-care ability.

关 键 词：膝骨性关节炎 等速肌力训练 核心稳定性训练 膝关节功能 疼痛程度 

分 类 号：R684.3[医药卫生—骨科学]