下肢机器人辅助步态训练联合体外冲击波穴位治疗老年膝骨关节炎的临床研究  

Clinical Study on Lower Limb Robot Assisted Gait Training Combined with Extracorporeal Shock Wave Acupoint Treatment for Elderly Knee Osteoarthritis

作　　者：朱婷[1] 梁晓昱 卞雅莉 王媛媛 方蔓倩[1] ZHU Ting;LIANG Xiao-yu;BIAN Ya-li;WANG Yuan-yuan;FANG Man-qian(Department of Geriatrics,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200021,China)

机构地区：[1]上海中医药大学附属曙光医院老年医学科,上海200021

出　　处：《现代生物医学进展》2024年第24期4664-4666,共3页Progress in Modern Biomedicine

基　　金：上海市卫生健康委员会科研项目(202240051)。

摘　　要：目的:探讨下肢机器人辅助步态训练联合体外冲击波穴位治疗老年膝骨关节炎的临床效果。方法:选取2022.5-2024.5收治的62例老年膝骨关节炎患者,为观察组与对照组,各31例。对照组采用体外冲击波穴位治疗,观察组采用下肢机器人辅助步态训练联合体外冲击波穴位治疗,对比相关指标。结果:观察组总有效率高于对照(P<0.05);治疗后,观察组AROM、PROM高于对照组,两组治疗后高于治疗前(P<0.05);治疗后,观察组LKSS评分、6米步速高于对照组,两组LKSS评分治疗后高于治疗前(P<0.05),观察组6米步速治疗后高于治疗前(P<0.05);治疗后,观察组日常生活能力优于对照组(P<0.05)。结论:下肢机器人辅助步态训练联合体外冲击波穴位治疗老年膝骨关节炎疗效显著,可提升膝关节活动度,改善膝关节功能与步行功能,进而提升日常生活能力。Objective:To explore the clinical effect of lower limb robot assisted gait training combined with extracorporeal shock wave acupoint treatment for elderly knee osteoarthritis.Methods:Sixty-two elderly patients with knee osteoarthritis admitted to2022.5-2024.5 were selected for the observation group and the matched group,with 31 cases each.The matched group used extracorporeal shock wave acupoint treatment,and the observation group used lower limb robot-assisted gait training for joint external shock wave acupoint treatment to compare relevant indicators.Results:The total response rate was higher than the matched group(P<0.05);after treatment,AROM and PROM were higher than the matched group and higher than before treatment(P<0.05);after treatment,LKSS score and 6 m pace were higher than the matched group,LKSS score was higher than before treatment(P<0.05),and 6 m step after treatment was higher than before treatment(P<0.05);after treatment,the daily living ability of the observation group was better than the matched group(P<0.05).Conclusion:Lower limb robot assisted gait training consortium external shock wave acupoints in the treatment of elderly knee osteoarthritis,which can improve the range of knee motion,improve knee function and walking function,and then improve the ability of daily living.

关 键 词：下肢机器人 步态训练 体外冲击波穴位治疗 膝骨关节炎 

分 类 号：R684.3[医药卫生—骨科学]