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作 者:段奕璇 范学义 DUAN Yixuan;FAN Xueyi(Department of Rehabilitation,Tianjin Hospital,Tianjin 300000,China)
出 处:《中国伤残医学》2025年第5期100-103,共4页Chinese Journal of Trauma and Disability Medicine
摘 要:目的:探讨肌筋膜技术联合渐进式抗阻训练在下肢骨关节损伤患者康复中的应用效果。方法:选取2022年1月—2024年1月天津医院收治的80例下肢骨关节损伤患者为研究对象,随机将其分为对照组与研究组,各40例。所有患者均采用常规治疗,在此基础上,对照组采用渐进式抗阻训练干预,研究组采用肌筋膜技术联合渐进式抗阻训练干预。两组均干预3个月。比较两组膝关节活动度、疼痛情况、膝关节功能、自理能力。结果:干预后,两组膝关节活动度均大于干预前,且研究组膝关节活动度为(119.32±12.33)°,高于对照组的(102.30±13.68)°,差异有统计学意义(P<0.05)。训练1、3个月后,两组疼痛视觉模拟评分法评分均低于干预前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组Lysholm膝关节功能评分表、个人自理能力量表评分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05)。结论:肌筋膜技术联合渐进式抗阻训练可提高下肢骨关节损伤患者的膝关节活动度,减轻其疼痛程度,有效改善患者的膝关节功能及个人自理能力。Objective:To investigate the effect of myofascial technology combined with progressive resistance in rehabilitation of patients with lower extremity bone and joint injury.Methods:A total of 80 patients with lower extremity bone and joint injury admitted to Tianjin Hospital from January 2022 to January 2024 were selected as the study objects and randomly divided into a control group and a study group,with 40 cases in each group.All patients received conventional treatment.On this basis,the control group received progressive resistance training intorvention,and the study group received myofascial technology combined with progressive resistance training.Both groups were intenvened for 3 months.Knee motion,pain,knee function and self-care ability were compared between the two groups.Results:After intorvention,the knee joint motion of both groups was greater than before training,and the knee joint motion of the study group was(119.32±12.33)°,which was higher than that of the control group(102.30±13.68)°,the difference was statistically significant(P<0.05).One and three month after intervention,the Pain Visual Analogue Scores of both groups were lower than before training,and the study group was lower than the control group,with statistical significance(P<0.05).After intervention,Lysholm Knee Society Scale and exercise Self-Care Ability scale scores in both groups were higher than before training,and the study group were higher than the control group,with statistical significance(P<0.05).Conclusion:Myofascial technique combined with progressive resistance draining can improve the knee joint motion,reduce the degree of pain,and effectively improve the knee joint function and self-care ability of patients with lower limb bone and joint injury.
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