本体感觉训练联合等速运动治疗对膝骨性关节炎患者膝关节稳定性和平衡功能的影响

Effects of Proprioceptive Training Combined with Isokinetic Exercise Therapy on Knee Joint Stability and Balance Function in Patients with Knee Osteoarthritis

目的探究本体感觉训练联合等速运动治疗对膝骨性关节炎患者膝关节稳定性和平衡功能的影响.方法选取2019年6月—2020年9月于该院就诊的82例膝骨性关节炎患者为研究对象,按照随机数字表法分为两组,对照组(41例)采用等速运动治疗,观察组(41例)在对照组基础上采用本体感觉训练.比较两组干预前及干预8周后膝关节稳定性、平衡功能、膝关节功能.结果干预8周后,两组屈膝60°位屈伸肌肌力比值(hamstrings/quadriceps,H/Q)、总稳定指数、前后稳定指数、左右稳定指数均低于干预前,伸膝0°位Q角小于干预前,且观察组H/Q、总稳定指数、前后稳定指数、左右稳定指数均低于对照组,伸膝0°位Q角小于对照组,组间差异均有统计学意义(P<0.05);两组美国膝关节协会评分(American Knee Society knee score)中临床评分、功能活动评分均高于干预前,且观察组上述评分均高于对照组,组间差异有统计学意义(P<0.05).结论本体感觉训练联合等速运动治疗应用于膝骨性关节炎患者中,可取得显著成效,能够有效促进患者膝关节稳定性、平衡功能及膝关节功能的改善,临床应用价值高.

Objective To explore the effects of proprioceptive training combined with isokinetic exercise therapy on knee joint stability and balance function in patients with knee osteoarthritis.Methods 82 patients with knee osteoarthritis who were treated in the hospital from June 2019 and September 2020 were selected as the research subjects.They were divided into two groups according to the random number table method.The control group(41 cases)was treated with isokinetic exercise,and the observation group(41 cases)adopted proprioceptive training on the basis of the control group.The knee joint stability,balance function and knee joint function were compared between the two groups before intervention and after 8 weeks of intervention.Results After 8 weeks of intervention,the hamstrings/quadriceps(H/Q)at 60°of knee flexion,total stability index,front-back stability index and left-right stability index were all lower than those before intervention,the Q angle at 0°knee extension in both groups was smaller than that before intervention,and the H/Q,total stability index,front-back stability index,left-right stability index of the observation group were lower than those of the control group,and the Q angle at 0°knee extension was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).The clinical scores and functional activity scores of American Knee Society knee scores in the two groups were higher than those before intervention,and the above scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P0.05).Conclusion Proprioceptive training combined with isokinetic exercise therapy in patients with knee osteoarthritis can achieve remarkable results,can effectively promote the improvement of knee joint stability,balance function and knee joint function,and has high clinical application value.