肌力训练和本体感觉训练治疗老年膝关节骨性关节炎的疗效观察

The effect of muscle strengthening exercise and proprioception training on elderly patients with knee osteoarthritis

目的探讨肌力、关节活动度及本体感觉训练对老年膝关节骨性关节炎（OA）患者的疗效。方法80名老年膝关节OA患者，随机分为治疗组（n=40）和对照组（n=40），治疗组给予包括肌力、关节活动度、本体感觉训练的运动方式进行运动干预，对照组只进行日常的自主运动，治疗前、后以Lequesne指数进行膝关节功能评定，同时采用SF-36简明健康调查量表进行生活质量的评定。结果治疗后2组患者的膝关节功能和生活质量评分与治疗前比较，差异有统计学意义（P〈0．01）。治疗组治疗后膝关节功能评分中的运动时痛、关节压痛、关节肿胀、关节晨僵、总指数等5项指标与对照组治疗后相比，差异具有统计学意义（P〈0．05）；生活质量评分中的肢体疼痛项与对照组相比，差异有统计学意义（P〈0．05）。结论包含有肌力、本体感觉、关节活动度训练的运动处方是适合老年膝关节OA患者的治疗方法。

Objective To observe the therapeutic effect of muscle strengthening, range of motion and proprioception training on elderly patients with knee osteoarthritis （OA）. Methods Based on clinical diagnostic criteria, 80 elderly patients with knee OA were randomly divided into a treatment group （40 cases） and a control group （40 cases）. The patients in the treatment group were administered muscle strengthening exercise and range of motion and proprioception training, while the patients of the control group were not given any special exercise. Before and after 6 months of treatment, knee function and quality of life were assessed with Leqesene＇s Index and a 36-item shortform health survey （SF-36）. Results The patients in both groups scored significantly higher on Leqesene＇s Index and the SF-36 after 6 months of treatment. The pain with motion, knee tenderness, knee swelling, morning stiffness, total score and bodily pain of the treatment group were better than those of the control group. Conclusion The range of motion, muscle strengthening exercise and proprioception training program was associated with improved knee function and quality of life in elderly knee OA patients.