水中PNF技术对膝关节损伤后功能障碍的治疗作用

Effectiveness of PNF Technique During Hydrotherapy for the Dysfunction of the Knee Joint after Musculoskeletal Surgery

目的:观察水中神经肌肉本体促进技术(PNF)对膝关节损伤后功能障碍患者的疗效。方法:膝关节功能障碍患者80例,随机分为2组各40例,均进行系统综合康复治疗,包括肌力、关节活动度、站立及平衡训练,矫形器的应用、物理因子治疗、康复教育等。观察组另联合水中PNF治疗。治疗前后对患者膝部本体感觉、关节活动范围(ROM)、疼痛程度、主要肌群肌力、平衡功能、步行能力及ADL能力进行综合评价,并对其功能改善情况进行分析。结果:经过8周治疗后,2组患者与治疗前比较,膝部本体感觉偏差评分及疼痛评分明显降低,ROM、平衡及步行距离、ADL及肌力分级均明显提高,10m步行时间缩短(P<0.05、0.01),且观察组均优于对照组(P<0.01)。结论:配合水中PNF更能提高膝关节功能障碍患者的综合功能及ADL能力。

Objective.. To investigate the effectiveness of Proprioceptive Neuromuscular Facilitation （PNF） tech- nique during hydrotherapy for dysfunction of the knee joint after museuloskeletal surgery. Methods.. Eighty patients with dysfunction of the knee joint after musculoskeletal surgery were divided randomly into experimental group （n= 40） and control group （n=40）. The patients in control group received routine rehabilitation treatments （muscle strengthening/ ROM training/standing training/balance training/application of orthotic/EPT/Education）, and those in experimental group received both routine rehabilitation treatments and PNF technique during hydrotherapy. The assessments were done before and 4 weeks after treatment by the proprioception of the knee joint, ROM, visual analog scale （VAS）, manual muscle testing （MMT）, activity of daily life （ADF）. Result： There was a significant improvement both in experimental group and control group after 4-week treatment （P^0.05,0.01）. Conclusion.. Application of PNF technique during hy- drotherapy can effectively improve the dysfunction of the knee joint after musculoskeletal surgery.