PNF疗法结合中药熏蒸对术后膝关节功能障碍的疗效观察

Effectiveness of PNF technique combined with Chinese herb braising therapy for the dysfunction of knee joint after surgery

目的:通过观察PNF(本体感觉神经肌肉促进技术)疗法结合中药熏蒸及常规康复治疗对术后膝关节功能障碍的影响,指导术后康复治疗。方法:单纯膝部骨折术后患者69例,随机分为治疗组37例(PNF疗法结合中药熏蒸及常规康复治疗)和对照组32例(中药熏蒸结合常规康复治疗),通过主动关节活动度(AROM)测定,视觉模拟评分(VA S)及Ho lden步行功能分类对治疗前后的膝关节功能进行评定。结果:①主动关节活动度评定:两组患者均较治疗前提高,但治疗组较对照组显著(P<0.01);②VA S评分:两组比较有显著性差异(P<0.01);③Ho lden步行功能分类:两组患者步行功能均明显改善;治疗组改善情况好于对照组(P<0.05)。结论:PNF疗法结合中药熏蒸治疗对骨折术后膝关节功能障碍的改善优于常规治疗。

Objective To develop the rehabilitation therapy programs through observing the effectiveness of Proprioceptive Neuromuscular Facilitation （PNF） technique combined with Chinese herb braising therapy and routine rehabilitation therapy for the dysfunction of knee joint after surgery. Methods Sixty--nine patients with simple knee joint fracture were randomly divided into treatment group （n= 37,with PNF technique combined with Chinese herb braising therapy and routine rehabilitation therapy） and control group（n= 32,with Chinese herb braising therapy and routine rehabilitation therapy only） after surgery. The assessments were done before and after treatment by active range of motion（AROM）,visual analog scale （VAS） and Holden walking function classification. Results There was a significant improvement both in treatment group and control group after treatment （P〈0. 05,0. 01）, and there was significant difference between the treatment group and control group（P〈0. 05,0. 01）. Conclusion The PNF technique combined with Chinese herb braising therapy was superior to the routine rehabilitation therapy in the functional recovery of knee joint facture patients.