小针刀配合等速肌力训练治疗老年膝骨性关节炎的结果分析

Analysis of combination therapy of traditional needle and isokinetic training for elderly patients with osteoarthritis of knee

目的观察小针刀配合等速肌力训练对老年膝骨性关节炎(KOA)患者的视觉类比量表(VAS)、关节活动度(ROM)及运动功能的影响。方法选择60例老年膝骨性关节炎患者,随机分为治疗组与对照组,治疗组接受小针刀治疗配合等速肌力训练,每周小针刀治疗1次、等速肌力训练5次,4周后结束1个疗程;对照组接受等速肌力训练,1天1次,每周训练5次,共训练20次。结果经过治疗与训练,治疗组与对照组Lysholm评分与治疗前比较均有明显增加(P<0.05),但是2组治疗后的评分相比较无明显差异(P>0.05);治疗组与对照组治疗前后VAS评分均有明显下降(P<0.05),并且治疗组的下降更为明显(P<0.05);2组的ROM及峰力矩与治疗前相比较均有显著的改善,治疗组ROM在治疗后的改善程度明显好于对照组治疗后的情况(P<0.05),治疗后2组峰力矩没有明显差异(P>0.05)。结论小针刀配合等速肌力训练对老年KOA患者的疼痛及关节活动度的改善更为有效。

Objective To investigate the effect of combination therapy of traditional needle and isokinetic training for elderly patients with osteoarthritis of knee in visual analogue scale （VAS）,range of motion （ROM） and joint function. Methods Sixty elderly patients with osteoarthritis of knee were randomly divided into treatment group （n=30） and control group （n=30）. The treatment group was treated with traditional needle once a week, and with isokinetic training five days a week for a course of four weeks. The control group was treated with isokinetic training five times a week for a course of four weeks. Results After a course of treatment and training, Lysholm score and ROM and peak torque of both groups increased obviously, while VAS score decreased obviously. The treatment group had a better effect on increasing ROM and decreasing VAS. Conclusions Combination therapy of traditional needle and isokinetic training has a better effect on reducing knee joint pain and increasing ROM in elderly patients with osteoarthritis of knee.