核心稳定性锻炼对膝骨关节炎的临床效果观察

Effect of core stabilization exercises on knee osteoarthritis

目的：探讨核心稳定性锻炼对膝骨关节炎的治疗效果。方法选择膝骨关节炎患者60例，应用计算机随机分为两组，对照组30例采用常规理疗、针灸、熏洗、按摩等治疗，治疗组在常规治疗基础上加入核心稳定性锻炼。治疗前后采用 Lysholm 膝关节评分量表和视觉模拟评分法（VAS）进行评定。结果治疗组治疗前后 VAS 分别为（8.31±1.16）、（3.37±0.97）分，差异有统计学意义（t =16.30，P=0.00）；对照组治疗前后 VAS 分别为（8.26±1.22）、（5.06±0.82）分，差异有统计学意义（t =12.19，P=0.00）；两组治疗后比较差异有统计学意义（t =-6.98，P =0.00）。治疗组治疗前后 Lysholm 膝关节量表评分分别为（32.92±4.21）、（60.19±4.42）分，差异有统计学意义（t =-30.44，P =0.00）；对照组治疗前后 Lysholm 膝关节量表评分分别为（34.82±5.58）、（53.49±3.66）分，差异有统计学意义（t =-14.82，P =0.00）；两组治疗后比较差异有统计学意义（t =7.16，P =0.00）。结论核心稳定性锻炼能进一步改善膝骨关节炎患者膝关节功能，缓解疼痛。

Objective To investigate the effect of core stabilization exercises（ CSE） on knee osteoarthritis. Methods Sixty cases patients with knee osteoarthritis were randomly divided into treatment group （n = 30）and control group（n = 30）. Patients in control group were accepted conventional therapy including conventional physiotherapy,acupuncture,and massage,while in treatment group were accepted CSE besides conventional therapy. All patients were assessed with Lysholm Knee Scoring Scale（LKSS）and Visual Analogous Scale（VAS）before and after treatment. Results VAS in treatment group before and after treatment were（8. 31 ± 1. 16）and（3. 37 ± 0. 97）,and the difference was statistically significant（ t = 16. 30,P = 0. 00）. VAS in control group before and after treatment VAS were（8. 26 ± 1. 22）and（5. 06 ± 0. 82）,and the difference was statistically significant（ t = 12. 19,P = 0. 000. VAS in two groups after treatment was statistically significant （t = - 6. 98,P = 0. 00）. LKSS in treatment group before and after treatment were（32. 92 ± 4. 21）,（60. 19 ± 4. 42）,and the difference was statistically significant（t = - 30. 44,P = 0. 00）. LKSS in control group before and after treatment was（34. 82 ± 5. 58）,（53. 49 ± 3. 66）,and the difference was statistically significance （t = - 14. 82,P = 0. 00）. After the treatment,LKSS in the two groups was significant difference（t = 7. 16,P= 0. 00）. Conclusion The core stability training can improve the patients with knee osteoarthritis of knee joint function,relieve pain.