超声联合PNF对骨折后伸直型膝关节僵硬的疗效观察

Effectiveness of ultrasonic combined with PNF on knee joint stiffness

目的:探讨超声联合PNF综合康复疗法对骨折后伸直型膝关节僵硬的疗效。方法:将符合纳入标准的53例膝关节僵硬患者随机分为传统组和康复组,在常规药物及肌力训练基础上分别给予传统关节松动术和本体感觉神经肌肉促进技术(PNF)联合超声治疗。治疗前后观察关节活动度,视觉疼痛模拟评分和膝关节功能改善积分。结果:治疗2个月后在关节活动度和膝关节功能改善积分方面,康复组优于传统组(P<0.05),视觉疼痛模拟评分2组差异无统计学意义。2组3种评定方法治疗前后组内比较,治疗后优于治疗前(P<0.05)。结论:超声联合PNF模式功能训练的综合康复疗法对膝关节僵硬功能的改善优于传统关节松动术。

Objective： To investigate the effectiveness of ultrasonic combined with PNF on knee joint stiffness. Methods： Fifty-three patients with knee joint stiffness meeting the standard were divided into two groups： traditional treatment group and rehabilitation treatment group, respectively given traditional joint mobilization and PNF com- bined with ultrasonic treatment. After treatment for two months, the knee motion was observed, and visual analog pain seore and the improvement of knee function score were assessed. Results： The rehabilitation treatment was bet- ter than the traditional treatment on the knee motion and the improvement of knee function score after treatments （P^0.05）. There was no significant different in the visual analog pain score between the two groups. There was significant difference in two groups before and after the treatment （P〈0.05）. Conclusion： The effectiveness of PNF combined with ultrasonic is more satisfactory than traditional joint mobilization on knee joint stiffness.