肌肉视觉反馈干预联合功能锻炼对退行性膝骨关节炎患者疼痛程度、关节活动功能及肌力水平的影响

Influence of muscle visual feedback intervention combined with functional exercise on pain degree,joint function and muscle strength in patients with degenerative knee osteoarthritis

目的探讨肌肉视觉反馈干预联合功能锻炼对退行性膝骨关节炎患者疼痛程度、关节活动功能及肌力水平的影响。方法选取退行性膝骨关节炎患者80例,分为对照组(40例)和观察组(40例),对照组仅给予功能锻炼,观察组在此基础上加用肌肉视觉反馈干预辅助治疗。疗程28 d。比较两组患者治疗前后视觉模拟评分法(VAS)、吕斯霍尔姆膝关节评分(lysholm)、膝关节主动活动度、被动活动度、股四头肌峰力矩评分及生活质量综合评定问卷评分(GQOLI-74)。结果观察组治疗28 d后VAS评分、lysholm评分、主动活动度、被动活动度、股四头肌峰力矩评分和GQOLI-74评分均明显优于治疗前和对照组(t分别=3.15、2.99、3.07、2.94、3.15、3.64;2.26、2.51、2.35、2.58、2.29、2.41,P均<0.05)。结论肌肉视觉反馈干预联合功能锻炼用于退行性膝骨关节炎患者可有效缓解疼痛症状,促进肢体活动功能恢复,提高关节活动度,改善肌力水平和生活质量。

Objective To investigate the influence of muscle visual feedback intervention combined with functional exercise on pain degree,joint function,and muscle strength in patients with degenerative knee osteoarthritis. Methods Totally 80 patients with knee osteoarthritis were chosen and divided into the control group（40 patients） and the observation group（40 patients）. The control group was taken the functional exercise,and the observation group was taken muscle visual feedback intervention on the basis of the functional exercise. The course is 28 days. The VAS score,lysholm score,knee joint active activity and passive activity,peak torque score of quadriceps femoris,and GQOLI-74 score before and after treatment between two groups were compared. Results The VAS score,lysholm score,knee joint active activity and passive activity,peak torque score of quadriceps femoris,and GQOLI-74 score of the observation group after treatment for 28 days were significantly better than before treatment and those of the control group（t=3.15,2.99,3.07,2.94,3.15,3.64;2.26,2.51,2.35,2.58,2.29,2.41,P0.05）. Conclusion For the patients with degenerative knee osteoarthritis,muscle visual feedback intervention combined with functional exercise can efficiently relieve the pain symptoms,promote the recovery process of limb function,higher the joint mobility,and improve the muscle strength and quality of life.