高强度训练在血友病性膝关节炎患者康复治疗中的应用

Application of high-intensity training in rehabilitation treatment of haemophilic knee arthropathy

目的探讨高强度康复训练对血友病性膝关节炎患者的疗效。方法收治12例诊断为血友病性膝关节炎的重度血友病患者接受为期6周的高强度训练,包括80%的1次重复最大力量(1RM)的肌力训练和悬吊运动疗法。通过测定股四头肌1RM值、单腿站立时间和Lysholm膝关节评分对治疗前后患者膝关节功能进行评估。结果患者经间歇性高强度治疗后股四头肌肌力和单腿站立时间较治疗前提高,差异有统计学意义(P<0.05)。患者治疗前后跛行、关节肿胀比较,差异无统计学意义(P>0.05)。而使用支撑物、关节绞锁、关节不稳、关节疼痛、上楼梯及下蹲比较,差异有统计学意义(P<0.05)。结论高强度训练不仅能提高患膝股四头肌肌力和单腿站立时间,而且能够明显改善膝关节功能,从而提高重度血友病患者参与日常活动的能力。

【Objective】To evaluate the effectiveness of high-intensity training for improving knee joint in patients with haemophilic knee arthropathy.【Methods】Twelve patients diagnosed as hemophilic knee arthritis with severe hemophilia were treated with high-intensive training for 6 weeks,including 80%one-repetition maximum(1 RM)of muscle strength training and sling exercise therapy.Knee joint function was evaluated by measuring 1 RM value of quadriceps femoris,one leg time and Lysholm knee score before and after treatment.【Results】There was a significant difference in 1 RM value of quadriceps femoris,one leg time and Lysholm knee score before and after the treatment.【Conclusion】High-intensity training can not only improve the muscle strength of quadriceps femoris and one leg time,but also significantly improve the function of knee,so as to improve the ability of patients with severe hemophilia to participate in daily activities.