改良奥塔戈运动训练在平衡和步态受损老年膝骨关节炎患者中的应用效果

Application effects of modified Otago exercise training in elderly patients with knee osteoarthritis with impaired balance and gait

目的:观察改良奥塔戈运动(OEP)训练在平衡和步态受损老年膝骨关节炎(KOA)患者中的应用效果。方法:选取60例KOA患者作为研究对象,按照随机数字表法分为对照组和观察组各30例。对照组接受常规训练,观察组在对照组的基础上接受改良OEP训练。比较两组训练前后平衡能力[Berg平衡量表评分(BBS)、“起立-行走”计时(TUG)、TUG测试摔倒危险评分]、膝关节损伤和骨关节炎评定量表(KOOS)评分。结果:训练后,观察组BBS评分和KOOS各部分评分均高于对照组,TUG短于对照组,TUG测试摔倒危险评分低于对照组,差异均有统计学意义(P<0.05)。结论:在常规训练基础上行改良OEP训练,可提高平衡和步态受损老年KOA患者的平衡能力评分和KOOS评分,其效果优于单纯常规训练。

Objective:To observe application effects of modified Otago exercise programme(OEP)training in elderly patients with knee osteoarthritis(KOA)with impaired balance and gait.Methods:60 KOA patients were selected as the research objects,and were divided into control group and observation group according to the random number table method,30 cases in each group.The control group received conventional training,while the observation group was given the modified OEP training on the basis of that of the control group.The balance ability[Berg balance scale score(BBS),timed-up-and-go time(TUG),TUG test fall risk score]and the knee joint injury and osteoarthritis outcome score(KOOS)were compared between the two groups before and after the training.Results:After the training,the BBS score and KOOS score of the observation group were higher than those of the control group;the TUG was shorter than that of the control group;the TUG test fell risk score was lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the conventional training,the modified OEP training can improve the balance and KOOS scores of the elderly KOA patients with impaired balance and gait.Moreover,it is superior to single conventional training.