基于“互联网+”的下肢力量训练在膝关节骨性关节炎患者居家康复中的应用

Application of lower limb strength training based on"Internet+"in the home rehabilitation of knee osteoarthritis patients

目的探讨基于"互联网+"实施下肢力量训练在膝关节骨性关节炎(KOA)患者居家康复中的应用效果。方法采用便利抽样法,选取2021年5月—2022年12月在首都医科大学附属北京友谊医院疼痛门诊就诊的80例KOA患者,根据随机数字表法分为观察组和对照组,各40例。对照组采用常规居家康复护理,观察组在对照组基础上实施基于"互联网+"的下肢力量训练,均干预3个月,比较两组患者的膝关节疼痛程度(VAS评分)、膝关节功能(KOOS评分)及锻炼依从性。结果干预后,观察组VAS评分低于对照组,KOOS评分高于对照组,差异有统计学意义(P<0.05)。观察组高依从性26例、部分依从11例、低依从性3例,对照组分别为19、10、11例,观察组锻炼依从性优于对照组,差异有统计学意义(Z=1.997,P=0.046)。结论基于"互联网+"实施下肢力量训练康复管理可以有效缓解KOA患者的膝关节疼痛,改善膝关节功能,提高患者居家锻炼的依从性。

Objective To explore the application effect of lower limb strength training based on"Internet+"in the home rehabilitation of knee osteoarthritis(KOA)patients.Methods Using the convenient sampling method,a total of 80 KOA patients who visited Pain Outpatient Department of Beijing Friendship Hospital,Capital Medical University from May 2021 to December 2022 were selected.They were randomly divided into the observation group and the control group by the random number table method,with 40 cases in each group.The control group adopted routine home rehabilitation nursing,and the observation group implemented lower limb strength training based on"Internet+"on the basis of the control group.Both groups were intervened for 3 months,and the knee joint pain degree(VAS score),knee joint function(KOOS score)and exercise compliance of the two groups were compared.Results After intervention,the VAS score of the observation group was lower than that of the control group and the KOOS score was higher than that of the control group,and the differences were statistically significant(P<0.05).There were 26 cases of high compliance,11 cases of partial compliance and 3 cases of low compliance in the observation group,and 19,10 and 11 cases in the control group,respectively.The exercise compliance of the observation group was better than that of the control group,and the difference was statistically significant(Z=1.997,P=0.046).Conclusions The implementation of lower limb strength training rehabilitation management based on"Internet+"can effectively alleviate knee pain in knee osteoarthritis patients,improve knee function,and improve their compliance with home exercise.