下肢肌肉链训练与股四头肌训练在康复治疗膝关节骨性关节炎中的临床效果

The Clinical Effect of Lower Limb Muscle Chain Training and QuadricepsTraining in Rehabilitation Treatment of Knee Osteoarthritis

目的:探讨下肢肌链联合股四头肌训练在膝关节骨性关节炎患者中的应用效果。方法:本研究选择2020年4月-2022年4月巨野县人民医院收治的90例膝关节骨性关节炎患者为研究对象,按照随机数字表法将其分为2组,每组45例。2组患者均给予药物治疗,对照组采用常规股四头肌训练治疗,观察组在对照组基础上联合下肢肌肉链训练治疗。比较2组患者的膝关节功能、炎性因子水平、疼痛程度及生活质量。结果:治疗3个月后,观察组骨关节炎指数评分低于对照组,膝关节评分量表、关节活动度评分均高于对照组,组间差异有统计学意义(P<0.05);观察组白细胞介素-1、白细胞介素-6、肿瘤坏死因子α水平均低于对照组,组间差异有统计学意义(P<0.05);观察组疼痛视觉模拟评分低于对照组,差异有统计学意义(P<0.05);观察组生活质量各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论:下肢肌链联合股四头肌训练用于膝关节骨性关节炎患者中,能获得良好的效果,有助于改善患者的膝关节功能,降低炎性因子水平,有效缓解疼痛情况,提高患者的生活质量,值得推广应用。

Objective:To explore the application effect of lower limb muscle chain combined with quadriceps training in patients with knee osteoarthritis.Methods:In this study,90 patients with knee joint osteoarthritis admitted to Juye County Peopleʹs Hospital from April 2020 to April 2022 were selected as research objects,and were divided into 2 groups according to random number table method,with 45 cases in each group.Both groups were given drug treatment,the control group was treated with conventional quadriceps training,and the observation group was treated with lower limb muscle chain training on the basis of the control group.Knee function,inflammatory factor level,pain degree and quality of life were compared between the two groups.Results:After 3 months of treatment,the osteoarthritis index score of the observation group was lower than that of the control group,and the knee joint score scale and joint motion score were higher than that of the control group,with statistical significance(P<0.05);the levels of interleukin-1,interleukin-6 and tumor necrosis factorαin observation group were lower than those in control group,and the differences were statistically significant(P<0.05);the Visual Analogue pain Score of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05);the quality of life scores of the observation group were higher than those of the control group,with statistical significance(P<0.05).Conclusion:Lower limb muscle chain combined with quadriceps training for patients with knee osteoarthritis can achieve good results,help to improve the knee joint function of patients,reduce the level of inflammatory factors,effectively relieve pain,and improve the quality of life of patients,which is worthy of promotion and application.