股四头肌锻炼为主治疗膝骨性关节炎临床研究进展

Clinical Research Progress of Quadriceps Femoris Exercise in the Treatment of Knee Osteoarthritis

股四头肌肌力下降与膝骨性关节炎(knee osteoarthritis,KOA)有着密切的联系。股四头肌锻炼方法有:股四头肌等长收缩练习、股四头肌等张收缩练习、股四头肌等速收缩练习;非手术治疗包括:关节腔注射配合股四头肌锻炼、针灸配合股四头肌锻炼、中药熏洗配合股四头肌锻炼、中药口服配合股四头肌锻炼、推刮手法配合股四头肌锻炼、超声波结合股四头肌锻炼、中医综合治疗配合股四头肌锻炼等,通过锻炼股四头肌可明显延缓KOA病情的进一步进展。但是在临床上,对于处于KOA不同阶段的患者,应该选取哪一种股四头肌锻炼方法仍然偏于医生的主观决定,没有一个标准化治疗规范。因此,如何制定一个规范化、数字化、个性化的股四头肌锻炼治疗标准,应成为今后治疗KOA以及KOA患者日后康复的研究方向。

The decrease of quadriceps femoris muscle strength is closely related to knee osteoarthritis(KOA).Quadriceps femoris exercise methods include quadriceps femoris isometric contraction exercise,quadriceps femoris isotonic contraction exercise,quadriceps femoris isokinetic contraction exercise.Non-surgical treatment methods include intra-articular injection with quadriceps femoris exercise,acupuncture with quadriceps femoris exercise,TCM fumigation with quadriceps femoris exercise,oral Chinese medicine with quadriceps femoris exercise,push-scrape technique with quadriceps femoris exercise,ultrasound with quadriceps femoris exercise,comprehensive treatment of TCM with quadriceps femoris exercise,etc.The further progress of KOA can be significantly delayed by exercise of quadriceps femoris.However,in clinical practice,for patients in different stages of KOA,which quadriceps exercise method should be selected is still biased towards the subjective decision of doctors,and there is no standardized treatment.Therefore,how to formulate a standardized,digital and personalized quadriceps exercise treatment standard should become the future research direction for the treatment of KOA and the rehabilitation of KOA patients.