超声波结合股四头肌肌力训练治疗老年膝关节骨关节炎

Ultrasound in combination with quadriceps exercise for the treatment of senile knee osteoarthritis

目的 探讨超声波结合股四头肌肌力增强训练对老年膝关节骨关节炎的疗效。方法 将 76例老年膝关节骨关节炎患者随机分为实验组和对照组 ,每组 3 8例。实验组采用超声波结合股四头肌肌力训练 ,对照组应用综合物理疗法治疗。对患膝治疗前和治疗 4周后的日常活动 (ADL)能力、疼痛程度及伸直位最大负荷量进行评定。结果 实验组在缓解疼痛、改善膝关节ADL能力方面略优于对照组 (P >0 .0 5 ) ,但其股四头肌肌力较治疗前及对照组明显增强 (P <0 .0 1)。结论 超声波结合股四头肌肌力强化训练治疗老年膝关节骨关节炎 。

Objective To verify the efficacy of ultr as ound in combination with quadriceps exercise in treatment of senile knee osteoar thritis. Methods Seventy-six patients with senile k nee osteoarthritis were randomly divided into 2 groups: experimental group recei ving ultrasound combined with quadriceps exercise treatment, and control group u ndergoing comprehensive physical therapy only. Function was evaluated by the pat ient's knee joint activities of daily life(ADL) respectively before and 4 weeks after treatment, involved knee pain was assessed subjectively with a numerical p ain scale at the same time. Results The experimental group was slightly better than control group in terms of relief of pain and i ncrease of the ADL ability of the knee joint( P >0.05). In addition, the mus cle strength of quadriceps has been greatly increased ( P <0.01). Conclusion Ultrasound in combination with quadriceps exercise is efficacious in treating senile knee osteoarthritis.